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Homestead_Bittner (7) STATE FORM'54 ICJ t.n( TPEANLER FORM 3-:A .VPFTn'EOLIT'TALE Douro(V AM1ra.T%.2tM PLESiUBW BY TIE DEPARTMENT OF LOCAL C{%iR.WENT FINANCE MVI.Irov 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 more beneficial,there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tat bills for all:therefore. . HEA 134-1-3009 requires taxpayers who remise the homestead standard deduction to verify that they arc eligible to rectt eke die benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filings.This information will he tepr confdemial and can only be accessed by authori,ed 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 Taxpayer Name Property Address Sinner, Matt L OIINSON'f\\'P Haubstadt IN 47639 9475 MattL Bittner 11255 S Owensville Rd State Parcel Number Legal Description HAUBSTADT IN 47639-8643 11111 IIIIFIIIIIIIIIIIIIII III11.11111 r�I11111111 1r 1rr1r 1r11rrl1 26-22-10-100-000.086-024 004-00086-00 PT NW 104116.00 AC PART 2:TAXPAYER INFORMATION Owner I /L First / Middle 1 /l Last midi Leona( ��7� ✓ 40,g Address(number and street,city.state,and ZIP code -A Slime as pmpem address— - — — --- //' 65 .SS . Olvensv 112 //0�' Spouse First Middle Last Mailing Address(Number and steel city,state,and ZO'code) Same as property address Social Security Number(last 5 digits) Drivels License/State ID Number (last 5 digits) Other(please specify in Part 4 below) sore PART 3:CERTIFICATION Each undersigned certifies,under penalty of perjury,that the above and foregoing infonnation 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 • CLAIM FOR HOAAESTEAD PROPERTY TAX CREDtT/STANDARD DEDUCTION ��x����� Resabad by tlie Dapm6nent af Loral Gouermierd Franm INSTRUCTIONS: See ieverse side !or filing u�stre�nns. _ -'i . .. .-_ 0 �� ; �! 4 �� �'t i rve) � � /1.�C 7.1[at-r�,C.c.v �or,� mai � 6,e ;��y or u,�, zo_ i�we� oca�ped as o� �d� � m� me roe��y d� .eai �eny r« �.�md, a riome5�a are�i�dSlis�h�i�,R,aa: ��(we) oxn,�a ❑ nre b�ymy unag oono-ea Have a benefidal mterest'u� Cie entity tliat is liade br Cie popeny ��s m the property and Nat owns the poperty or is bu�mg under a cantract �.: . ., , .. . . _. . , _.� �..`.I,. . - .:.. i_-.._•; . .• .., y,. . ��� , q ._s� ,.1. v� �..e:�� �.r,-?. • CON7RACTsI�CORDm:`.o. ��:sa.v,:titY.t. ' .�.�. .:,i�x.,s�... . a�,+r�•s, re cuy:g om m�tra0. Fee sir�le ow�afe reme... I�rde/s dbce whae mY�ad is iemdeC Recvd number Pega . ..�p� ' �.V' Tow�¢lup,� � � ��f �%J�v /�J� � • � � `i I �am noranr ❑ �b � ��.c. s,.,-n n e`y partion d �na residential sWC4ra or me lana nal mmea6np one (1) aoe niat immedmidy a,rjw�m uW is usea m pmd,ce nmma. aeso,be u,e �ne mid paCa, d tlre WopertY Wf�d b P�+� 6mmne. Co � �-aa-�o-��o- Q�d. o�L-6a� `�.�s.,, '. r a r - . � � .� r^ff'i! - �e TRUE-.TAX ASSESSED VALUE <'FIOiff_SiF.ADs . 3�'L,'�t� ' �6iTIAl{L � 'A.'r �ASS6SORUSEONLY n' hYii �• V14LUE �"AT100%OFTN t�d°�'�.YALUE �[ -:. #'�:��N�µ:VALUE.`..".�i.4�.?ii Z.i�4L��' i�.u.e. ' >. �,. ?. ..J' .ti� �! iL a"ii.r; .^fCi.».4rk'.... s` Lard not emee6ng i(one) aae i�ateh "`' "'"`�" �S` '�"',}�'t�''`''� z'°K''�� siaramdi�g residential imP����- (�� izr���� J�S �� �?r�;"n }h�^.��at OihBfldnd t . `=y§V1y�i'�at� (2) �. � � � y; 7 tb a'�r>�;.!ii: Tt7� land (I'c�e 1 pkrslme � (g) Dwe6 4 :.F ,t�'� �t�`^�`�"" � � iG_t���: a Resdential'vnprovemenLSOrMra�aly �9 � ) ;�,kr.`�.�r,P,N,r€�✓°,�i�'''.�.,.>�S't�K;� 0.sses�ed Abdle / Alanuf�ChYed FIOrt�e :r ,g atv�y �,xy,j?� .�ar� � ..w m, .��e �5� `�NN�?'� �d�7��e����S�'�tx.+7-`��.y �'�-n m�. 4 '.}.i'1;_�n 9;. a ..�° t-�l � # �. ��, Olf�r onProvCmenLS �s) . , : u., ,.f:: Tdal'vnprovertie� (6ne 4 Waigh 6ne 6) (7) Tatal value (l6re 3 pks 6ne n �g) � hereby oertiy ihe above s true. corted� ard s9r�ae mwssasm. Date sqied �e Vai(yinB adian - Si�aCae oFAUdmr Date ei�++ed '.•. - •. . � � . • � ; �• �, ;STANDARDDEDUCTI0N�IILLOW/UICEr :��.� r r .' ��h=�. y'..� °- k �.�,c'� +`�'w�`i r , a.. . L� a>.�%r' P�-€� 20 _ Pay 2(1 _ Lesser d 72 Hortiestead ValuaGOn w 535.000 E Si�ture W aiditv � �6^ed