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Homestead_Benkert SINE F0RM MO.DR:%t-r'1 TRFAS4tIR 1OKM Z. IA APPROVED MP0RTA T NOTICE TO HOMESTEAD FP PROPERTY OWNERS PRINCETON `4 Gibson Cdunty Auditor 101 N Main PRINCETON IN 47670 Individuals and tarried couples are limited to 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 elicible to teethe the benefit and to provide additional idemlfyine information necessary to allow county government to better monitor homestead filings.This information will be kept confidential and©n only he 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 I: PROPERTY INFORMATION Taxpayer Name Property Address Benkert, Aline R2 Box 113 Q Ilaubstadt IN 47639 18 Aline Benkert 1388E Warrenton Rd State Parcel Number Legal Description HAUBSTADT IN 47639-7941 IIInrILtdJlttIlJIIIJtrLtnll(ILnrLllrrJlLJeLIIlIIIl II _ 26-23-17-200-000.064-024 004-00064-00 PT E NE 174101.466 AC PART 2:TAXPAYER INFORMATION Owner I /�� o0� First Middle H�J _ - ,QQ _ _ Last IIAddres (number and street,city,mite,and ZIP code) — rej'Snare as property eddnss— -- (3881. u1ARRE/I(To RD. A/nvgsrAn7 IN' Y24'39-7934/ Spouse First Middle Last Mailing Address(Number and street,ciy.state,and ZIP code) ❑Same as property address — Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below) -- _ stale 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 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 4i FOflM HC 10 1979 Prescri0ea By State BaarG ot Ta. Cammissioners io Be Filed in Du0licate CLAIM FOR HOMESTEAU PROPERTY TAX CREDIT FOR YEAR 192`Z SEE BACK FOR FILING INSTRUCTIONS �-- . • �(We) • certify that on the 1st day of arch, 19�_k, I, (We) occupied ou c ce of residence the following described real property for which a Homesiead Property Tax Credit i being claimed: . I, (We) L�J owned y/D �� Q���� �Q� ❑ are buying under contract / �� �J �j / '/ CC ❑ have a beneficial interest i the taxpayer �CD —`� �/ �OI���.QIoT da T Property Description in ���.c�� �- County Township Taxing District (F�rty, Tewrt; Township): '� Parcel Number or legal description shown on tax statement: Pf. r �'z. .!/E�i /�- v-�o �,��.�-� If buying on contract: Owners name �'� 9tnp1e °w"e'� Contract recorded in Recorders Office - Record No. Page If any portion of the residential structure or the land, not exceeding one (t) acre that immediately surrounds that structure is used to produce income, describe the. use and portion of the property utilized to produce income Any other counties in which individual owns or is buying real property: �hereby certify the above statement is true, correct and complete. County • Township ' Individual either owns or is buying under a contract that provides he is to pay the property taxes on the residence, or has a benef�ial interest in the taxpayer. - FOR ASSESSOR'S USE ONLY - `-� '� �I� � True Cash Assessed Homestead �� � Value Valuation Valuation Land not exceeding 1(one),9��e,yn mediately surrounding residential impro'4�'mEn� jg79 Other Land �� Total Land ' Residential Improvements A�O�TOR , Other Improvements Improvements - Line (6) plus (7) equals (8) by certify ihe above is true. correct. and complete. (�) .�,00 /�o �2> .3'n (3) � S"O (4) /�/� SIo (6) � L� u� �/� (7) �7 /o ?O - ACTION BY AUDITOR - / o �=/9-�9 Date /�j�jj�j�/ j�jjj�j�j� ��j��� � //3'.%i.//::iNi �j�/u�' � �-�/ i