Homestead_Deputy :IVVE Intel51t ,R rMN) TREASUtLA FORM:}IA
• .AFrwwEn We RATE BMROOt Move.m.ION PRLwRILQl RV nn OFPARTxnM(OFtoast t.M'EICIMENT FINANCE IC 4-Lt-22-1.1
0 'County Auditor
11 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N
PRINCETON IN 47670 Individua6 and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
lb more beneficial,there is more incentive than tier 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 receise the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings'this information will he kept confidential and can only be accessed by authorized comity officials.The Ikpanntem 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
Deputy, Max E/Sharon L /9 9 d SO 9cv4 c
Francisco IN 47649
•
4627
L.---
\
Q
Max E/Sharon L Deputy
1942 S Watkins State Parcel Number Legal Description
Francisco IN 47649-9741
1I1n11m1r11ul1n11t1nlllulullrlulu lllllnIl lIlIllI1l1 26-13-20-103-001.483-004 002-01483-00 PT NW 20292.50 AC
x —
PART 2:TAXPAYER INFORMATION _ •
Owner I First Middle Last
/'�4/ /--- -de>•° /--
Tip-Address(number and street.city,state,and ZIP code) --- - - -- - - .LI-Same as property address — - — — - - — -
/9<' 2 So6T,l/ 6J#c7, O/T/S S7/7rf7 / 44'Crcco , 1-t/• %7, Y
Spouse First Middle Last
.5�.5''/Oti X ,7-;- ‘r%y
Mailing Address(Number and street,city.state,and ZIP code) ❑ Same as property address
/tt;k7 ,S047217 t,47,C1ir/S S77Pre/ fiele/C.z'S -CG _'ti P7, %W
'.PARTT3: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
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
.a State Form 5473 (R215-92)
16
INSTRUCTIONS: See reverse side for filing instructions.
I
FORM YEAR
� 1D
11AY 03 2000
® C T [CATION S ATEMENT
i
I (We) baton the 1!(i ay (4 Me h 9_
I (We) occupie as ou principal place of residence the following de ribed real p erty for which a Home ead3!& &*tT&Brbdit,l Ltjot�pgcl imed:
❑ I (We) owned ❑ Are buying under contract "
❑ Have abeneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
CONTRACT RECORDED
If buying on contract, Fee Simple owners name
Recorder's office where contract is recorded
Record number
Page
PROPERTY DESCRIPTION
Court
T h' Taxing district (city, town, township)
, N
U /v
Parcel number
Legal description /o(//
If any portion of the residential structure or the land not exceeding one (1) acre that im ediately surrounds that structure is used to produce income, describe the use and portion of
the property utilized to produce income.
-13 -030 - IJ
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County
Township
County
Township
-reby certify the above statements are true, correct and complete.
Signature of laimm
Address (number and street, city, state, ZIP code)
310 S. (t,4
ASSESSOR USE ONLY
TRUE TAX
ASSESSED
HOMESTEAD
NON-RESIDENTIAL
VALUE
VALUE
VALUE
VALUE
Land not exceeding 1 (one) acre immediately
(1)
surrounding residential improvements.
Otherland
(2)
Total land (line I plus line 2)
(3)
Dwelling
(4)
Residential improvements
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct, and
Signature of Assesor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE -
19_ Pay 19
Lesser of 1/2 Homestead
S
Valuation or $2,000
Signature of Auditor
Date signed