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Homestead_Crain 57.VE FORMJJYs it'/'Pt TRFAN[EX FORM TRIA .1FFR(r.'EO BY MATE.MIVIDOF AMOUNTS.!nv F[FY(A1amnY nn DEPARTMENT(FLOCAL GOVERNY.FM1T FTA4'E M4-I.1-_4.I 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 on for homestead fraud.homestead fraud causes higher tax bills for all:therefore. ® HEA 1344-2009 requires uxpayen who receive the homestead standard deduction to verify that they are eligible to recehe the benefit and to provide additional identifying information nec essary to allow county government to better monitor homestead filings.'this information will be kept confidential and©n only be accessed by authorized county officials.The Debarment of Local Government Finance will use this information to create tails that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address _ Crain, James Edward v 501 S Cumberland !� Fort Branch IN 471148 Q 7001 James E Crain 501 S Cumberland State Parcel Number Legal Description FORT BRANCH IN 47648-1529 26-18-24-202-000.138-026 /011-00138-00 FT NE 24311 .13 AC Irit tlltt rltllttt ltt llr llr rrrllrirlr rrlrtltlrtll 11111111 PART 2:TAXPAYER INFORMATION Owner I First Middle Last f aarnQ-S b.• Ct'a t IA- . —_ g Address(number and street,city,state,and ZIP code)_ —— -__ _ —111 Same as prdpeny addiesi—_ - __ _ 19 Ora C. A - 4. .0. Fr L at^ TcQ a - - Spouse First Middle Last Mailing Address(Number and street.city,state,and ZIP code) ❑ Same as properly address Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below) sum 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 Signature Date • n. CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT/STANDARD DEDUCTION S Wte Form 5473 (RB / 4-03J Prescribed Dy the Department of Lacal Govemment Finance INSTRUCTIONS: See reverse side /or �ling insWCtions. FORM YEAR HC10 � � � � ��e) u� �� y�"} vi�Q.�/l'�� .certi(y that on the�1 "st day o�March, 20 I(We) occupied as our princi 1 place oi residence the (ollowing described real property tor which a Homestead Prope T�� redit is / r daimed: ❑ I(We) owned ❑ Are buying under contract GIBSON CO NT Y Al,� , Have a benefidal interest in Ihe entity that is liable for the property laxes on the property and that owns ihe properry or is buying undar a wntract. I( byvig on confrad, Fee Sunple ownefs name Rea�defs oifice where conVaU is remrded 3���'�F�.�.tY.::�: �-'i?�=.�i+�_3` _.t.?+'%etiSJ�..°, counry L ra,�nNUp H eny of Ne Counry -DOl38-O� �' 1 Ne residenUal sWCWre w the uUlized W produce iMqme. not azceetlinp one (1) aae thet I hereby certify the above statements are We, corted and complete. endaheef. cily, at/ate, LPCOde) Sn u?[�t i, u un � Tac"vig EisVicl (ury, town, surroundslhat Caunty daimant Record number � Page R� D�oWM ❑ �DOe Hano (/.C. 6f.1-� ire ia used b praduca income, describe the uae and portbn 20_Pay20_ Lesser of 1f2 Homestead Vauauon Of 535.000 � 5ignahue $