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Homestead_Bittner (2) - STATE FOILM 13t II(_'l u7l MACZPER FUN TS IA APFBm'ED BY MATE BOSROOE MY[tLT<,`on PPIARIBW BY TM DEPARTMEIT OF LOCAL tOVERNMET't FINANCE tc HI-r-s.l Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individuals and maaied couples are limited to one homestead standard deduction.As the receipt of this deduction becomes more beneficial,there is more incentive than net for homestead fraud Homestead fraud causes higher tax bills for all:therefore. HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to reecho the benefit and to pmvidc additional identifying information necessary to allow county government to better monitor homestead filings.This information will he Lepl confidential and©n only be accessed by authorized county officials.The Ikpanment of Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Bittner, Cornelius G/Isabelle Trust 122 Box 98 Haubstadt IN 47639 180 Cornelius G/Isabelle Bittner 11483 S 250E State Parcel Number Legal Description Haubstadt IN 47639-7926 �r�rr��tr III IIII III'llt�rr�tr t��l�Iu VIII II II I�tl�rrl��rr��rr� 26-23-09-200-000.103-024 004-00103-00 PT E 9410221.28 AC D-9 X PART 2: TAXPAYER INFORMATION Owner I 4 First )71 Middle /, 3 7"J, Last •tg Address(number midst—Met.city,state,and ZIP Eode - -- ---- -— '�Snme as pruputtv'Bddxes;-- - ---- . -- - /Ig3 5 Rs-0E 7 t , /A/ q76 39 / Spouse, First Middle Lust MailinngguAddress, A (Number and street,city,state,and ZIP code) Same as property address c Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below) sus 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 let F-0RM MC /0 1979 P�eStriUed 6y $Iale BaarG of TaK Lommissfoners ia Be Filea in Duplicale CLAIM FOR HOMESTEAO PROPERTY TAX CREDIT FOR YEAR 19L� SEE BACK FOR FILING INSTRUCTIONS �� .f�. �`' u�A ,�i � _ ���� (We) �—�- B--t-=- �- certify that on the 1st day of �vtarch, 19_7 �, I, (Wej occupied as our principal place of residence the foliowing described real property for which a Homestead Property Tax Credit is hereby being claimed: � � o?� -o?�.p9-��/- o6a./a�-oaS� I, (We) B�owned 6 � CG �j0 !V � -��! ❑ are buying under contract ( ❑ have a beneficial interesJ, in the taxpayer „ � Property Description Taxing District (6ity-Tbwm, Township): Parcel Number If bUylfl9 Ofl contract: Owners name ��ee simoie ow�eq nty Township or legal description shown on tax statement: SF;� dE�r 9 - y-�o .�o�� Contract recorded in Recorders Office - Record No If any portion of the residential structure or the land, not exceeding one (1) 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 - Slreet AaOress " ' ' City. Sta�e ana Zio �e � 7� :� 9 Individual either owns or is buying under a contract that provides he is to pay the property taxes on the residence, or has a beneficial interest in the taxpayer. - FOR ASSESSOR'S USE ONLY - True Cash Value Land not exceeding 1 e) cre r�med�ely surrounding residential�pr�eme� � (�) �5-00 Other Land (2) 7,s' a o Total Land ,�U;y � 1979. Residential Improvements �,� Other Improvements j :� • � ,� . � •-' .�- Improvements - Line (6) plus (7). equals (8) roy certify the above is true. correct. and complete. 13) s� a o 0 ( 4 ) __l �2'r�:.c2 � (5) (6) / � .�._?o �>> 8 0�0 �s� �3aAo � � i77 [ i I�� e 3�� l� 1�] � r i 7:� Assessed Valuation �70 �O < O Homestead Valuation ;,://���///%�/ _=_-- � %����� :..:.� Approved: v` � y • � o�/ --�-� %-� � � Date: —�C2��