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Homestead_Montgomery u- MATE FOAM 5YSIR_/' ) t!E'AJUEA FORM 73-IA .AFFR(WEO BYSTTF.BOARD OF ACIXIVTt,41M PRESCRIBED BY THE DEPARTMENT(W LOCALCAWER,YMLNT FINANCE I('.I.1-]_'4I.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 ever for homestead fraud.homestead fraud causes higher tar bills for all:therefore. ® HEA l344--2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teeene the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filings.This information will be kepi tont:imolai and can only he accessed by amhorired county officials.The Department of Local Government Finance will use this information to create uxtis that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Montgomery, Larry UJoyce M 204 N folk Fort Bmnch IN 47648 2525 Larry L Montgomery 204 N Polk St State Parcel Number Legal Description FORT BRANCH IN 47648-1014 Itlnllntltllntlullullulllll litlnlltnnlnlutlll 26-18-13-403-000.538-02 ' PATTERSON 7 PT.27 AC 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. PART 2:TAXPAYER INFORMATION Owner I First Middle �(,,^^ Last LA R2Y LEE 1 oNTGOME2Y �ing Address(number and street city,state,and ZIP code) © Some as property address Spouse First Middle Last JOYCE MARIE MOf.1TCOMERN( Mailing Address(Number and street,city,state,and'LIP code) g Same as property address 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 CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT/STANDARD DEDUCTION ti sm�a ro�,� sna cR� i s asi PreSa�Led by �he DeparNient aF Local Govemrrep Fuiance INSTRUCPONS: See ieverse side for filinq instructions. FORM �� Y� HC10 � � �(We) � � � L� �� certify Nal onIt'he '1 'st1da'y of March, 20_ I(We) ocapied as ou rindpal place oi idence the folbwing desaibed real erty for whi I a Hanestead Rop�i[y�T�ux�i��Q�2by daimed: ❑ I(We) m�rtied ❑ Me buymg unda mntract �j)� ,(� �iave a benefidal mffirest m the entiry that is liade for tlie property tazes m ihe property and that owns the properifr �drYs��¢'1�ip�ier a contract If Wy'rg om m�eact Fee Simple wntefa reme Remrdera of6cs whera wNad'u recartletl Recadnumber �Pape Camly� Tw�rrship TmmM� (. (cdy to . fox�nsldP) Paicel �wwmber L al descriP � % p y' Ia the praperty cm puestion: � W SE / 3 ` 3 — // ❑ � c�w�r ❑ Moa� rw� �i.a �,.,-n H er�' of iha resideMial ctruc¢rte a the WM nal mccmding ore (1) aoe tlxt unrt�adatdy surtountls that s4uO�ae is used b G�oduce uimrt�e. describe the use and pation of N rty NiGietl fO P�� umne. No-l�-/3-Yo3-000-S 38-0�� 4��1�h'�.�Yr'i�'.��m�5��."�'.ri�`�3'�,��r,�z'r"'-.�!./r:^:�'1;�'Jw�'.,�!5STANDARD'UEDUCiIONjALLOWANCE?,i�i.+�s.�'`:�c-��.'u�{�`�x,b�3k-<""•—t��` iKt�="F"x� ,': ' .,._ ��w.. ra �&.n,C.:�!ssa4�'iayu. �:sk��?. 20 _ Pey 20 _ — Lesser of 12 Homestead Valuatim or f35,000 E Si�ature dAWifur Date signed I ..