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Homestead_Appman STATE FORM 53554(4/8-10) N. 'TREASURER FORM RIA APPROVED APPRED RY STATE BOARD OF ACCOUYTS. PRESCRIBED BY THE DPPARTMEVI OF LOCAL\' e,T. MA'AM IC6-E1-U-ti Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS 101 N. Main Street 'Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes Princeton, IN 47670 more beneficial,there is more incentive than ever for homestead fraud Homestead fraud causes higher tax bills for all;therefore, iii, HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the ' F T T T T benefit and to provide additional identifying information necessary to allow county government to better monitor homestead 1H 1 L L� L filings.This information will be kept confidential and can ordy be accessed by authorized county officials.The Department of Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION MAY 13 211 Taxpayer Name - Location Address _ C. .n - - Appian, Joseph ULorien E 4155 E OAK RIDGE EST GIBSON COUNTY AUDITOR HAUBSTADT IN 47639 11224 ' - < . —�- _ - "� - v < err ll II I I Joseph LAppman 1IDIJIlEDIDIII ihIlHIID il11111II_IIDIIDIllIIII IIDIDIII I�III IiIIIDIEIIIIII - - 4155E Oak Ridge Est - - - , HAUBSTADT IN 47639-7861 I'.1.' 111"I' II11'i1'I11111111111,. 11111111111111111"111111 State Parcel Number - Legal Description , 26-23-02-400-001.984-024 OAKRIDGE EST 3 , 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. PA_RIZJI A\P©1'ER.I EDRNIAIION Ow_ - I <._����_�______�- First Middle .---�– .___. _____ Last _ J C.5 e en Lea 9 -'( Mailing Address(number and street,city,state,and ZIP code) IN Same as property address : Spouse First ' Middle last ' La' ricn . Ai 2C1/2e( k9 n , Mailing Address(Number and street,city,state,and ZIP code) (jl Same as property address • , � - 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 - - Date ° CLAIM FOR HOMESTEAD PROPERTY TAX — t CREDIT/STANDARD DEDUCTION s�aie Fwm sa�s (rts r �-o» �,. � Prescnbed by Ure Depanment of Local Govemment Finarwe INS7RUCTIONS: See raosrse side 1or fiGng inshucfions. M� IC1M� YEAR MAY 2 6 2009 � �e� �`,�'��iR'tt'�lit4aY.QJUAM�i• zo_ I(We) occupi our prindpal pl of esidence e following described real property for which a Homestead Property Tmc Credil is hereby daimed: �I(We)owned ❑ Fve buying undercontrad _ L� Have a benefidal interest in the entily ihat is liade fw fhe property faxes on ihe property and that owns fhe property or is buying under a contrad. N buying om m�Vaq, Fee Simple ownefs �me Recorders o14ce wl�e cmt2d is recardad Caunry Twvnship (cdY. fown, townshiP) Record number � Page �� �c, ' l. ri� l�%b rLegW �rn� O���.]o� � I I Is Ihe P�W�Y in uesi MWaM ❑ Mobile Fbme (lC biJ-71 9 I'C7 A I_J�n�a tl arry portion of the residerNal aWCture or the IaM not enceeding ane (t) acre that "unm�atey wrtountls thal swcture is used lu produce'vimrtre, desuiEe the use and ponbn of Ne property uliGZed b pmduce incorne. County Toxnship I hereby certify ihe above statemenfs are We, cortect and complete. and County daimarit 3 �_ � . . .. . . �� .. Land not exceeding 1 (orre) aae immediatery ;"� tt - "�� ' � �- -= . surroundingresidentiaiimprovements. ��� j '`-a..��:,�c �" .:;�,-�i Other land (2) ;£ ` "_ -:s':�.` �r. Tdal Wnd (line 7 plus line 2) �3� ''^�.� f�^,S'-{{`4'Tj$ ;�}-v�"r.ei'�h',y�+� A i Dwelli�9 (4) f'�G�-S 4r ,�v a � t 2:'«� +.i'-: Residential improvements wMnualy , �x ��,.x3�"�'„^x . °� � v� •: Assessad Mobile / Manufac4ired Home ; s�- }. � u..� k c'" �' „; ( ) "s .t ��e 5 aE�{..;-•°�1^^as- -o-.:5:: t''a ",,�.,.,%� Ofher improvements (6) . .. �.' . TUaI improvements (line 4 through Gne 6) (7� Tdal value (line 3 pl,s Grre � �g� I hereby Ceftify Ne above i5 We. caieC. and SignaWre ofAssessor Date signed (mon(h. day.Year) cornplete. Vailying adion - Signatura ot �inr Data signed (mmN, day. yea� 20 _ PaY 2� _ Lesser o( 12 Homestead Valuation a 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011 44.000 for 2008 pay 2009 41.000 for 2077 pay 2012 5 43,000 for 2009 pay 2010 40,000 payable after 2012 Dafe signed (mmN,-day, ye s-a�-o