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Homestead_Keller HMI FORM r15 /4M1 TREASURER PORN l-tA *FIRMED BY S1,AILIRNRn OF.NiTr,5.21 n PRESCRIBED BY MT DEPARMEYrff LOCAL FAt[4YMrtcr nassCE Ie 6-I.1r-!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 taandanl deduction.As the receipt of this deduction becomes more beneficial.there is more incentive than oer for homestead fraud.Ihomestead fraud causes higher tat bills for all:therefore. HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recehe the benefit and to panicle additional identifying information necessary_ to allow county government to better monitor homestead tiling-.This information will he kepi confidential and can only he accessed by authorized county Officials.The tkpannxnt 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 Keller, David E/Linda C Trust Life Est R R 113ox 3756 D'I Ilaubstadt IN 47639 9419 David E Keller 1045 W SR 68 State Parcel Number Legal Description HAUBSTADT IN 47639 26-22-01-102-000.524-024 004-00524-00 PT E W 1 411 1.58 AC PART 2:TAXPAYER INFORMATION Owner I First Middle Last DAvid fir—//riz 1110.ng Address(number and strm.city,state,and ZIP code) — -�— --- - Same as property address - — -- - /04'c ,de57 57AiM Road h8 14A tzes T , 2fv 4'7L39 Spouse First Middle Last k iv-4A earn( !?C I leR Mailing Address(Number and street,city,state,and ZIP code) ©-Same as property address /a 4/5 \Jest 5 4a i t R o a d (a$ Naabsl' 6 `t 7(, 37 --� �---•- --• --�--_-- .__ _._� 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 .�•°•� CLAIM FOR HOMESTEAD PROPERTY TAX veaR d� 4 FORM O :�` y` CREDIT/STANDARD DEDUCTION .. Hcio C1` :� State Form 5473 (R2/1-90) ' �' '°„ = INSTRUCTIONS: See reverse side (or.liling instructions. CERTIFICATION STATEMENT��^ ���� Oa I (We) ��ct `• �X�� certify that on the 1 st day of Marcti , 19 /� �. ( We) occupied as our principal place of residence the foll ing described real property for which a Homestead Property Tax Credit is hereby ciaimed: I(We) owned ❑ Are buying under contract � Fiave a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying it under a contract ��' /�� // �-�a-o/-/��-oc0. r y� CONTRACT RECORDED If buying on contracl. Fee Simple Owner's Name Recorder_s office where coniract is recorded Parcel Legal PROPERTY DESCRIF �_ � ; _ 7 Taxing _ (�} � - �{ - Number SS � C-- Page If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that struc- ture is used to produce income describe the use and portion of the property utilized to produce income. . PROPERTY OWNED BY.CLAIMANT IN OTHER CO T.........L.:.. .. !`... ...�.. certify the above �statemenis are irue. correci and number, city, state and ZIP code) ' w,1 N(jQ U � ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VAllOED" - NON-RESIDENTIAL ' - � '- � VALUE land not exceeding 1(one) acre immedialely � surrounding residential improvements (�) Otherland (2) Total land - line (7 j plus line (2) (3) Residential improvemenis Dwelling (a) - - Garage (5) Other improvements (6) Total improvemenis - line (4) [hrough line (6) (7) Total value - line (3) plus line (7) (8) I hereby certify the above is true, Signature o( Assesor Date Signed correct, and complete Verifying Action - Signature of Auditor Date Signed 1989 Pay 1990 Lesser of 7/2 Homestead Valuation or $2,500 STANDARD DEDUCTION ALLOWANCE 1990 Pay 1997 Lesser of 7/2 Homestead Valuation or $2.000 Signature of Auditor � �) M� (� %) 1997 Pay 7992 19—Pay 19— Lesser of 1/2 Homestead Lesser of 1/2 Homesiead Valuation or $1,500 Valuation or 57,500