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Homestead_Runau
STATE FORM 5150(kJ/610) TREASURER roRMTS-IA APPFtOVED B\STATE BO UM Or COUNTS,O% PRESCRIBED BA'THE DEPARTMENT OF LOCAL COVTRA'ME\T FINANCE IC 641-2241 Gibson County Auditor, IMPORTANT.NOTICE TO HOMESTEAD PROPERTY OWNERS 101 N. Main'Streel Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes Princeton, IN 47670 • more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore, 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 go ernment to better monitor homestead filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of T T $ I Government Finance will use this information to create Cols that will help county officials eliminate homestead fraud. �u1 eA PART 1: PROPERTY INFORMATION • Taxpayer Name Location Address . APR 06 2(311 Runau, Darren L - C n 4847 CITY IN E - OAKLAND CITY N 47660 2802 . . GIBSON COUNTY AUDITOR - - - DarrenLRDnaD. iii iii.oilioii11 1111l111111i10111 Ilnll ii_II_11111011111 Hill IL IIlIE ll 484751025E - , Oakland City IN 47660-7665 - ' ' ll'III'll'I'IILFIItlll1lltlllll1tlllll•ttlllFlllll •'1I1l'lllll' State Parcel Number Legal Description 26 20 02-201-000.203001 /PT NE 2-3-9 1-696 AC 5 . 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. rNI - PART 2: TAXPAYER INFORMATION • Os.. . I First Middle , - Last DARREN �gNE n Lovr4[/ ` Mailing Address(number and street,city,state,and ZIP code) © Same as property address 4'tfti4 ' /Dan" e24i&landC4 2 4(71,40 • Spouse •First - ' Middle Last . ivy• /Y .4$' - 1/4 __ Mailing Addiess(N mbcr andweer,city,stair;and ZlP codc) -. —. _ . - 0"Safnet property address , ,t /Q' - Social Security Number(last 5 digits) - Drivers License/State ID Number (last 5 digits) '- Other(please specify in Part 4 below) 1 I.c1.::: .4. : . I I I I I 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 1 Signature' Date CLAIM FOR HOMESTEAD PROPERTY TAX FORM CREDIT/STANDARD DEDUCTION HC10 State Form 5473 (R5110 -01) Prescribed by the Department of Local Government Finance INSTRUCTIONS: See reverse side for filing instructions. /tA YEAR ](We) jKJLAJUWrjC-A J,1J.VrL0-U, certify that on the 1st day of March, 20_ 1 (We) occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed: ❑ I (We) owned ❑ Are buying under contract Oave 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. NTRACTjRECORDED If buying on contract. Fee Simple owner's name Recorder's office where contract is recorded Record number Page We PkOOERT,Y,'15tSCR(PTfdNt,�F,��.W2"L���l�Z-4 County Township Taxing district (city, town, township) P96f—be'6),,Q3,,, Vtjj�o�-3:q -qoA� Is the property in qu C; =alptoperty ❑ Mobile Homo (I.C. 6- Iw 1-7) If any portion of the residential structure or the Land not exceeding one (i) acre that immediately surrounds that structure is used to produce income, describe the use and portion of the property utilized to produce income. 1: WM , ` f,-W! County Tmnship County Township I hereby certify the above statements are true, correct and complete. N6,e ;0f ant It/ S9 umbnnd straw ate, ZIP Ma,�� & onf- TV,� 20% OFff- lei 4 a;64 SSESSORUSEOREY gig JRLIE-TAk"'-!��"If, TAXI 'ASSESSED VALUE H OMESTEAD's ---'VALUI� — " ,&p �,,IJONAESIDENTIAL�.-,. WE ZI 4�YA�gE�t-� TV,� 20% OFff- c4 VALU E g Land not exceedin I (one) acre immediately Signature of Auditor f�\QJA JA) surrounding resideg ntial improvements. Datasigned Ds, 1- )-04 X U' Otherland (2) Total land (line I plus line 2) (3) Dwelling 1, 4 (4) A K W Residential improvements Garage h'4", >,; (5) n Other improvements (6) Total improvements (line 4 through line 6) (7) Total value (line 3 plus line 7) (8) 1 hereby certify the above is true, correct, and Signature of Assessor Date signed complete. Verifying action - Signature of Auditor Date signed TANDARID.DEDUCTIONALLOWANCE' 20 _ Pay 20_ Lesser of 1/2 Homestead Valuation or $6,000 Signature of Auditor f�\QJA JA) Datasigned Ds, 1- )-04