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Home My WebLink AboutHomestead_Montgomery Family Farms Inc i.t STATE FORM 53569(U!1.10) TREASURYS FORM TS-IA APPROVED BY STATE BOUM OF ACCOI1 V FS.X09 PRESCRIBED BY via DEPARTMEST OF LOCAL GOvtR%MEV T FIYA V LE lc 61.1333.1 Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS 101 N. Main Street Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes Pnnceton, IN 47670 - more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher lax bills for all;therefore, • FILET HEA 1344-2009 requires additional taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the 1 IMIL/. benefit and to provide adition 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 fad.. PART 1: PROPERTY INFORMATION APR 1 1 2011 Taxpayer Name Location Address C.9.a Montgomery Family Farms Inc 400 W GIBBON COUNTY AUDITOR HAUBSTADT IN 47639 2296 Montgomery Family Farrns Inc - II111111[IIII111I MIME lIII iIIIIi[1111If_II11i11[1 IIIIIIiililliCililiiliil 12377 S 400 W Haubstadt IN 47639-8681 911111111111111111111111111111111111111611111"16"11111111 State Parcel Number Legal Description 26-22-16-100-000.725-024/ p ZN 8 PT SW 16 411 221.7159 AC • This form MUST be returned to County Auditor's office. Please do NOT send this form back with your tax payment to the county treasurer. - �• _._s�_��-____ Pima 2:TAXPAYER INFORMATION Ow....r I First ----Middle test � 8E47— O L A N I 1 y1 oAtT&o141E'2V Mailing Address(number and street,city,state,and ZIP code) 1 yl Same as property address Spouse First Middle Last L' `/ N7-W/ A t7— AN oAK%Godif the y Mailing Address(Number and street,city,state,and ZIP code) Same as property address 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 1 gigrla /,/ Date / FORM HC 10 19T9 Prescribea By Sta�e Boa�a al ia+ Cammissfaners CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19� io Be Filea in Wplicale SEE BACK FOR FILING INSTRUCTIONS ��el�/' i c. ��(We) •- cer fy that on the 1st day of �warch, 19 I, e) occupied as our principal pl of reside e the following described real property for which a Homestead Property Tax Credit is hereby being claime : O- �S _Q�� G-�a i�-�D�— Q 7.ZSao I, We ❑ owned ❑ are buying under contract ❑ have a beneficial inter,Q;t in the taxpayer n _ Property Description Township Taxing District (City, Town, Township): �'G r Parcel Number r legal description shown on tax statement: �� i v �z �� %`�jtc�% /G—�f-/i Qe¢ simple owner) �• S O// If buying on contract: Owners name �z��g Contract recorded in Recorders Office - Record If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion of the property utilized to produce income Any other counties in which individual owns or is buying real property: County Township ' hereby certify the above statement is true, correct and complete. �' ��j/"%w"`� J � �n�-�,,,�a.�ti� f�� / LGLLLF/Y� / /�L �J �� %'� � 'Signature �� Shrei Aaaress Ciry. S�aie na Zip Cotle ' Individual either owns or is buying under a contract that provides he is to pay the property taxes on the residence, or has a beneficial interest in the taxpayer. - FOR ASSESSOR'S USE ONLY - Land not exceeding 1�e)�-'cre i�med�a�iy � surrounding residential pr eme s � Other Land Total Land � U t! � 1979_ Residential Improvements vl 1� Other Improvements /��=��we I I i ng rage AUDITORTotal True Cash Value (7) ..50-� (2) � � O �3� /� a., o (4) // �//O (5) — O � (s) //G/O (�) /S/ 9 0 '�Tr�-' Improvements - Line (6) plus (7) equ�1als (8) (8) � by certify the above is true. correct`�and complete. � II 0 . � Signamre o� nssessor Assessed Valuation / %O � 70 ��-o — d�— oaie Homestead Valuation Date: �D - S�- 7 ,�-- .