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Homestead_Petitjean (7) • • %PIE FORM!!!ew IR-r E.PF 1RrASIAER FORM TS IA &MCKEE BYxtatl VtRD OFNTTR\TS.1r%n rlrYA®m BY TIE DERARayn.YrOF LOCAL r4)VER4MITT FINANCE M 4-I.1-21-e.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 standard deduction.As the receipt of this deduction becomes more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tat bills for all:therefore. • HEA 1341-201)9 requires taxpayers who receive the homestead standard 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 filing.This information will be kept confidential and©n only R 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. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Petitjean, Rhea E I22 Box 146 C • llaubstadt IN 47639 1044 Rhea E Petitjean 3351E Warrenton Road State Parcel Number Legal Description Haubstadt IN 47639-7955 I I I n I I tar III I I I I I nIII uI I I I ' I uI I I I I 26-23-15-400-001.628-024 004-01628-00 PT E SE 15 4 10 2.00 AC t mi r t il t t tt 11 t 11 t tt t 1t PART 2:TAXPAYER INFORMATION Owner I First' Middle {� Last Rea. \ e� ;t `@ 4n ag Addiuss(number and street;city,smte,and ZIP code) - -- - - Sume us property wdtinas - --— -- 3351 t Wuccerl r Spouse First Middle Last Mailing Address(Number and street,city.state.and ZIP code) Same as property address Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Part 4 below) Sus 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. Owner 1 Signal ,c ars di Date • t5Z itcup, h� �yt ctNv�� ± ivt r mV J ,i Ana r.l f G r(t rove e U CLAIM FOR HOMESTEAD PROPERTY TAX� - CREDIT/STANDARD DEDUCTION ' State Form 5<73 (R2 / 5-92) INSTRUCTIONS: See reve�se side lor filing instructions. �I�� H�R� YEAR 9 APR 1 21993 �.�.��. � �' �-.��:a„� �� �, , �.. I(We � � certify ihat on ihe ist day of March. 79� �) o pied as our principal place of residence the follo described realpropeny for which a Homestead.P.roperty Tau Credit is hereby claimed: �We) owned ❑ Are buyin9 under coniract � Have a beneticial interest in the entity that is liable for the property taxes on the pmperty and that owns Ihe property or is buying under a contract. - � . . CONTRACTRECORDED � tl buying on contract Fee Simple owner's name - , , , . � . _ - - Recorder's oHice where con;rect is recortled Record number Page Counry 0�'� � b� (� a� ' I .�,�. _�..r,.�i�- � ' eS �.. � 5' �-1 O �.9a �+ � If any ponion of the residential simcture or the land not exceeding one (7 � acre that immediatety surmunds that structure is usetl to protluce income, describe ihe use and po� of the pmperty utilized ro produce inmme. - � _ � . r '.. ._ '� . . County siiiio PROPERTY OWNED BY CLAIMANT IN OTHER�COUNTIE5 TownsNp County certify ihe above statements are irue, correct and complete. jumq�,iand�e�ry.stare,ZlPCrode) � � �� / Rf�2 I 132q Na��_�= 0 - ASSESSOR USE ONLY - TRUETAX ASSESSED HOMESTEAD NON-RESIDENTIAL, VALUE VALUE VALUE VAWE Land not exceeding 7(one) acre immediately _ � surrounding residential improvements. (�) � - � Oiherland (p� . iotal land Qine 7 plus line Z� (3) ( Dwelling (4) - Residential improvemenis Garage (5) .. . Other improvements (6) Total improvemenis (line 4 through line � (7) Total value (line 3 p6s line � (g) I hereby ceRify the above i5 [rue, Correcl, and Signature of Assessor Date signed complete. �yirg action - Signature of Auditor Dare signetl