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Homestead_Perkins al LtErnRM!!,6•0C/AW1 MIASMA IOEN TS-IA ArrlmwEnnT SIAM KAM ne MVUNTn.]ov PLEAWmmBY mE DEPMLNIVHIF LOCAL tsWERNMEMN:AKE IC tI-U4.1 Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS 101 N Main • 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 LPN CI'for homestead fraud.I Iumestead fraud causes higher tax bills for all:therefore. HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to receive the benefit and to provide additional identifying infornatwn necessary to allow county government to better monitor homestead filings.This information will he Lep confidential and can only be accessed by authorized county officials.The Ikpannnem of Local Government Finance will we this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Perkins, Dennis K/Lori J 702 U lilen Fort Branch IN 47648 7686 Dennis K/Lori J Perkins 702 E Ulen State Parcel Number Legal Description Fort Branch IN 47648-9796 Itlttl'ttt�rllttl�tt��tt�t�l�tt�rtt��t�t tt'IIIII 1111111 26-19-18-302-000.369-026 011-00369-00 HILLCREST 48PT/49PT 1 PART 2:TAXPAYER INFORMATION Owner I First Middle Last e h i c s IC Per KC'cts Ilkg Address(number and street,city.state,and ZIP code) © Same as property address 702 C Cf/en St 6 r BraNcIt rt. t - Spouse First Middle Last L carp Parkins Mailing Address(Number and street,city,stale,and ZIP code) 1-VSmne as property address 702 E GlleK S) Fort Bra4C,d /K 17t7elig 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 properly.Each undersigned also understands that,by claiming additional homestead deductions unlawfully,he or she may be liable for back taxes and substantial financial penalties. Ow r 1 Signature Date • � �,� - �:�_����� a� °� CLAIM FOR HOMESTEAD PROPERTY TAX � F � j99 YEAR i��: CREDIT/STANDARD DEDUCTION � HC�o Stare Form 5473 (R2 / 5-92) � �',' �eu . � .. . i .� .1 ��i INSTRUCTIONS: See reve�se side toi liling instructions. �;t ;:'; ;! QQL'i fiY F.U6ITOR � � - � � �- � CERTIFICATION�STATEMENT'.� - -° � _ - . I� I(We) �iy,.�y��� � ��_�� \` cenify that on the 7st day of March, 19_ �) occupied as our principai p ace of residence the following desc�bed real operty for whicFi a Homestead Properry Tax Credit is hereby Gaimed: (We) owned �❑ Are buying under contract ,. . �� I Have a beneticial interest in the entity that is liable for ihe property taxes on the property and that owns the property or is buying under a contract. � � . - � � �CONTRACTRECORDED �� � Ii buying on contraci, Fee Simple owner's name � . � � � Recorder's oNlce where contract is recorded Record number Page Counry Parcel number pl�- O It any portion ot of Ne pmperry i PROPERTY DESCRIPTION town, I Leqal tlescription =� simcture or the land not exceeding one (7) acre that immediatety wrrountls Nat sVUCture is used ro produce income, describe Ne use and �ce income. .. - , . . . ' . 0 ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD� NON-RESIDENTIAL VALUE VACUE VALUE VAWE Land not exceeding 1(one) acre immediately surrounding residential improvementa (�) ' Otherland (p) � � - Total land (line 1 plus line 2� (3) Dwelling (4) � . Resideniial improvements Garage (g) . � IOther improvements � (6) Total improvements (line 4 th�ough line � (7) Total value (line 3 pUs line 7� � (g) I hereby certify the above is ime, correCi, and Signamre of Assessor Date si9ned complete. � Verilying action - Sgnamre of Auditor � Date signetl �� � � : STANDARD DEDUCTION ALLOWANCE � � � � 79_Pay79_ � lesserof 7/2 Homestead Valuation or S2.000 � S SgnaWre of Autlita Date 5gned � ' ��