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Homestead_Forkel • SIAM FORM!INN,R215-N) IREASUAUR FORM 75-IA APPROVED nY\TAM BOMUD OFM'ff%UNTR.2VN PRrdYAfhmev nn DFPARf 'JTOF TXAx rMK—tRNMR..T FINANCE,cu.I-224.I 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 ncr 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 am eligible to remise the benefit and to provide additional identifying information necessary to allow county government to better monitor hotneste:d filings.This information will be kept confidential and can only be accessed by authorized county officials_The Depanment 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 Forkel, Michael W/Cheryl L 9613 5 450 W Cynthiana IN 47612 915 Michael W/Cheryl L Forkel 9613 S 450 W State Parcel Number Legal Description Cynthiana IN 47612-8807 Ir ltrllt tt�t�� ��tt�t��tt�t�rr�t��ttt�ttr�trt��tt��ttr��t� 26-18-32-200-0 23-024 00044-00323-00 PT NE 32311 1.04 AC PART 2:TAXPAYER INFORMATION Owner I First Middle Last HIGNPEL 'WIL.LIPM .Fd7RI<EL g Address(number and treet.-city.slate,and ZIP code) . — — --. _ Same as property mores; Spouse First Middle Last Gti spy tzt<e Mailing Address(Number and street,city,stale,and ZIP code) © Same as property address 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 ,SSign Lure Date � 1r �'t'�=� h, 1 � �rty CLAIf'i FOR HCi'�SlE(�D Pfl�°�tTY TFU Cf�IT FOR YEAR 19 �� SEE BACK FOR FILIIdG Ii�;S ,OhlS ��' � certify that on the lst day o: I, (Ple) occimi�3 as princioal olace oi residence the folln.:ing descriYad revl �ahich a Hoir�;t.� Dro�.sty Tax CYer3it is hAselrs� b�._ing clai.ured: Z, �.,�, o-a��� �L oa �z3 -a a � aze buyin� ,�� contsact OD / - � have a bP-neficial interest in the ta��yer�� -��-e3oZ - o� 00 - dU4. ,�3 -�� Proc°rty Descrip`ion, in Nunty 'Ib�.rrshii Ta�:inq Distric� (City, Toc:n, 7bwnship) : �uc�l i�L,-;n�r or legal criotion strr.an on tax statar�._nt: P� �i�'�� �,2-�-ii i. ay�� i= bu.'ina om m��zact: O.r-n�ss r�r� (fe� sitr�le cc�,-n_r) Con�.ract rword�i in Pe�sd=s's Of=ice - F��cnrd t3�. Pzge Z' an}' mr�ion of th° r°sidential stn�c�re or `he land, not ��e�iing or.e (1) acre that i�-�r.edia�ely surro�is tiiat structure � s us�l t� pruduc° '}ncane, des�ire the use arri oorticn o_ uze oro�sty utilizeci � produce irrorre `n}' other c�i:nties in 4r;lich individual aans or is buying rA..al orornsty: Cbun�v 'ic.�mshio � -�i.s�hy c�s`ti th° s` terent is true, a�rrect ard cotr�lete. � /30�39/� � *Sia,.atur°� Street Pddress Citp, State ar•d Zio G *IndividLal eith_r aans or is bsying imer a mntract that provides he is to nay the oro�sty taxes on `h° resid�nnce, or has a�.�eficial interest in th_ ta-`:oaY°-r. - FOR ASSESS(7R�S USE OP;LY - True Cash Valu_` iar� not e�:��in9 1(one) acre vcu��diately •' �1� So o- surrourriing residential iir,�xov�rents otner Lana� � , � Total Land`� --n � � P�sidentia 1-7lrnrovgr�nnts APR 2 31986. �.- . �e��u..�a� ,t� otn,s 7irurovai,�Stsn° � L�elling Garaae �� 7C � Irrorov�m�fis - Lir.s (6) plus (7) ec?i��ls (B) cz) (3) (4) / 8 770 �5� 1 S�90 c6� ao��o (-7) %OD �g� a o 9G o �,h�s�}• �°.,-�`ry the abave is tn:_, correct, ard mirolete. Si�ati�r° o� �ssssor - aCTIOi: BY AIJDiTnR - Ass_ss�3 Valua`ion �� � % �% � � /o'l�D � �j-o � 9 90 Ll3t_ �� Date: G/-�Z3-�� anrrov�' : U Sktr°sc_�_ Valuauo; / 70 ���� � ��,. "!''��/,/%/.�'`'- �� ��ry ���` � / , � ���o