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Homestead_Sensmeier (4) SIMI FORM!!'M,R_I Yrvl nrasaRER FORM TS-IA .ArrwA'ED BY 11.1IE 1301RD DFMMNT1.ry'ry PRIYRIamnT 111T DFPARTINT, OF LEVAL COVERYMEAT MA CE IC<I.1"J.I 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 ner for homestead fraud.Homestead fraud causes higher tax bills for all:therefore. • HEA 1344-2000 requires taspaen who remise the homestead standard deduction to verify that they are eligible to receive the benefit and to provide additional identifvinc information necessary to allow county government to better monitor homestead filings.'lllix information will he kept conlidemiat and ran only he arrelsed by amhoriied county officials.The Department of Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. PART I: PROPERTY INFORMATION Taxpayer Name Property Address Sensmeier, William 0 305 N West - Fort Branch IN 47648 6756 William 0 Sensmeier 305 N West State Parcel Number Legal Description Fort Branch IN 47648-1041 26-18-13-401-000.709-02L9//0.11-00709-00 PTW SE 13-3-11 .255 AC PART 2:TAXPAYER INFORMATION Owner I First Middle Last WiLLIAYI-A OScA SENSmEIEe g.Address(number and street,city,state,and ZIP code) — _ - -- - -- ® Same as property address - --_- — -- Spouse First Middle Last Mailing Address(Number and street.city,state.and ZIP code) Same as properly address Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please s1R.tifi'in Part 4 below) sax 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 uridestands that;by claimingadditional-homestead-deductions --_ _ __ unlawfully,he or she may be liable for back taxes and substantial financial penalties. Owner I Signature Date ' \ ) PART 4: ADDITIONAL INFORMATION FONM HC 10 1979 heuri�eU By Sute BmrE af Tax Commissioners To & FileG in Duplicate CLAIM FOR HOMESTEAD PHOPERTY TAX CREDIT FOR YEAH.19 79 SEE BACK FOR FILING INSTRUCTIONS '�(We) �J-�-Q-�� -;�- �+�� -�-� certify that on the 1st day of arch, 19�2, I, (We) occupied a�incipal place of residence the following described real property for which a Homestead Property Tax Credit is hereby being claimed: I, (We)�owned �l/�QQ �U9-DQ ❑ are buying under contract ❑ have a beneficial interest in the taxpayer Property Description in � County `'f.��-6� Township Taxing District (City, Town, Township): ��. `�t-a�x.c'�� Parcel Number or legal description shown on tax statement: �.�. tc1'/� ,� Eli�1 /3- �y/ ./7SA. If buying Ofl contract: Owners name �� simWe owner) Contract recorded in Recorders Otfice - 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. Sirret AOCreu County Township city. State ano Zio CaCe Individual either owns or is buying under a contract that provides he is to pay the property taxes on the residence, or has a beneficial interest in the taxpayer. - FOR ASSESSOR'S USE ONLY - Land not exceeding 1(one) acre immediately surrounding residential improvements Other Land � � � .� � Total Land Residential Improvements ��.�, � � 1oi� Dwelling Garage � � /��/��1 —f Total Other Improvemenis � � To} ' Improvements - Line''(6) plus (7) eqDa1��8) I��by certify the above is true. correct. and complete. Signamre Appraved True Cash Value (�) ,j��„o (2) — (3) �/� O -:e.� _.� �:�� .. (�) — (8) �� Assessed Valuation �90 . '• ri"'� ��/L�� Homestead Valuation ., ��jj/�j/ j/�jjj��j/ jjjj/�jjj� ��%/�ia/ �/.�i : ! j�/j�j�� j��j�/ la -aJ'-7�/ Dare Date: