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Homestead_Hinman SlarE IORM,■Ma 1R_/WO TREASURER FORM 73-IA .VYMn'EO 01 civil BMRnoF Nrry:V S.:ow F.IYNBED BY mr 017ARTQMT OF LOCAL GinTIONItt ra:wSCE IC 4-1.1'Ia4.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 eser 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 are eligible to recche the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filings.This information will be kepi confidential and©n only be accessed by authorized county othcials.The Depannlnn of Local Government Finance will we this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Pro • • - dress — Hinman, Jeffrey A/Dana R R2 Box 173 NI llaubstadt IN 47639 10893 Jeffrey A/Dana R Hinman 1923 E SR 68 State Parcel Number Leoal Description Haubstadt IN 47639 26-23-09-100-001.387-024 004-01387-00 PT NW 9 4 10 .61 AC D-9 x PART 2:TAXPAYER INFORMATION Owner I First Middle //// Last J e.+-Vr e AT /7in"nail 1 tg Address(number and street,city,state,and ZIP code) - - — — -- Sartre as pprdperty address ----._. - / ? 3 E. s,Q 68 / , uds7/�l, 1W 9739 Spouse First Last ban a R. �%4Ma .,1 Mailing Address(Number and street,city,stale,and ZIP code) 0 Same as property address ) (23 F. SR C1 ; 1-/a(45746(2-11 , IN 4'7G39 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 0 • eE.R� � ; CLAIM FOR HOMESTEAD PROPERTY TAX �- - FoRM YEAR s���: CREDIT/STANDARD DEDUCTION b011O�ld HCio , ���S ,�,,;� State Form 5473 (R2 / 5-92) ��� �.� ub- . . � . . , , . INSTRUCTIONS: See reverse side for7iling instructions. �n ���� ff OOL ) _GC.�� Y /1' ��We S'�-sL- . ►� c if ihe tsi da of March, 19 7� —�� ;) occup' d as our princi place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed: I(We) owned ❑. Are buying under conirac[ � . � ❑ Have a beneticial interesi in the entity that is liable for the property taxes on the property and ihat owns the property or is buying under a contract. - . CONTRACTRECORDED It buying on contraa, Fee Simple owner's name . . . . � - � . � . � . � Recorder's oflice where con;ract is reCOrded Record number Page PROPERTY�DESCPIPTION � = , : Townst�' _ : -- J � Taxing di5irit� (ciry.lowq town5hip) � i�c..s Parcel number Legal dAS`cription �2`�- o�a8�-oo �,t �1lC� ' 9-�-�0 , lo��tc_ If any portion ot the residemial simaure or ihe IarW not exceetling one (1) acre that immediatety surrounds that strucmre is used to produce income. descnbe ihe use and portion of the property utilized to produce income. _ -.,?_3_/iy-/�l0-'//�/_ 03�''/- PROPERTV OWNED BY CLAIMANT IN OTHER COUNTIES ' County Township County Township ��•eby certify ihe above statements are ime, correct and complete. Signamre ot aimam� . Atltlr (numberandstreeCCiry.state.ZlPCOde) .� / � �7G 3 y ASSESSOR USE ONLY � TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL VALUE VALUE VALUE VALUE � Land not exceeding 1(one) acre immediately surrounding resideniial improvemenis. . (�) ' Otherland . (p) � � � 1 Total land (line 7 plus line 2� (3) Dwelling (4) � . Residential improvemenis Garage (5) Other impravemenis (6) � Total improvements (line 4 (hiough line � (7) Total value (line 3 p�s line � - (g) I hereby cenify ihe above is irue, correct, and Si9nawre of Assessor Dace signed complete. /�tyirg action - Signa:ure of Autlitor Date signetl STANDARD DEDUCTION ALLOWANCE 79_Pay19_ Lesser of t/2 Homesiead Valuation or 52,000 S SignaWre of Auditor _ Date signed