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Homestead_Osborne •• • tr•It IDRM''t hat/•+Ml 11ASUMER FORA(TI-IA nrrRMED BY SiSIL MSRD(KMsytNIS.Zing. PU RIBID BY 11W DEPMT1EYr(W LOCAL Car0.YMrNT FINANCE K I.l--_JI 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.I lomestead fraud causes higher us bills for all:therefore. HEA 1344-2069 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the benefit and to provide additional identifying information necessary to allow county govemnsent to better monitor homestead filings This information will he kept confidential and can only he accessed by authorized courtly officials.The Department 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 Property Address _ Osborne, Paul R/Connie M 204 W Walnut Fort Branch IN 47648 6872 Paul R/Connie M Osborne 204 W Walnut State Parcel Number Legal Description Fort Branch IN 47648-1336 �t�u��nr�r��nr�n��u�un��u��nr��n��n��nu�u�t�tr�� 26-18-13-404-000.582-026 /011-00582-00 MCCRARY ETAL 57158 PART 2:TAXPAYER INFORMATION Owner I A First Middle Os O O/ c /Nf Last aping Address(number and street.city,state,and ZIP code) -- ® Same as prapenv nadrv- Spouse//�J L First Middle ��2) -r�y� Last l O N / F M � O5 1`� 0 \ NE_ Mailing Address(Number and street,city,state,and ZIP code) ® 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 hack taxes and substantial financial penalties. Owig turc a Dale PART 4:ADDITIONAL INFORMATION • • FOflhl HC 10 1979 Prescri�ed By State Boa�E al Ia. Commissioners CLAIM fOR HOMESTEAU PROPERTY TAX CREDIT FOR YEAR 19� io B¢ FileO In Duplicaie • SEE BACK FOR FILING INSTRUCTIONS �` _ �� . n� 2. ,� �;� � , D/�'DD��-oc� (We) /� certify that on the tst day of March, 19� I, (We) occupied as our principal place 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 intere/�s�t inI the taxpayer Property Description in �-�^-�-� County � Township Taxing District (6i�y- Town,�ewnship): --�� _� n-�-�--L-- Parcel Number or legal description shown on tax statement: �•� � ��_ �� S 7 d S8 If buying on contract Owners name �'� �"^o1e owneq Contract recorded in Recorders Office - Record 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 �her by certify the above statement is true, correct and complete. �G lcJ , Cv , 'Signature �// 1/ tj Suee� AaGress Cny. Sta;e e Zi0 �e � ' Individual either owns or is buying under a contract that provides he is to pay the property taxes on the residence, or has a beneficial interest in the taxpayec . - FOR ASSESSOR'S USE ONLY - True Cash Value Land not 9xceeding 1 (one�irAjirri�iedia� � — surroundin residential im ��#emint� L (�l � g�� 3. Other Land Total Land ,I;l'�1 13 i979 Residential Improvements ,�%� ling �/� � AUDITO arage Total Other Improvements T�Improvements - Line (6) plus (7) equals (8) I oby certify the above is true. correct. and complete. Signawre o1 nssessor 12) (s> / 9� o �4) <l i �� (5) 3 4�"� a"o (6 ) �—�cS (�) — �8) �'`�7� Assessed Valuation lo �v o �'� o e �G +� Homestead Valuation �o � o ��j�j�� jjjj�jj/ s� a �-f-� 7 9 Oaie - ACTION BY AUDITOR - /1/"' � Date: �12/ _ ��