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Homestead_Rodenberg .a • Sl VIE FORM 53509 iR:I SARI IRFASURER FORM 15-IA A PROVED BY ST 511.BOARD OF AllTt.TS.awn PREal RIB®BY IDE OFPARTW9Ni h EAL noVER`MFAT MB:ANCE ICH.I-111.1 Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher rat bills for all:therefore. • ILEA 1344-7100 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receise the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filings.This information will he kept confidential and can nnly be accessed by authorized county officials.The Domain=of Local Government Finance rill we this information to create tools that will help county officials eliminate homestead fraud. PART I: PROPERTY INFORMATION Taxpayer Name Property Address Rodenberg, Samuel L/Nedra L 305 Ii Park Fon Branch IN 47648 2817 Samuel L/Nedra L Rodenberg 305 E Park State Parcel Number Legal Description Fort Branch IN 47648-1160 26-19-18-301-000.474-026 011-00474-00 PT N SW 1&310.50 AC Irlullnrltllntlnllnluulludltll 1111,11 lluulIlrll llrl 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 SM \KC ) LE, E R00E.IUJEkc dong Address(number and street,city,state,and ZIP code) 21 Same as property address _ Spouse First Middle Last N DRA LA ELL. E RoDENBER,G Mailing Address(Number and street,city,state,and ZIP code) ® Same as property address 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 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 Telephone Ioio ( ) Spouse Signature Date Telephone ( ) PART 4:ADDITIONAL INFORMATION iORM HC 10 19N Presnibe0 By Sute BaarG ol ia. Cammissioners CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19Z2 /CD.lci�N�� io Be Filea in DuDlicate � �(We) r'�� -----� ��• + I�d-- certify that on the 1st day of arch, 19� �, I, (We) occup d 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 D /` �4O ��—� �are buying under contract ❑ have a beneficial intgl�rest in the taxpayer Property Description in /�-�-�--o-M County �-o-^ Township Taxing District (C�Town, TowrrsMip): �'f"� ��/t-�-�. Parcel Number or legal description shown on tax statement: p. �v'�Z �r�� lB- s-,a . s�, If buying on contract: Owners name �'� "rtip1e °v""e" ��em..r�,d'� ��a.-� i34k� " Contract recorded in Recorders Office - Record No: Page 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: �hereby certify the above statement is true, correct and complete. s-��C yl9_�:r¢ � o S EasT—�� 'signawre / % stree� naaress County Township Ciry. Stare arW Zio �e Individual e th� own5 or is�uyin��'(�der a contract that provides he is to pay the property taxes [� on theJesiderdceN ad has a beneficial interest in the taxpayer. `'J �' 2�.�9 �Q- FOR ASSESSOR'S USE ONLY - /J True�Cash ��'( �—�'�� Value Land not exceeding 1"(dne cre immedialel-y surrounding residential improvements AUJITOR (�) 11 30 Other Land (2) Total Land Residential Improvements Other Improvements �3� I/3o Assessed Valuation 3 so �$o : � %��% 1 � .,,, ia ai _ . '%��i� . � . ��°. n.°.�//..:e�l� � � ' � " _ � T�Improvements - Line (6) plus (7) equals (8) (8) �� I..,,.aby certify the above is true. correct, and complete. � Homestead Valuation :- �� jjjjjjjjj� �� .,,./a/;�%�� O'.� � �-2`f-7 oate Approved:—_--�ll^,, ae� Date��p —�—_