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Homestead_Meyer STATE FORM 53569(8318-10) TREASURER FORM T5-IA APPROVED BY„$TATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-LI-22-8.1 IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS 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 ever for homestead fraud. Homestead fraud auses higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive the homestead s..a dard deduction to verify that they are eligible to receive 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 can only be 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. P ' 1: PROPERTY INFORMA ION ' Taxpayer Name Property Address State Parcel Number Len(Description: Dennis Meyer Jr. 5287 E I lid S 26-23-12-400-000.525-024 PT NE SE 12 4 10 1.255 AC HAUBSTADT IN 47639 D-10 Complete and return to: l©IIDf17111ll G111I1tf11711I7allig fllrIf111®11'I�il'I GIBSON COUNTY AUDITOR, 101 N MABW PRINCETON IN 47670 LSIL tat S 1WM I J 1CIuG PART 2: TAXPAYER INFORMATION Owner I First Middle Last • Do_1irti5 Waul Me-. er Jr. Mailing Address(number and street.city,state and ZIP code) I I Xsarrp as property address 5ai E. 1150 S . kantskoAt_. TAI. y URGI _ - - . • - - - - - . 'First Middle . . last MaSSng Address(nunber and street.city.state and ZIP code) Same as property address Social Seavity Number(last 5 digits) Driver's License/State ID Number(last 5 digits) Sue Other(rPase specify in Pan 4 below) • 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. 73 DatI Signature e ( ) PART 4: ADDITIONAL. INFORMATION . .. .F D . NOV `5 2012 GlgcnU mnl tktre AUDITOR Nn ! CLAIM FOR HOMESTEAD PROPERTYTAX CREDIT/STANDARD DEDUCTION '� � State Fortn 5473 (R4 / e-00) INSTRUCTIONS: See reverse side /or filing insWctions. I �e) '�i/����� ' 1 �JX I C/Ve) occupied as our principal place of residence the following I(We) mvned ❑ Are buying urWer contrad real property for which a ' �� .- � �i � i ' �i 4 ��/ ' + , day 20_ daimed: a beneficial interest in the entity lhat is liable for the property laxes on the property and that owns the properry or is buying under a contrad. If buyirg on conVacL Fee Simple ownefs name cono-aa RecorO number � Page ,.�`��� .�. —�� `"",�€��`C"����zv���FROPERTYrOESCRIP�TlO_N'�.���,��;,���-��� =n, County Tawnship Tacing EisUicl (city, fown, fownship) P 1 num r— S� S. Legal descripUon II any portion ot Ne residential sWCture w Ne Wnd rrot exceetling one (1) ave Nat imme0iatey surtounds that swccure is used to pm0uce income, desaibe the use arM portion oi the properry unT¢etl w protluce i�rcome. - .. — — o �— U :,_.,,,�- .� .;.�r�'`�r-'.`a`�K.- PROPERTY�O,WNmi CL�IM'ANT IN OTHER CO.UNTIES—� =75,'�,�? „�`��'�"�-`�,�.�-�-`�.�j;,����`'_n",��"'�°� County� . Twrnship Counry Tarnship I hereby certify the above statements are true, corred and compiete. Signamre ot Gaim +ress um6erandstree;dry,state,ZlPcode) Q2 ox A