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Homestead_Barrett 'MATE FORM!!Y qR/5+M1 T LSURER FORM 73-1A .APPMFEn BY%I YMROOF'MANI S.!%n PII917.16m BY lilt DEP/ant:0 r Of LOCAL nOVEPYMR.T FINANCE MH.1 u4 I Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individuals and married couple are limited to one homestead standard deduction.As the receipt of this deduction becomes more beneficial.there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore. • HEA 1344-7009 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.lids inlbrmatinn will be kept confidential and ran only he accessed by authorized county officials.The Depanvtent of Local Government Finance will the this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Barrett, Harold 13/Teresa J 11570 5 150 W _ Ilaubstadt IN 47639 •9522 ___ _ Harold Barrett 11570 S 150 W State Parcel Number Legal Description Haubstadt IN 47639-8753 26-22-12-300-001.999-024 004-01999-00 PT W SW 124111.00 AC PART 2:TAXPAYER INFORMATION Owner I First Middle /� Last /a roi / 1 ) �.)a r of Ig Address(number and street.city.state,and ZIP code) -- - --- --® Same as property odarras —- - - —— Spouse First Middle last J (J Ter ° S 4 pp Gr. e -t- 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. Owner I Signature Date • ,✓ ^�n g t CLAIM FOR HOMESTEAD PROPERTY TAX FORM Y AR - � CREDIT/STANDARD DEDUCTION Hc�o fS . ...: � Sute Pwm 5473 (RS / 10-07) � � Prescribed by �he Deparimem of Local Govemmem Finance T� �_ INSTRUCTIONS: See reverse side for (iling instructions. �(N/e) �v ���� !'1���/ J y�J�iV V IJL.� � '- ' c riify ha on theo1�21�of March, 20_ I(We) occupied as our principal place of residence lhe following described real property for which a Hom �tead Propert �TavCredit is hereby.daimed: ❑ I(VJe) owned ❑ Are buying under contract / CG?SOP: CCL'"•T� ;,�Inirn� �iave a benefidal interest in the entity uat is liable for the property taxes on the property and Ihat owns the property oris buying'urder a coniract. �4�= `�,},3b,[�ljp57ty4 , :-`'cx � t``$ [�t�'''i yv°:x'�r..`3.��+='k`.; �:CONTR,4CT�RECORDED i�rr:.. '`!'e:•-S.ar-e�i`_:: ,i' _" . '�-'� >-. . . . c:- :t.�� � Sr .t. . i � ''-i r - If 6uying on contract. Fee Simple owner's name RemNers olfice where conVact is remrded Rewrd number Page Tavnship Ta�ing Eistrict Parcei number Le 1des*cri1plion y�. � Is the prope� in question: � �u-O�9�-� �r 17.W S�'a- �i�� I fy : Q"RealproPerty ❑ MobilaHOmo(I.C.67.1-7) If any portion of Na resitlentlal sWdure w Ne land not exceeding one (7 ) acre mat immetlialely sunounds that swcwre is used to protluce income, desaibe the use antl ponion oF the property uUliied to produce income. County 1a-�a-o3oo- ��. 999- oas� ,�.�s�_---- _— _ — , ,:,:e.�PROFERTKOWNEDIBY CIfAIMANT�IN��OTHER"COUNTIE, Tavnship � County I hereby certify lhe a6ove statements are We, cortect and wmplete. street, ciry, state, ZlPcode) ���� �.�'�-�'�"�`�-" -`--`��" � f.? '�-i}'+! �"i'�'- `�-TRUE TAX��Y � � ASSESSED VALUE �'�HOMESTEAD� r L'� �` NON-RESIDENTIAL`% ^'t�--� a�'���ASSESSOR'USE ONLY i�j �s �.,-� t"„VALUE��i "�t� � .. /1T 100% OFM-TTV y �r VALIJE�'s" fif' :�f�?'�, `�I,;,�VALUE' � ��� .'� .`e:e- .'xu'c.. �_%�'_n,'",�^:v�. �'��c._: �Y't � fr. , m.-..,, ..�.,t.�� ».7 . Land not exceeding 1(one) acre immediatety � i�s� -��` �;' '�"� x= 1 ��� #3s � �. suvounding residential improvements. ( � �'r� r_w y_.��1 r ���: :• .� �; . ' _ Other land �Z) �;, =r�� c � �s i . . zf. . �-_.�.;.,.s�.;:;s.�?_�.: Tdal land (line 7 plus line 2) (3) Dwelling (4) .?? ` i:�.�'- ��Z i�xj � t �: Residentialimprovemenis `r F � ��'�'` "a'�� �"' Garage 5 !i� � �a````:5¢'-�� R? � �a" ( ) y>�+.3- ..��'�� u�#.:-'.y .7 ,� ' +"��.Ti':� 4'�'_...-'--'.i `�' r . . _ Other im rovements %' iv � r`n-"='��= P (6) .. Si ,.: .�, '.w .iJi �iz.F._3., Tdal improvements (line 4lhrough line 6) (�) � Tdal value (line 3 plis line � (g) I hereby certify �he above is We, cortett, and Signature of.�ssessor Dale signed complete. Verifying adan - Signature ofAuditor ' Date signed 20_Pay20_ Lesser of 1!2 Homestead Valuation or $6,000 E �