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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