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Homestead_Houchins (3)
ttsrE FRM.!'F IC/,,nl IlitASUILLR FORM TS-IA APPROVED BY MAIL AARO OCSYR.Nt'.9n rIEYAlam BY mr DEPARTMENT OF LOCAL tAt'cretn.T FINANCE ItoEI-rag Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS 101NMain PRINCETON IN 47670 Individuals and married couple are limited to cur homestead standard deduction.As the receipt of this deduction becomes O more beneficial.there is more incentbe than ewe for homestead fratal.(homestead fraud causes higher tax bills for all:therefore. HEA 1344-2009 requires taxpayers who remise the homestead standard deduction o verify that they are eligible to remise the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filings.This infnrmation will be kept confidential and can only be accessed by authorized county officials.The Department of Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. PART I: PROPERTY INFORMATION Taxpayer Name Property Address _ Houchins, Robert D/Andrea J — 700 E HJlen Fort Branch IN 47648 7717 Robert D/Andrea J Houchins 700 E Ulen Stale Parcel Number Legal Description Fort Branch IN 47648-9796 26-19-18-302-000.900-026 011-00900-00 HILLCREST 48PT 1t 1lt11ll t1l11tltltr11rr1r1r 1rt1rtr11l1trtlltlllt lll1t tll1t rr1 PART 2:TAXPAYER INFORMATION Owner I Fits: Middle Last ROBERT DALE NOUGAT NIS I , �mg Address(number and street,city,state,and ZIP code) 7C Same as property address -- — — -- - Spouse First Middle . AIJ DREA 3EAkt c,uc kcNIS Mailing Address(Number and street,city,state,and"LIP 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 back taxes and substantial financial penalties. Owner 1 Srgnaturc Date PART 4:ADDITIONAL INFORMATION ,y rt�� t CLAIM FOR HOMESTEAD PROPERTY TAX _� . CREDIT/STANDARD DEDUCTION ' State Form 5473 (Fi2/5-92) �� ..,. INSTRUCTIONS: See reverse side (or /ifing inshuctrons. ��'� '� " .YEAR 0 � F EB 2 4 1999 I (We) � �-T `'t�X �1' � �� `7[ �KS l�-�.�� certify t oCtf�( �e��t ��4'N1arc�UDI90H �'e) occupied as our principal place of residence the tollowing de nbed real property for which a Homestead Property T� Credit is hereby daimed: r I(We) owned ❑ Are buying under contract ❑ Have a beneficial inierest in the eniity ihat is liable for the property taxes on the property and that owns ihe property or is buying under a contract. � � _ CONTRACTRECORDED--•. � � '�`-.. � - - �. °�•�� �" If brying on contred, Fee Simple owner's name Recorder's ottice where contract is recorded � Record number Page Counry Parcel number �ll-�iD It any ponion al Ihe resid of the pmperry utilized ro Township Legal descnption toWn, _, e- sWCture or the land noi ecceeding one (1) aae Ihat immetliatety surtounds that struciure is usetl to produce income, describe Ne use and portion ice inwme. . � ASSESSOR�USEONLY 7RUET/UC . ASSESSED HOMESTEAD � NON-RESIDENTIAL ` �� . VALUE VALUE VALUE �.� VALUE �•`° land not exceeding 1(one) acre immediately � surrounding resideniial improvements. (�) - � Oiherland (p) - � Total land (line 7 plus line Z� (3) � Dwelling (4) � , . . � Residential improvemenis . . Gara9e (5) . � - - Other improvements (6) - Total improvements (line 4 through line � (7) 7otal value (line 3 pUs line � (g) I hBreby certify the above is Irue. correct. and Synamre of Assessor Date signed complete. �fying aaion - Signawre of Auditor Dare signed 19_Pay19_ Lesser of 1/2 Homestead Valuation or 52.000 � Sgnature of Huditor �� _ � � n I Date eignatl