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Homestead_Maikranz (10) • STATE FORM.XN lie I FV.1 ThEASUYER FORM YIA .AFrRMEnnY MATE ao, oDF A(Rtnr,._YM PFI3NBED BY nir DEPARTMENT. OF U1fAl CA\'ER:04FM FINANCE M1'4-I.1-24.1 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 eser for homestead fraud Homestead fraud causes higher tax bills for all:therefore. HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verity that they are eligible to recehe the benefit and to provide additional identifvin_ information neees nv to allow county government to better monitor homestead filings.This information will he kept cnnlideniial and can only he accessed by authorized county officials.The Ikpanatent of Local Government Finance will use this information to create tools that will help county official'eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Maikranz, Kenneth Ray/Sheila 905 S Lincoln Fort I3mnch IN 47648 7918 Kenneth Ray /Shelia Maikranz 905 S Lincoln State Parcel Number Legal Description Fort Branch IN 47648-1721 / 1t1u11ur1F11utinllulnn111n t1n1t1nr1111nnitirr lr1rl 26-19-19-103-000-477-026 / 011-00477-00 LOWES ADD 2OPT/21 PART 2:TAXPAYER INFORMATION Owner I First Middle Last S1/Elk4 Al Ong Address(number and street,city,state,and ZIP code) --- - 07Same as property address -- — - qoK S A.file 01 got- BRA-Ale( 2tI.I &' %// << Spouse First Middle Last Mailing Address(Number and street,city,state,and ZIP code) Same as property address Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Pan 4 below) sus 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 Si wr Dra� Date . FOqM HC 10 7979 To & FiIM in WDliwte Preuribed By SWte Board nf Ta. Commissioners CLAIM FOR HOMESTEAD PROPERTY TAX CAEDIT FOfl YEAR 19 �`� SEE BACK FOR FILING INSTRUCTIONS �/�_ DOi�'7�'�/� '� �,,,,,I q `(We) / l��-�+- ��-°--�-��• 1��'�-�- certify that on the 1st day of ��narch, 19�, I, (We) oc upied as our principal p ace of residence the following described real property for which a Homestead Property Tax Credit is hereby being claimed: I, (We) � owned ` are buying under contract ❑ have a beneficial interesQt� in�the taxpayer Property Description in 'rZ-R�� 9 County �r Township Taxing District (6rEy, Tow� T�.�__��hip): �"-¢ • ��•-�. Parcel Number or legal description shown on tax statement: o( o-w-e�, L[,ef.d' .�?-a N��z d 1/ If buying on contract: Owners name �� simple o.�e,� Contract recorded in Recorders Office - Record No. Page If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion of the property utilized to produce income Any other counties in which individual owns or is buying real property: County , Township hereby certify the above statement is true, correct and complete. � . ; �i._Ltz� �c,�Qi�nit,m? 9oS,��c�:��-�iv Ignature SUeet Aaaress Ciry.-SWte ano Zip ' Individual either owns or is buying under a contraci that provides he is to pay the property taxes on the residence, or has a beneficial interest in the taxpayer. - FOR ASSESSOR'S USE ONLY - True Cash Assessed Homestead Value Valuation Valuation Land not exceeding 1(one) acre immediately surrounding residential improvements Other Land Total Land F I L E II� Residential Improvements welling JUN & 1979 Garage Total Other Impro4emenis �; i Tr' ' Improvements - Li� plus (7)� I��by certify the above is true. correct. and complete. Sgnature of Asseswr �i) Slo (2) (3) S/o (4) 1..�—t-1-�' �s� .� 30 ( r� csl '�'-�-'��J (�) — (g) J�e-H-r� ��II��ILiQ��r��i� /70 / �o _ S 310--. C�T! � ��jjj� j��j��j�� ' iai/ i i�i�� '„✓�i� S- z �l- — � 9 Dare Date: ��/ / Q