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Homestead_Paris • stMI FORM!Mt..IR`r f-wr TREASURER w1124 TS-IA AP•RFA'RO BY AI•Tt.tRM,D OF ATR.•n.a•• ruYTmm BY Tar DEPARTWYTO(LORAL GOVEtNMrsT FEAACE r I.1raa 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 e'er for homestead fraud.Homestead fraud causes higher tat bills for all:therefore. • HEA 1344-2009 requires taapavera who receive the homestead standard deduction to verify that they are eligible to recehe the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filing,.Ibis information will be kept contidcntial 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 1: PROPERTY INFORMATION Taxpayer Name Property Address Paris, Brian D 205 Strain _ Eo W n Branch IN 476-1S 2591 Brian D Paris 205 W Strain State Parcel Number Legal Description FORT BRANCH IN 47648-1329 itIttIItt tIt IIt ttIttIIttIt ttt11tt11tRt1t11t1t tlftttthltttrill 26-18-24-202-000.392-026 011-00392-00 BERTHA LINTZ 8PT/9PT 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 K ( ri-r� 0t Ili IC I S �g Address(number and sneer,city,state,and ZIP code) R-8:(me as property address a0S (A) S'-1z A( i/( St Spouse /`V/ First Middle Last / ' /A Mailing Address(Number and street,city,state,and ZIP code) 0 Same as property address Social Security Number(last 5 digits) Driver's License/State ID Number oat 5 digits) Other(please specify in Part 4 below) — PART 3:CERTIFICATION ` ---- r - Each undersigned certifies,under penalty of perjury.that the above and foregoing information is true and correct and that he or she is elieible 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 III �. ' CLAIM�FOR HOMESTEAD PROPERTY TAX CREDIT/STANDARD DEDUCTION t ! Stata Fwm 5473 (R6 / 4-03) ' Prmaibed by Ne Daparunent W Local Govemment Finance � INSTRUCT10NSi See raverse side for filing instnxBons. , � 1! i ;, _ ; ; � � � . i ` i,'� JUL 0 7 2005 I(We) 6J'Ll4M U �( ��.. cefef��9�'b�e�4kTgaQ�el�iaR.ii. zo I(VJe) occupled as our prindpal place of residance Ne following described real property for which a Homestead Property Tac Credit Is hereby daimed: ❑ 1(We) awned ❑!ve buying urMer contrea , Have e benefidal interest in Ne enUry that is lieble for Ne property taxas on the property and that ovms the property or is buying under a conVact. If buying rn conVSq, Fce Simple owners nama Racordels olflce where contraq Is reoorded Counry Tavnship �e�l �mby —.�/'� '� e al des n tion �� -r r i ti.i_� v�c.r If any portion ol Ma residential struarire a Me land rwl exceeding ona (1 W che properry utllrzed W pro0uce income. Tavnship 1 heraby certi(y the above statemen4s are We, corteet and complete. �dryss (numbar end�tt�eet ciry, atafe, ZIP code) _, . 1 Racord PeBe Tedng district (ci7y, town, fownship) L �s me wovem �� q�asuoo: a � ❑Realproperty ❑MOb1leHOma(I.C.S7J�7) la y surtountls Net structure is used lo produce income, describe Na usa and portion Tonnshlp � � 1. �'�,�h��ic �'"�'�-}'�� �y�" '� �'�kr`�� �''� � ��"TRUE TAX� "� ASSESSED VALUE + �HOMESTEAD � � 'NON•RESIDENTIAL�j.� _`- t.��r ¢�A�SESSO� �E' .�p�L�a`+, }zfijN�''� �:�. -.�'.�i*i;VALUE?� �` " �ATq009L OF7TSY --...VALUE >2.. e�.ny-_`s,s '`VALUE ' 's " 5 s _ .ah _ .. _..-. L..L' _[-,.�','a .• Land not exceeding 1(one) aae immediatety . (� _ ry,"',, i'� �,.�Yj"- �,tt,���;�;�s �,:` surroundingresidentialimprovements. � � ��r � �� x3 y��rS�y3`,�". Otherland (p� � ..� �`i Tdal land (Ilne 1 plus line 2) (g� Dwelling (4) `�° ���� ��1<�-is��'sr Residential improvements or MnuaOy ;�,-�"z � s_.�a.� C"� �9 k. � Assessed Mobile I Manufactu'ed Homa -.: r+-.,, �;-% �.� Garage �5� `.` K,� -{- > ' 'b?'t'!'r'.:?._'. `.Q., : .. ..;* ... .: '.. ..s. •: . O�tle��improvements (6) � .�:{ � Tatal improvemenCS (line 4 through lirre 6) �7� _ TCaI value (line 3 plrs line � �g� I hereby certify the above is We, correct, and � Sipnature otPssassor � Dau sipnad complete. � . Veriymg acUOn - Signawre of Auditw Date signed 20 _ Pay 20 _ I Lesser of 12 Hwnestead Valualion w $35,000 g SignaNre of Puditar