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Homestead_Hancock 1 ' spit FOAM 5IH IR_I W+1 tREcNRI2 FOAM T3-1A APIWn'EO m'SAY11.RnsRD OF Pi'fl* ,TS.9+ PIUSICRIBED BY Tilt DEPARTMENT OF MS rovptNMrNr ETlSC s1.1-r4.1 Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individuals and married couple,are limited to one homestead standard deduction.As the receipt of this deduction becomes more beneficial.there is more incentive than escr for homestead fraud.Homestead fraud causes higher has bills for alt:therefore. HEA 1344-2009 requires taspayers who receive the homestead standard deduction to verify that they am eligible to receive the benefit and to provide additional he identifying coyme infurnumica necessary my e, to accessed county government to better monitor homestead 1 F s tenet.This information will he tryv conlidemial and con only be to allow by authorized county officials.The Dreamt=st of ( Local Government Finance will use this information to create tools that will help county officials eliminate homestead hand. PART 1: PROPERTY INFORMATION MAY 6 Taxpayer Name Property Address Hancock,James/Carla -74 f3 ,e‘e, none 4 N (COUNTY AUDITOR I7berfeld IN 47613 • James Hancock 110468 SR 57 State Parcel Number Leeal Description RFELD IN 47613 26-20-31-400-000.313-001 001-00313-0e,PT W SE 31-3-9 2 AC D-10 0 CI r PART 2:TAXPAYER INFORMATION Owner I First Middle Last Sames Rand ll 4et,nLuc* •ng Address(number and street,city,state,and ZIP code) - L/ Same as propeir nddr ss — — -- - /©G/4 g S, 5-1 ems! S1 q i 3 Spouse First Middle A /o Last r a in Q e /`�`U/7C pcy/C_ Mailing Address(Number and street city,s,/tate,and ZIP code) El Same as property address /01/6 g Si ei/r Po/ 17 c/d ecfe/ 7-A) H LeI 3 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 Signawre5�.�`_^r Date ` ` CLAIMTOR HOMESTEAD TAX CREDIT/STANDARD DEDUCTION State Form 5wro(na/4-o3) -- Prescribed :y the Department m Local Government Finance INS TRUC77ONS:See reverse side for riling instructiciiis. — ����__ /\v.o/p"niwov pnnnpa/paoomna/oeow�m000/mmngneon�neommpmpvny for which anmne�vaupmponynmcmou|* hereby daimod: 0Nn}wxn*6�) [] Are buying under contract slave a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or|s buying under ucontract. If buying on contract Fes, Simple ovmees name Recorders office w hem contract is recorded umber Page TV I il� TRUE TAX County Tovinship County T�nshlp I hereby certify the above statements are true, correct and complete. the Park uss on: 3 property 0 Mobile Home (LC. 6-1.1-7) If any portion of the residential structure or ft land no� exceeding we (1) unds the(Ism -cturek I med W produce income, describe the use and portion of the property utilized to produce income. Land not exceeding 1 (one) acre immediately TV I il� TRUE TAX County Tovinship County T�nshlp I hereby certify the above statements are true, correct and complete. Signature of claimant W(number and street, a4� state, ZIP code) TV I il� TRUE TAX ASSESSEDMALUE HOMESTEAD Valuation or W,000 Signsurre of Auditor Da-51ed Land not exceeding 1 (one) acre immediately surrounding residents] Improvements. Otherland (2) Total land (line I plus line 2) (3) Residential improvements or Annually Dwelling (4) t 4. Assessed Mobile Manufactured Home improvements (6) ,qJ;er Total Improvements (line 4 through line 6) (7) Total value (line 3 plus line 7) (8) I hereby certify the above is true, correct, and Signature of Assessor Date signed Verifying acdw - Signature of Auditor Date signed –7,t, �ZSTANDARD DEDUCTION ALLOWANCE Lesser of 1/2 Homestead Valuation or W,000 Signsurre of Auditor Da-51ed