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Homestead_Sprinkle
t SIArE FORM53!•I P t_4M1 TREASURER FORM 79-IA IMPORTANT NOTICE TO PIIIMIDID BY TIM tIOVELNMIKT FINANCE IC 1.1.1-22-..1 r Gibson County Auditor 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 eter for homestead fraud Homestead 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 ELL benefit anti to provide additional identifying information necesn. to allow county government to better monitor homestead filing.This information will be kepi confidential and can only be accessed by:tailwind counts.officials.The Deponent of Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION APR Taxpayer Name Property Address 8 LULU Sprinkle, Jonathan R >/f 900 1.Locust GIBSO N COUNTY pld91TOR Fort Branch IN 47648 Jonathan R Sprinkle 900 E Locust State Parcel Number Levi Description FORT BRANCH IN 47648-1245 t��tt�ttt t��rt�t�t�rr�t�r�t��r rt��rrr�r�rr� 26-19-18-304-000.690-026 011-00690-00 HOLCOMB ADD 61/62/63 1r1rr11rrr1r11rrrlr 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 J ©N,yrN/94/ R— SPit/42 r`c (1111mg Address(number and street,city,state,and ZIP code) / /1 Ill Same as property address 6/©O [, LCGVsr FT. B /cf/ . /V `1 76 V/ Spouse First Middle Last // O/ti CAL IZ SPit l,vi<LC- Mailing Address(Number and street,city,state,and ZIP code) Same as property address 9o© F, L oc u5T Fr BPt 4-v c s4, /c/ 9 76 9K _ 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. Own. I Signature Date Sr CLAIM FOR HOMESTEAD PROPERTf TAX CREDIT/STANDARD DEDUCTION � � S�ate Form Sd73 (R6 / 4-03) ^ , Prescribed by the Department ot Loral Govemment Finance ��`- �,� _ INSTRUCTIONS: See reverse side for filing instn�ctions. �� FORM �A� YEAR _ HC10 � I(We) • \ certify that on the 1sl da of March, 20 I(VJe) occ ied as our principal place of reside ce the following descnbed real property for which a Homeslead�PLop�rt�y ��a0i�is hereby daimed: ❑ I(VJe owned ❑ Are buying under cont2ct , Have a benefidal interest in the en6ty that is liable for the property taxes on the property and that owns lhe pwpefAyqr,is � under a conUacl. If buy'u�g om m�traa, Fee Simple ownets name Remrdefs olfice where wnVaq is recordeO Counry Tavnship Tacing district (city, town, Rewrd number � Paqe _�O/Q e ai scnpnon Is the property in question: v 7 ��v ��Q�d 6� 6a � Q Real pmperry ❑ Mob'la Homo Q C 67 1-7) H any pwtwn of Ne resitlenUel sW cWre w the land not exceeding one (t ) ave thal immediatery wrtountls that swcture is used N protluce income, deurihe the uu antl portion of Ne prop� tu prpduce income. �� �a�-i9 �e -����. C9�-�aG County 0 Twrnship certify ihe above sfatements are We, covect and complete. Couniy � of Twvnship �-�''�+.s�.+Z';,. g�` F''fi�"'��'�'''�'�'�is��'`�STANDARD'.OEUUCTIONALLOWANCE-��"L" -�r�v'�*+�Sro-,�• e�� 1 ra-> �n e s.>.;r..., .. �]+:a. L''a.�.a6�...-kixur.s'a.�.,E'�,.�s%."-- � 3..::: . . _ _ . .__ _�F��� � 20_Pay20_ Le>ser of V2 Homestead vaivanon w 535.000 . S . . Signature of Auditw ' . Date signetl