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Homestead_Holtz MATE FORM:Wt 0C15-in TREASURER FORM 75-IA APPROVED BY SI■It MVN OFMfl*L%`an PLEYAIBED BY THE DEPARIYm4T(4 LOCAL EWER: nee FDACEMVI.I3_4.1 Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes more beneficial.there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore. • HEA 1374-2009 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to receive the benefit and to ptot'ide additional identifying information necessary to allow county government to better monitor homestead filings.This information will he kept conlidenial and can only he accessed by authorized county officials.The Depannien of Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. . PART I: PROPERTY INFORMATION Taxpayer Name Property Address Hot, Lee W/Sheryl D BOG S) C /0s0 S • -ft 1 Etas=li Lynnville IN 47619 8881 Lee W/Sheryl D Holtz 10652 E 1050 S State Parcel Number Legal Description Lynnville IN 47619-8803 M.111111111) ��t�n�n�t�n�t�� F F�t�tu�F��nr�) 26-20-36-300-000356-001 001-00356-00 PT SW 36-3-915 AC PART 2:TAXPAYER INFORMATION Owner I First Middle . f Last NA)Lee_ � 1-1-z 1g Address(number and street.city,state,and ZIP code) - - a Same as property address __ - -- — -- - -- I 0105-a C 4 Ipso 5 Lynne , Ile, � tl 7119 Spouse First Middle Last Mailing Address(Nun r and street,city,state,and ZIP code) VI Same as property address PART 3:CERTIFICATION Each undersitmed 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 S. nature ! �'A Date • d CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT /STANDARD DEDUCTION State Form 5473 (R2/1 -90) INSTRUCTIONS: See reverse side for filing instructions. W T D 3s� FORM HC10 CERTIFICATION STATEMENT YEAR I (We) OW Z✓%�� r X 4 - :J/� certify that on the 1 st day of March, 19 �?L Pl(We) occupied as our principal plcVe of residenCUThe folf6wing described real property for which a Homestead roperty Tax Credit is hereby claimed: [R I (We) owned ❑ Are buying under contract El property a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying it under a contract. CONTRACT RECORDED If buying on contract, Fee Simple Owner's Name MAY 10 1�91 Recorder's office where contract is recorded Record Number Page PROPERTY DESCRIPTION AUDITOR County Town h' Taxin Di ict (Cit , town, township) Parcel umber Legal D scriptio If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that struc- ture is used to produce income describe the use and portion of the property utilized to produce income. - - - 00 - 000. —401 PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES County To County Township ® iereby certify the above statements are true, correct and natu complete. (2) Address Street, numb r, city, state and 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 Otherland Total land - line (1) plus line (2) Residential improvements Dwelling Garage Other improvements Total improvements - line (4) through line (6) Total value - line (3) plus line (7) (1) 1991 Pay 1992 Lesser of 1/2 Homestead Valuation or $1,500 19— Pay 19— Lesser of 112 Homestead Valuation or $1,500 (2) Signat of Auditor � ,r , Date Signed _4i (3) (4) (5) (6) (7) (8) 1 hereby certify the above is true, correct, and complete Signature of Assesor Date Signed Verifying Action - Signature of Auditor Date Signed STANDARD DEDUCTION ALLOWANCE 1989 Pay 1990 �Lesser of 1/2 Homestead Valuation or $2,500 1990 Pay 1991 Lesser of 112 Homestead Valuation or $2,000 1991 Pay 1992 Lesser of 1/2 Homestead Valuation or $1,500 19— Pay 19— Lesser of 112 Homestead Valuation or $1,500 Signat of Auditor � ,r , Date Signed _4i I