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Homestead_Petitjean (9) SIATE FORM])ft.00/SW I ThFAAIIFR!OLM 73-IA .APPROVED BY cr.tL rakxDOrs r,.xrs._VV Pursam BY nn OEPARINEVT If LOCAL r-0VERYnrh"r FINANCE 1C414.1.22-$.1 Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individuals and married couple 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 taxpasem who reactive the homestead standard deduction to serify that they are eligible to receive the benefit and to provide additional identifying information necessary to allow county gvvemment to better monitor homestead lilintry.This information will he kepi confdential and©n only he accessed by authorised county officials The Ikpantn nl of Local Government Finance will Use this information to create totals that will help county officials eliminate homestead Gaud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Petitjean, Harold Leo 122 Box 132 llaubstadt IN 47639 11061 Harold Leo Petitjean 12768 S 200E State Parcel Number Legal Description Haubstadt IN 47639-7950 jtjrtjjtttjtjjt tttjltjtjttjtttjjtjrttlrjrjj rrt.11.tjt 11111 jttj 26-23-16-400-000.777-024 004-00777-00 PT S SE 164101.489 AC X PART 2:TAXPAYER INFORMATION Owner 1 First Middle Last Waro la Leo -,e#14 {�<cll g Address(number and street.city,state,and ZIP code) - - a ---- — (..Same ac property—oddrcss - -- — I a`7(, S • ,boo E /1J- 1 q7 to 3f) Spouse First Middle Last /"(list. R./IT/jean Mailing Address(Number and street,city,stale,and ZIP code) 131-Same as property address / 714'8 S. 2) e- zN (17 oW 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 Signe/ Date ..�^•. CLAIM FOR HOMESTEAD PROPERTY TAX d�^ °z ;� �; ; CREDIT/STANDARD DEDUCTION �•' .� State Form 5473 (R2/1-90) �'°" ` INSTAUCTIONS: See reverse side (or (iling instructions. CERTIFICATION STATEMENT occupied as our principal place of rty Tax Credit is hereby ciaimed: OD� �0 777- o a v2 FORM YEAR HC10 j ��, certify that on the 1 st day of March , 19 � e the followin described real property for which a Homestead I(We) owned ❑ Are buying under contract � Have a beneficial interest in the entity that is liable (or the property taxes on lhe property and that owns the property or is buying it under a contract. t-s �r��..`�°� CONT� : �ECORDED If buying on contract, Fee Simple Owner's Name , Recorder's office where contra��s recorded \r—� �' — — PROj-E�I � ` R TION County T� .�ispjp —� r � Taxing ist 'c P r I m r� Legal s ri ti . , -, Ii any portion of the residential strucWre or the I �+ �t exceeding one O acre tf ture is used to produce income describe the us .ortion of the property utili- County 77-Od SC ° PROPERTY' ANED BY CLAIMANT IN Townshio . certify the above statements are true, correct and (Street, number, city, state and !?�r-t.[ ��� l�c��lo5� ASSESSOR USE ONLY TFiUE T. �U�' \ � n :�(�'� y0y�.. �e�� , surrounds that struc- .ot .,d� ir- me. � � T �:.LUE HOMESTEAD VALUE NON-RESIDENTIAL VALUE Land not exceeding 7(one) acre immediately � surrounding resideniial improvements (�) Oiherland (2) Total land - line (t ) plus line (2) (3) Residential improvemenis Dwelling (4) Garage (5) Oiher improvements (6) Total improvemenis - line (4) through line (6) (7) Total value - line (3) plus line (7) (8) I hereby certify the above is true, Signature of Assesor Date Signed correct, and complete Verifying Action - Signature of Auditor Date Signed 1989 Pay 1990 Lesser of 1/2 Homestead Valuation or $2,500 �� Signature of STANDARD DEDUCTION ALLOWANCE 1990 Pay 1991 1991 Pay 1992 19 — Pay 19 — Lesser of 7/2 Homestead Lesser of 1/2 Homestead Lesser of t!2 Homestead Vaivation or $2,000 Valuation or $1,500 Valuation or $1,500 e����