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Homestead_Lantaff • STATE roam•xWgRrr,-1 • TRFASU[FA FORM i4 1A Arrrrwro BTSI*GTE&MAD OfA/rrsuNTA Be. r.FAIUBED BY TIf DTP/JUN/MK OF LICALC RM.MEATFD:.S.YCEIc 4-1.1r-1.1 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 ester for homestead fraud Homestead fraud causes higher las bills for all:therefore. '40 HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filing.This information will be kept confidemial and can only be accessed by authorized county officials.The DepannTent of Local Goya-finical Finance will use this information to create [cols that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Lantaff, Wess S R3 Box 139 /�(� Oakland City IN 47660 3277 ` ' ci Wess S Lantaff R3 Box 139 State Parce " mber Legal Description Oakland City IN 47660-7744 —— �tIu��nt�tII nt��u��nt�suII nt�r�n�t�n�t�nII n�nt11F1 26-20-14-303-001.083-001 001-01083-OO PT SW 143-91.66 AC This form MUST be returned to County Auditor's office. Please do NOT send this form back with your tax payment to the county treasurer. PART 2: TAXPAYER INFORMATION Owner I First Middle Last wEJ 3 LPuTAFF �g Address(number and sager,city,state,and ZIP code) 0 Same as property address 7`IR S ciS0 k_ OAroMD Ctrs s4 u-ilria9 . Spouse First Middle Last i \n cL n e M L aiv.,� a FE Mailing. ddress(Number and street,city,state.and ZIP code) f Same as property address 47 44 7 5 . Qsv e; .ZN l*. i. to fl 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 fpf back taxes and substantial financial penalties. Owner I Signature / Date 11111 . • mss.•" CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT /STANDARD DEDUCTION State Fona 5473 (R2 15-92) a INSTRUCTIONS: See reverse side for filing instructions. FORM HC10 YEAR 9 CE TIFICA O STATEMENT I (We) cenity, that on the 1 st day of March, 19_ I (We) occupied as our pnncipal place of residence the following described r 1 perty for which a Homestead Property `az'Credit,is'Hereby claimed: p t ❑ I El Are buying under contract (We) owned ❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract. APR 2 7 2000 CONTRACT RECORDED If buying on contract, Fee Simple owners name Recorders office where contract is recorded - - Record number' rJt t Ufi Page PROPERTY DESCRI County Township Taxing distri to t hi ar nu bar i 10 'D%3- 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. / 9 ' PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES County County Township Signa r f claim .ereby certify the above statements are true, correct and complete. I Atldress (number and street, oily, state, ZIP code) oa 1) �h4Go ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL VALUE Land not exceeding 1 (one) acre immediately (1) surrounding residential improvements. Otherland (2) Total land (line I plus line 2) (3) Dwelling (4) Residential improvements Garage (5) Other improvements (6) Total improvements (line 4 through line 6) (7) Total value (line 3 plus line 7) (6) I hereby certify the above is true, correct, and Signature of Pssesor Date signed complete. Verifying action - Signature of Auditor Date signed STANDARD DEDUCTION ALLOWANCE 19_ Pay 19 _ Lesser of 1/2 Homestead _ S Valuation or $2,000 Signature of Auditor Date signed