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Homestead_Dyer I 'LATE FORM!!!.OCR MM1 • TREASURER FORM f'tA ArrlenE➢BY S1 ASE If WO OF Nt-,R NI C.:114 rrE_CRIbmnY no DEPARTMENT OF LOCAL GOVERNMENT FIANCE IC I-1.1-_F.1 Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS 101 N Main _ PRINCETON IN 47670 Individuals and married couple, are limited to one homestead standard deduction.As the receipt of this deduction becomes 4 more beneficial,there is more incentive than net for homestead fraud.Ilumestead fraud causes higher tax bills for all:therefore. HEA 1344-3009 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 go.rmntent to better monitor homestead filings.This information will be kept confidential and©n only he accessed by authorized county officials.The Depanment of Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Dyer, Vernon/ 439E790S Fort Branch IN 47648 7991 Vernon/ Dyer 439E 790 S State Parcel Number Legal Description Fort Branch IN 47648-8013 t�r��u r�n��n�r�u�t�� ��n��nt��E�t�n�u t�� 26-19-19-204-001.313-02 007-00756-00 INDIAN HILLS 74 ltlulln D-27 PART 2:TAXPAYER INFORMATION Owner I First Middle Last ire g Address(number and stmt,city,state,and ZIP code) MA me os p perry oddiess WE3, E- 7o5 . /'T /x4,vaA -5/v ii.."6-. --./ �.1 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 unlaufitlly,he or she may be liable for back taxes and substantial financial penalties. Owner I Signature Date • el° 1 ° CLAIM FOR HOMESTEAD PROPERTY TAX t CREDIT/STANDARD DEDUCTION Slate Fartn 5473 (R8/ 7-07) �,. � Prascnbed by iha Departmeirt at Loral Govemment Finance See revarse side /or filim� ins6uc6ons. � RM YEAR �,f� � c,o 09 � ,S',.� MAR 0 4 2009 1 (VJe) i(.-O GL �1QS����t��1��U p— I(We) occupied as our prindpal place of residence the toibwing des real property for which a Homestead Property Tac Credit �s here daimed: � 1(We) owned ❑ Are buying under contraU Have a benefidal in[erest in Ne entity that is liable fw Ne property fazes on fhe property and that owns the properry or is buying under a contraG. If Wying on conVact, Fee Simpie wmefs rmme Retpdefa oftice where conVaa is recwded Counry Parcel number TamsAip Legal description Is ihe '�ideMial sWCtura w Ihe land nol exceedirg one (1) aae ihat imm�alely wrrounds Uat b Vroduce imm�e. � /9 �Q��� oo/.3i3- oa� Recmdnumber �Page Real property ❑ Mobile Home (IC 61.7-n �re is used b pmtluce Incoma, describe Ihe um aM portion .- . . . .. . , ,,. . Land not ex�rg 1 (one) acre immediatety _i �s � i �;^ �' � ""�'�+k`. �`��.' surrounding residential improvements. ��� :;, `�„,r:�-. � 3 � . �`. _� O�herland �z� s � . s.,� `r s�.,, _ `-- _ r�yn',` -�(,,: TUei Wnd (line 1 plus line 2) �g� =: t x - :-�'°r'r' > .-•vri: ., ...., ResidenfialimprwementswMnually �Iling (4) -� w _�"' ., ..._.,__.. AssessedMobile/ManufacWredHane •=,��:..�;,:e=:�-' - Gara9e (5) ��� � - � - .' ; -:_ ° Oiher improvements (6) "" �( �, :�' .:. �."� �' � - Tdal improvements (I'me 4 throuqh Gne 6) ��� Tdal value (line 3 pl�s Grre n �g� I hereby certify the above is We, COrtetl, and signaWre ofASSessor Daia signed (rm�th, day, yee� comptete. Vaityirg adion - Sigrnuue af Auditnr Date signed (rmnN. daY• Y�A �.-� � � • • ZO pay 20 _ qs.ppp for 2007 pay 2008 42,000 for 2010 pay 2011 Lesser of 12 qq�000 tor 2008 pay 2009 41,000 for 2017 Homestead Valuation �Y Z��Z S « 43,000 for 2009 pay 2010 40,000 payable after 2012 SlgnaWre of Audilor Date signed (rtronN, day, yea�