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Homestead_Reed (5) • SITE FORM`)'.iS,4:,.& TRrAtiaR FORM 75-IA .MInED BY SIAM.&i RporMYTU\iS.`vn MMUSFD BY TIT DEPARIOLYr<F LOL f rm24YStxr FINANCE tc..'.1-e-ar Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individuals and married couple. are limited to one homestead standard deduction.As the receipt of this deduction becomes more beneficial.there is more incentive than eser for homestead fraud.Ilomestead fraud causes higher tax bills for all:therefore. • HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the benefit and to provide additional identifying information necesanv to allow county government to better monitor homestead filings.This infnrmation will be kept confidential and can only be accessed by authorized county officials.The Ikpannien 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 Reed, Stephen/Trine 406 E Locust • Fort Branch IN 47648 2872 Stephen Reed 406E Locust State Parcel Number Legal Description FORT BRANCH IN 47648-1417 IAA rttirllttrlttilttltttrIIElttl 26-19-18-303-000.765-026 011-00765-00 WALTERS ADD 319/320 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 I ng Address(number and street.city,state,and ZIP code) (2 ! r� cL[� ® Same as property address El WC.us{- S�Ce:1 r. F�Jtf -q0 �" l,�o CCU Mailing Address(Number and street city,state,and ZIP code) Sante as property address A-06 E L.oc.<,r SA-(1c . F -£tM cL a 41 /0 C6 ' _ PART 3:CERTIFICATION Each undersigned certifies,under penalty of perjury,that the above and foregoing information is tore 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 As_ _lei PART 4:ADDITIONAL INFORMATION • • • , CLAIM FOR HOMESTEAD PROPERTY TAX FoRM \ `\ YEAR CREDIT/STANDARD DEDUCTION H � � ♦ ��• S�a�e Form 5473 (R6 / 4-03) Prescnbed by Ihe Department of local Governmen� Finar�ce INSTRUCTIONS: See �evcrsc side !oi lilinq insVUCfinns. �^ p q p�oo� h1R b a . -,.�. � ...r;, . � _ " . .. , . �.°,i` '� . ... _- 3 "�., � _ . ;_:. ; - _' . �-: CERTIFICATI TATEMENT' ._ ,: .� �.;.. . � _ . .. - . .: I(We) ceNfy that on the T§t da� Marct ! 0_ I(We) occupied as our principal place oi residence lhe (ollowing described reai property (or which a Homestead Prope(��QDk81l]dN�r�b���i�! ❑ I(We) owned ❑ Are buying under contract � Have a beneficial interest in the entliy that is liable for the property taxes on lhe properry and that owns the property or is buying under a contract. If buying on wntracl, Fee Simple ownefs name Recordefs olfica whera wntraa is recorded Counry Tavnship � //-GY� %lo �-UU � ,Q ��a1 ��� If any portion ol t�e residentlal sWCture w Ne Wnd not exceeding one (1) acre t�at of the property ufilized to produce iricome. Covnty Toxnship I hereby certify the above statements are W e, correct and complete. �dress (numbe� and streei, city, sta(e, ZIP code) � Is the sunounOS that Caunty af claimant Record number Page tawnship) ' . ����� in estion: Real properry ❑ Mobile Homo (1.C. b1.f-7) Wre is used to D��uca income, desuibe Ihe use and poM1ion i� Ta.�nship a �'t`'b'"�i i t"� � ..TRUETAX ASSESSEDVALUE : �HOMESTEAD� NON-RESIDENTIAL ��..�i,fi L ' �ASSESSOR�USE,ONLY .:} , ' 'yp�,UE � AT 700°/a�:OF�.TTV ' VALUE -- " � S VALUE ' ��.� .. ....... r : z..>,� . ' '.;: Land not exceedfng 1 (one) acre immediately '+ . ; - - � ( surroundingresidenlialimprovements. (�) '�.'�.�:�'�°`-.-�� Oiherland (Z� - . Tcial �and (line 7 plus line 2) (g� Dwelling (4) � ' � '�yr. # „ Residenliel improvements or Annually � f �. � TM . hssessed Mobile ! Manufaclured Home Gara9e (5) - _ � • . . - .>t . . Other improvements (6) TRaI improvements (line 4 through line 6) (7� � � I Tdat value (line 3 phs line n (g� I hereby certify the above is true, cortect, and Signawre o(Assessor Date signetl complete. Venlying aclion - Signalure oflwditor Date signed ? . F�-1•.' � � . � •-� '. .-�...:> �-� � - � - _ �•: STANDARD.DEOUCTION ALLOWANCE"�. -� .: .. . . - . ..: ,- . , .. 20_Pay20_ Lesser of tl2 Homes;ead va�uauon or 835.000 S Sgnatura oflwditw ' Dale sfgnetl