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Homestead_Hickrod
titlE FOi5t WiR3/5.lel iR:ASURLA 101V ISIA - APPRTFD BYTUE in\ROOF Altaa: TSa.N TRISCRIBSD BY T ..OILWMLI OF AL rL&M:ICI-L:-r+l Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS 101 N.Main Street Individuals and married couples ate limited to one homestead standard deduction.As the receipt of this deduction becomes �. Princeton, IN 47670 more beneficial.there is more tncentiw than ever for hom:stcad fraud.Homestead fraud causes higher my bill,for all:therefor_. IIEA 13442000 requites taxpayers who receive the homestead standard deduction to verify that they are eligible to recehe the benefit and to proide additional identifying information necessary to allow county government to better nvnimr home:wad filinu.This information will be kept confidential and can only be anr.sed by authorized county officials.The Depanmeet 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 Location Address Hickrod, Timothy/Savannah M • 303 S HILLCREST ST FT BRANCH IN 47648 2541 Timothy/Savannah M Hickrod �� I[III 0111 0111111 [H IIDIII"I"II0101 11111111oDIIU11[I0111III '303 S Hillcrest FORT BRANCH IN 47648-1617 I�E IIttlllllFllllllllllllllrlrlrll�FFIIFIItIFII�II�rIIFI�F��FIIFI State Parcel Number Legal Description 26-19-19-102-000.403-026 PT NW 19-3-10.25 AC APR 13 2012 C.3. This form MUST be returned to County Auditor's6?ie o 0 Please do NOT send this form back with your tax payment to the cour it trwasufer. PART 2:TAXPAYER INFORMATION' v....er I First Middle Last rn/ X 7nio7/( Y Ff1elceaD Mailing Address(number and street.city,stare.and ZIP code) © Same as property address 3o3 s, f�1L� cg-C$1 Spouse First Middle. Last SA \/k'3'JA-hl m422kr. /l-1CacR Mailing Address(Number and stmt,city,state,and ZIP code) ®.Same as properly address care kleu; air k-` a]( 30 • • 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 - i� srne o � . �'': � v d T CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT/STANDARD DEDUCTION State Fortn 5473 (R2 / S92) . INSTRUCTIONS� See reverse side lor filina instmctions. FORM HC10 YEAR . - � :""'S •- r � F� � CERTIFIC TI TA E ENT� � I(We) certify that on�1thI1e 1 s�t[d1ay of March, 19_ I(We) occupied as our �ncipal place of residence the following described real pro rty for which a Homesiead Property 1�1 �reqt & h�claimed: ❑ I(We) owned ❑ Are buying under contract %,� /J N P P MY P P rtY P��l� Y 9 �� ❑ Have a beneficial interest in the enG that is liable for the ro e ta�ces on the ro e and that owns the ro is Bn in under a co ct. °�..�.._, _ �e;: GI9Sp;v ;;;:.:�sry qUDITOR CONTRACT RECORDED If buying on contract, Fee Simple owners name Recorders oflice where contract is recordea - Record number Page PROPERTY DESCRIPTION Counry Township Taxing district (ciry, f fo hrp) PaOrce�number � � � Legal desc �on � � ^ — � /� �� ^ � �. �_J. II any portion of che resitleniial structure or the IarM not ezceeding one (1) acre that immediatety surrounds that sirucNre is used to produce income, describe the use and portion of Ue property utilized to produce income. ' PROPERTY OWNED BV CLAIMANT IN OTHER COUNTRIES Counry Township Counry Township Signature ot tlairtiani ereby certiry the above statements are true, correct and complete. x � Address (number and"s�1reeC ciy, stafe, ZIP cotle) 3 03 S. y1LC. � qZr � Z,�. y)C ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL VALUE VALUE VALUE VALUE land not exceeding 1(one) acre immediately �� � surrounding residential improvements. Otherland (2) Total land (line 7 plus line 2) (3) Dwelling (4) Residential improvemenis - Garage (5) Other improvements (6) Total improvements (line 4 through line 6) (7) Total value (line 3 plus line 7) (8) I hereby certify ihe above is true, correct, and Signature ot Assesor Date signed complete. Verifying actlon - Signature ot Audiror Date signed ,� STANDARD DEDUCTION ALLOWANCE 19_ Pay 19 _ . Lesser of 1/2 Homestead S Val ation or 52,000 . Signatu uditor Date si ` � �