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Homestead_Turner ..• • STAR FORMnn!•iEfl.s l TPLAStLN FORM T11A APPROVED BY SIAILMIARD OF.AC.nstx.?ow PRESC11Bm BY Mr DFPARTAO4T1LOAL DOVER MITT FINANCE RI-1.1-ra.l . Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individuals and married couples arc limited t0 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 tax bills for all:therefore. HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to r cebe the benefit and to provide additional identifying infornunon nccessaty to allow-county government to better monitor-homestead- filings.This information will he kept confidential and can only be accessed by authorized county ntiicialn.The Depanment of Local Covenantor Pittance will use this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION - Taxpayer Name Property Address Turner, Robert E/Deana L Chamberlain 502 S Willard v Fort Branch IN 47648 2920 Robert E Turner 502 S Willard State Parcel Number Leila! Description FORT BRANCH IN 4764 8-1662 ltlttiltttllllttrltt�lttittttIItIItttIIttt111111 tt 111l�r�ttII 26-19-19-101-000.336-026 011-00336-00 PT NW 19-3-10 ss AC 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 Rog e2+ EARL 7u,eve/� _ ion g Address(number and street,city,state,and ZIP code) 'Same as property address Sfla S. w: 11 &C Foe-t- Witieh 3N1 fuA 1/76a Spouse First Middle Last t Mailing Address(Number and street,city,state,and ZIP code) 0 Same as property address PART 3:CERTIFICATION ` - ' i; -- ' - -- - Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is elieible 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 I drT•�v CLAIM FOR HOMESTEAD PROPERTY_TAX =� y ^ CREDIT/STANDARD DEDUCTION :� State Form 5473 (R2/1-90) �' '°;° � INSTRUCTIONS: See �everse side for filing instructions. CERTIFICATION STATEMENT � FORM YEAR co APR 2 9 1991 ✓ �(We) ����( L(M'i.2.L. certify that on the ���r� ,�1 � A I(We) occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed: �I (We) owned ❑ Are buying under contract � Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying it under a contract. CONTRACT RECORDED If buying on contract. Fee Simple Owner's Name Recorder's office where contracC is recorded . ' Record Number' Page ' PROPERTY. DESCRIPTION Township Legal Description If any:portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that struc- ture is used to produce income describe the use and portion of the property utilized to produce income. �1�- i4-iQ - If�l-�. 3�3�,-c�a � PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES � TownShip Co���t_�� I hereby certify the above statements are true, correct and I SfgnaturQ ��e `�/ � complete. ' X ,/ � Address (Street, number, city, state and ZIP code) � . �-�-��� . , - 5� s �� ASSESSOR USE ONLY � TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE VALUE Land not exceeding 7(one) acre immediately � � surrounding resideniial improvemenis (�) Otherland (2) Total land - line (t) plus line (2) (3) - Residential improvemen[s � �Dwelling - (4) � � � - � Garage (5) Other improvements (6) Tolal improvements - line (4) through line (6) (7) Total value - line (3) plus line (7) (8) I hereby certify ihe above is true, Signature of Assesor Date Signed correct, and complete Verifying Action - Signature of Auditor Date Signed 1989 Pay 1990 Lesser of 1/2 Homestead Valuation or $2,500 Signature o( STANDARD DEDUCTION ALLOWANCE 1990 Pay 1991 I 1991 Pay 1992 Lesser of 1/2 Homestead Lesser of 1/2 Homestead Valuation or $2.000 Valuation or �7,500 19—Pay 19— Lesser of 1/2 Homestead Valuation or �1,500 � U �