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Homestead_Butler STATE FORM"M IR:I)w' • TREASURER FORM 7.3-IA APPROVED BY STATE bammoE Any CTS_TaN P ENCRIBID WY THE DEPART:D.71W LOCAL GOVERNMEKT LD&srEr-I.1-L4.1 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 tier for homestead fraud.homestead fraud causes higher tax bills for all:therefore. HEA I344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reecho the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filings.This information will be kept confidential and©n only to 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 Butler, Richard L R I Box 54 Cynthiana IN 47612 1055 hard L Butler 1726 S 650 W 004-01891-00 PT W SW 7 4 11 70.909 AC IPIIIIIt�IIJl4lllllllllTlrtlrttllllltIltrllllllIItrllll x D-2 PART 2:TAXPAYER 1NFOR\1ATION Owner I First Middle Last g Address(number nd streci.clry,state,and'LIP code) --— " - - "-- mune propcny uslorLas— — — —-- tI7?b 5 b50 v✓ G 4 A1 9 761 Spouse First Middle Last Mailing Address(Number and street,city,stale,and ZIP code) ❑ Sane as property address Social Security Number Oast 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below) - sow PART 3p 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 Telephone Spouse Signature Date Telephone r l PART 4:ADDITIONAL INFORMATION • FOflM HC lU 1979 Preuri�eE By State Boara ot ta� Commissiocers io Be FileO in DuDlitate CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 1922 SEE BACK FOR FILING INSTRUCTIONS �(We)� °��'%�—�� s�t� a"• ' 7�'� certify that on the 1st day of arch, 19��_, I, (We) occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby being claimed: I, (We) ❑ owned ❑ are buying under contract ❑ have a beneficial interest in the taxpayer Property Description in � � Taxing District (G+fy; Fewrr, Township):� Parcel Number If buying Ofl contract: Owners name ��ee smoie owneq � I r S .� � t/ !�� I � - �� _. . . / I_ . Q.. / . �� 1r! • I� or legal description shown on tax statement: Pi. � �.��-� � � Sw-ti Scu:i 7-v-�i � Contract recorded in Recorders Office - Record If any portion oi 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. � "_ ._. .. .n _ .- Sveet Aaeress County Township � � � � Gity. State ana Zip Cme 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 - Land not exceeding 1 (��I� surrounding residential i ov e ts Other Land Total Land .iU�' 1= i979 Residential Improvements D''welling (.� .� /��i�'_�LR�IGe ra g e R�IG AUDITOR Total Other Improvements provements - Line (6) plus (7) equals (8) certify the above is true. correct. and complete. Assessar True Cash Value (1) Soo (2) � o 0 (3) � sa o ca� /� ��o (5) (6) / � 8� o (7) � / �o (8) a ,3 9.� o Assessed Valuation --^-> � — -� _ , �� jjjjjj�j�j — �' • � i �o �� Homestead Valuation E—"__� �=�/-7q �:z - ACTION BY AUDITOR - Date: / - � ! ` l