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Homestead_Ballard (3) 'MATE MICA!SR.IM=141.1 TMFAAIIER FORM 71-IA AI/ROVED BY'TAIL&WOOF"Cr/B .''._raw PRFAWBFD BY 11 IF OEPARTNEYT OF LOCAL tSwEtNMrNT FINANCE tue-1.1-rat 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 rs more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore. HEA 134+-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filings.This inlurmalion will he kept conlideFnial and©n only be accessed by aulhorived county officials.The Department of Local Government Finance will use this information to create tools that will help county offscial-,eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address . Ballard, William T Jr IC Hog 90-a Hauhstadt IN 47639 3464 William T Ballard Jr Jr. R2 Box 90-a State Parcel Number Legal Description Haubstadt IN 47639-7918 26-23-12-300-001.754-024 004-01754-00 PT NE SW 12 4 10 4-50 AC IFINIIIFIIIIIIItllllllllllrlrllll III..IlIttltttlleil.Iii 0-10 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 ' l// arn oPIa ' h.. • • c.....1A, g Address(number and street.city,state,and ZIP code) ❑ Some as property address 1/78-3 //so S Spouse First Middle Last % ',roar' Dawn C't_ //0 rd Mailing Address(Number and street,city,state,and ZIP code) 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. �/ ill a��� ; CLAIM FOR HOMESTEAD PROPERTY TAX i��: CREDIT/STANDARD DEDUCTION .,. .�fy�, ,�;�� State Form 5473 (R2 / 5-92) �eu INSTRUCTIONS: See reverse side /or liling instructions. FORM HC70 YEAR I�e) � 1`I 1 C�ilYl 1' '{.—�-� I�� J r certify. thai on ���[ ��f �1�7dh, 79_ �) occupied as our principal place of residence ihe following described real property for which a Homestead Property 7a�c Credii is reby Uaimed: ❑ I(We) owned ❑. Are buying under wntract _ . � ❑ Have a beneficial interest in the entiry thai is liable for, the property taues on the pmperty and thai owns the p � �r���c . � G�8S0�! � ' " � � � �� CONTRACTRECORDED " �'� - � If buying on contract, Fee Simple owner's name �� ' '• . Recorder's ottice where contract is recordetl - . Record number Page �`�, V� So n Tawnship .PROPERTYDESCRIPTION � � �Ta�cing distrid (ciry, fown, rownship) � Parcel number Leg rip ion ' oo�-a� s� -w �� /�'l � S �✓ /a 5` �a �f. s o w� If any portion of the resitlential swcture or Ihe land not exceetling one (t) acre tha� immetliately surrounds that strucNre is usetl to produce income, descnhe Ne use and portion o( ihe property utilizetl to produce income. Counry C�li7 PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES Township Counry certify ihe above statements are true, correci and complete. I signamre o� daimant � Address (number and street. dry, stat& ZIP Code) �%.!o �. ASSESSOR USE ONLY � TRUETAX ASSESSED HOMESTEAD NON-RESIDENTIAL � � VALUE VALUE� VALUE VALUE Land not exceeding 7(one) acre immediately surrounding residential improvemenis. (�) " Otherland (p) 7otal land Qine 1 plus line 2� (3) . .. Dwellin9 (4) . Residential improvemenis Garage (5) � - Oiher improvements (6) , ' Total improvemenis (line 4 thiough line � (7) I 7otal value (line 3 p�s line � (g) I hereby certify the above is true. correct. and Signamre oi nuessor oare signed wmplete. v��ying action - Sgna;ure of Auditor Date signetl -� � � STANDARDDEDUCTIONALLOWANCE' � 79_Pay19_ Lesser of 7/2 Homestead Valuation or 52.000 S S' W ol Audimr � Dare s� ��� a \� . �