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Homestead_Gick • • t1AIE FORM•IH ICI-4NI IltrASU1ES FORM ISM ,r It1WED BY SIAM!WOAD OFM!1F.NT[_ry+N PRENVRIBFD BYTIFOFPARINLYr(FL(IVI1 GIWEtsMGT FINANCE M 11-I.1-L'4.1 Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individuals and married couples are limited to one homestead standani deduction.As the receipt M this deduction becomes more beneficial.there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore. HE.\ 1343-21)09 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to teethe the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filings.Thik information will he kept confidential and©n only be accessed by authorized county officials.The Department of Local Government Finance will tee this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Gick, Patrick J/Krista A RI Box 478 B Fort Branch IN 47648 Cr 7181 Patrick J Gick 10412 S 290 W State Parcel Number Legal Description FORT BRANCH IN 47648-9103 lrlrrlltt tlt ilt ttlttllrt ltirlt.... 26-18-34-400-001.515-024 004-01515-00 PT SW SE 34311 .92 AD D-2 PART 2:TAXPAYER INFORMATION Owner I First Middle Last -7PQ-4 r'Lk F0 s et h C IC gipAddress(number and ulcer,city,state,and ZIP code) - - -- I Same as property address— /0 q I a S 029D A) &&nck Z .v V7 /e Spouse First Middle Last Kris-i-a A �/ c � Mailing Address(Number and street,city,state.and ZIP code) Same as property address PART 3:CERTIFICATION Each undersigned certifies,under penalty of perjury,that the above and foregoing information is we 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, r she may be liable for back taxes and substantial financial penalties. . cr I Si at / Date Q?*� CLAIM FOR HOMESTEAD PROPERTY TAX '��" � CREDIT/STANDARD DEDUCTION t�� � State Fwm 5473 (RS / 70-01) Prescribed by the Departmem of Local GovemmeN Finance INSTRUCTIONS: See reverse side /orliling instnictions. . . - , . CERTIFICAiION FORM� YEAR { � �: Hcri� N 0 V 0� 2002 � . . _ ; /% :':.� I(VJe) �_4iCJlJCLC.1 �_n � J L/� �/u'�e i at,a(i�tfie fLday oY�klarch, 20 - (��� n i.VUYI�'�U�.�iv�� I(VJ�j occupied as our principal pla residence the following described real property tor which a Homestea Property T�c Credil is hereby daimed: / iQ I(We) owned ❑ Are buNng under contract �Have a benefidai interest in the entity Nat is liable for the property taxes on the property and Ihat owns the property or is buying under a contract. w:�: s'r3�."�. ��n s.#�5e-:�'t:x}z-X es�_' ...2 �'���,i -' :CONTRACT'RECORDED':`.�. T r�"-�.� r. - '' If 6uy'v�g on contrad. Fee Simple ownefs name Recordefs office where conVaq is recorded Rewrd number Page Caunty Parcel II any ot the Tavnship (owq fownship) berO /�/ � ��e96itescnp�� ^ � I Is the property in question: Ill_f- ` � \ �,� `f v ❑ Real property ❑ 6lobile Homo (I.C. 6f.�-7) m of Ne resiEential sWClure w the land not exceeding one (1) ave thal immetliatey surrounds Nai swaure is used to produce income. desriibe the use antl ponion �rtY utiizetl m produce inwme. ��� _ � _ // . �� � �/_- /Q 35���0-DD/.�/S -Da� . ' 'a� '�'T ���' �� ''—� �Y� �'� �'TRUETAX ` ASSESSED V,4LUE �HOMESTEAD s� NON RESIDENTIAL"'`t�`+�' ' �^zs��"`*�, ASSESSOR USE ONLY y . � --� �'' �� VAI.UE- -'AT �00°/, OF�TSV , ; ,� VALUEr �� �,;�`� y` �.L,�VALUE���; s��� �,��+.�it+� .3.'��:...�� -.�;:�......:�+�. .�.;.,cr�a . s.' Land not exceeding 1(one) acre immediately � i+e�i`��wSjL-" ��'�'>'� t� `; ._ surrounding residential improvemenis. (�� ' F.y;`n�.£:^�v,.��.�_„z-? ; ., �_t� Other iand (2� _ _ ''kf :�':y �Y.�� � .,«{'_ -_ '.n Tdal land (line 7 plus line 2) (3) Dwelling (4) ;5>�-�"c;�„�.�'���X�.�` .s Residenlialimprovements .1'� '��" ����' "��'�� .�' 3�'��� _°-+�+ "'��iY�s'' Garage (5) ,"y-%.et` '`3,1''�, .[,+'- .s� t�� : ?J�'i�:'�s�"a..:�:�+°=.,.��..s-t=' Other improvements (6) �° ;>: `•`.� �y - . ' `..cL.,�,,; Tc1al improvemenis (line 4 through line 6) (7) Tdal value (line 3 plus line n (g� I hereby certify the above is W e, correcf, and Signature of,assessor Date signed complete. Verifyi� ac�ion - Signature of fwditor �ale signetl 20_Pay20_ Lesser of 1!2 Homestead Valuation or 56,000 5 5'gnatura of Auditw I Date signed