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Homestead_Bedwell METE FORM 5Nt ix:two ,•TRY:4:M RAM:3-TA MTKOVED BY MATE WARD(W.MYTRI%TA._on ear3A11117)BY mE DEPARTHEYT(f LOCAL GOVERNMFT'T FINA tWti-1.1-L'JI Gibson County Auditor 101 N Main IMPORTAN1' 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 ever for homestead fraud.I lomestead fraud causes higher tax bills for all;therefore. • HE.\ 134-1-2009 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 Minya:.'ntis information will he Lept confidential and nn only be accessed by authorized county officials.The Depanntent of Local Government Finance will use this information to create tools that will help court'officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address -- Bedwell, Mark B/Sherri R 713 Kennedy Drive Fort Branch IN 47648 6709 Mark B/Sherri R Bedwell 713 Kennedy Drive State Parcel Number Leal Description Fort Branch IN 47648-9773 1.1.11 It II nI II u Ir It I u I t II t I n II n II II rr III 26-18-13-101-001.113-026 011-01113-00 CANDLELIGHT VILLAGE 6 0-27 • PART 2:TAXPAYER INFORMATION Owner I First Middle Last MARK 130q BEDWELc- •erg Address(number and street,city.state,and ZIP code) _— _ — .. . Same is propem nddrrss -- _ - — - - __ — Spouse First Middle' Last SH € RRt fzo5E BEnwet_t— Mailin_Address(Number and street,city,state,and ZIP code) © Same as property address 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�bacckk taxes and substantial financial penalties. Owner 1 Signature /fie/ ""`-`^"'l� Date • i ' . �-i d�p,, CLAIM FOR HOMESTEAD PROPERTY TAX ;`�= y : CREDIT/STANDARD DEDUCTION. , ' State Form 5473 (R2/1-90) � �'°�• � INSTRUCTIONS: See reverse side for filing instructions. CERTIFICATION STATEMENT _ / ' _ __ FORM io ' NOV � r � II(We) v �� > :° at.on the 1��gf�i ar�y'��._�/y,4Q�_ �l (We) occupied as our principal place of residence the following described real property f�� iomestead Property Tax Credit is hereby, claimed: . Y�i (We) owned ❑ Are buying under contract I�' 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 it under a contract. CONTRACT RECORDED If buying on contract. Fee Simple Owner's Name Recorder's ofiice where contract is recorded � Record Number • Page PROPERTY DESCRIPTION - . Taxing Dislri� township) li any portion of the residential struciure or ihe lan�fiot exceeding one (7 �e ihat immediately surrounds that struc ture is used to produce income describe the use and portion of the property utilized to produce income. PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES _ Township County hereby ceriify the above statements are true. correct and (Street. number. re ASSESSOR USE ONLY � TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE 76 NON-RESIDENTIAL VALUE Land not exceeding 1(one) acre immediately surrounding residential improvements (�) Otherland (2) Total land - line (1) plus line (2) (3) Residential improvements Dwelling � (4) � - - - Garage (5) Other improvemenis (6) Total improvements - line (4) through line (6) (7) Total value - line (3) plus line (7) (8) I hereby certify the above is true. Signature of Assesor Date Signed correct, and complete Verifying Action - Signature of Auditor Date Signed 1989 Pay 1990 �sser of t/2 Homestead Valuation or $2.500 �—_ �re of Auditor� is- � o i ,IAIVUAFfU UtUUl.11VIV ALLVVVHIVI.0 7990 Pay 1991 Lesser of t/2 Homestead Valuation or $2,000 7991 Pay 1992 Lesser of 1!2 Homestead Valuation or 51.500 19Q3 Pay 19�' Lesser of 1/2 Homestead Valuation or 53,58�. Date Signed