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Homestead_Sollman (13) MATE FORM TIM IR.I NINI mANREA FONTS-1A VER(A'ED BY STATE DOW)OEMRRe\TS.EON PRESl11BEm BY Ole DEPAAfl t OF LOCAL GOVERNMENT FP':STE IC NEI!:4I Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individual and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes • more beneficial.there is more incentive than suer for homestead fraud.Homestead fraud causes higher in bills for all:therefore. • HEA 1344-2000 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 filings.This information will he kept confidential and can only he 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 fiaud. PART I: PROPERTY INFORMATION Taxpayer Name Property Address Sollman, Edward L 1903 IS SR 68 llaubsmdt IN 47639 10896 Edward L Sollman 1903 E SR 68 State Parcel Number Legal Description Haubstadt IN 47639 26-23-09-100-001393-024 004-01393-00 PT NW 9 4 10 .73 AC D-9 PART 2:TAXPAYER INFORMATION Owner I First' Middle Last Edward Leo Sollman ®tg Address(number and itruct,city,state,and ZIP P code) 'Same as property address Ig03 E. 5R (2W 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 • �••�•n a/'>" ; CLAIM FOR HOMESTEAD PROFERTY�TAX . CREDITISTANDARD DEDUCTION �� State Form 5473 (R2 / 5-92) � �ii7 � . INSTRUCTIONS: See reverse side for7iling instructions. FORM HC10 ���L YEAR 9y ) v„�.(,7 «�J�IXIY/l(�Vy ��• �- . certify that on the 7 st day of MarcR. 19 /=1 ') occupied as our principal place of residence the following described real property tor which a Homestead Prope�,�ax Credi is hereby daimed: ""' 1r�-- ..✓_. I(We) owned ❑ Are buying under contract, � . . . AUDIj��R 11� ❑ Have a beneficial interest in the entiry that is liable tor the property taxes on the property and ihat owns the property or is buying under a contraci. - . . . _ CONTRACTRECORDED � - " - I: buying on ContracC Fee Simple owner's name . , � , ' Recortler's oRice where contract is recortled Recortl number Page Counry PROPEflTY DESCRIPTION Ta�ting diStriCi (ciry, tOwn, town5hip) Par i number Legal description (� 0 y-(� I'3g3 -� lt%!u' l--�l /O , 7,3f}G If any portion of the residenual strucNre or the land not exceetling one (1) ave that immetliately surmunds that structure is used to produce income, describe the use antl portion ot Ne pmperty utilized ro protluce income. . �/_-.� 3 �9_ /�-DU/. 393- D� 5� " PROPERTY OWNED BV ClA1MANT IN OTHER COUNTIES Counry Tawnship County Township .� :by certify the above statements are true, correct and complete. Signamre ot claimam Aadress (numberandslreet dry, stafe, ZlPOOde) � 3 L ASSESSOR USE ONLY TRUE TAX ASSESSED MOMESTEAD NON-RESIDENTIAL VALUE VALUE VALUE VALUE Land not exceeding 1(one) acre immediately � I surrounding residential improvements. (�� Otherland (p) Total land (line 1 plus line Z� (3) . Dwelling (4) Residential improvements . Garage (g) Other improvemenis (6) Total improvements (line 4 through lina � (7) � Total value (line 3 pbs line � (g) I hereby tertify ihe above is ime, CorreCi, and Signature ol Assessor Date signed camplete. (g action - Si9na:ure of Auditor Date signed L 19_Pay79_ lesser of 1/2 Homestead Valuation or 52.000 STANDARD DEDUCTION S SgnaNre at Auditor � Date