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Homestead_Florae , CLAIM FOR HOMESTEAD PROPERTY TAX '= CREDIT /STANDARD DEDUCTION , State Form 5473 F2/5-92) au INSTRUCTIONS: See reverse side for tiling instructions. occupied as our principal ply of residence the following described real property for which a FORM K HC10 I b] March, 19 / Z hereby claimed: �i (we) owned ❑ Are buying under contract ! OO ` 1 ; 1994 ❑ Have a beneficial interest in the entity that is liable for the properly taxes on the property and that owns the property or is buying under a contract. CONTRACT RECORDED nvvr r vr. , It buying on contract, Fee Simple owner's name Recorder's office where contract is recorded Record number I Page PROPERTY DESCRI ION Count Township Taxing trict (city n township)- • , /'� or v Valuation or S2,000 o Parcel number 010- Legal description If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion of the property utilized to produce income. ' L0 a -130o - w PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES County Township County Township eby certify the above statements are true, correct and complete. Sign ar re oI cl imant Address (number and street, city. state. ZIP code) • ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL VALUE Land not exceeding 1 (one) acre immediately surrounding residential improvements. (1) Valuation or S2,000 Signature of Auditor Other land (2) Total land (line I plus line 2) (3) Residential improvements Dwelling (4) Garage (5) ' Other improvements (6) Total improvements (line 4 through line 6) (7) Total value (line 3 pirs line 7) (6) 1 hereby certify the above is true, correct, and complete. Signature of Assessor Date signed verifying action - Signature of Auditor I Date signed STANDARD DEDUCTION ALLOWANCE 19_Pay 19_ Lesser of 112 Homestead S Valuation or S2,000 Signature of Auditor DatlD e signed -�a -9 rMI 515th!ORM`3BAICt'd'l TAFAAIRFR FORM 79-IA .SPPMT'En BY SESth Br5VIDCW NYYRIS'!S._`cm PV_4YUBm BY Till DEPARTMENT OF LOCAL C WELNMFT'T MT,KE M4.1.12 14.1 Gibson County Auditor 101 N Main IMPORTAN1' NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individuals and married couple.are limited to orr homestead standard deduction.As the receipt of this deduction becomes more beneficial.there is more incentive than e'er for homestead fraud_Rome:tea l fraud causes higher las bills for all;therefore. • HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify-that they are eligible to retest the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filings.This information will he kept confidential and can only be accessed by authorized county officials.The 0.yannent of Local Government Finance will Luc this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Flora, Larry G RI Box 56la lnI\ atliF,a 11 37666 1 371 ���/// Larry G Flora 864 W 550 N State Parcel Number Legal Description Patoka IN 47666-9058 �t�ur��rrr�t��rrr��r rt��tt�r�rr��t trr�r�r�rt�rr��rrt�tt��r�rr� 26-04-12-300-001.994-018 010.01994-o0 PT W 121114.688 AC PART 2: TAXPAYER INFORMATION • Owner I First Middle Last Larry gorge -Flora . tg Address(huTnber anditron,city.state.-end ZIP code) ©:Sarrtc as propertj address • _—_-- — – — `�(o� W eo"I-- 550 Nord-h Spouse ) First —� r Middle Last 4'1Q`I-`l V To Il lOr4 Mailing Address(Number and street,city,state.and ZIP code) ®Same as property address O$/ W 550 r\I PART 3:CERTIFICATION Each undersigned certifies,under penalty of perjury.that the above and foregoing information is true and correct and that he or she is eligible to receive the homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions unlawfully,he or she may be liable for back taxes and substantial financial penalties. Owner I Si attar Date PART 4:ADDITIONAL INFORMATION