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Homestead_Woodside 11Ar£FORM!a,t2r4M1 WRFASWIQ FOAM ta-IA ' Arrwwrn HY STATE WARD OF Am ENT'.29. MS-TUBED BY Mt DEPARTMENT OF LOCAL CMtfVMrWT FrANCE r It-rV.I Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individuals and married couple are limited to one homestead siandanl deduction.As the receipt of this deduction becomes mole beneficial,there is more incentive than ever for homestead fraud Homestead fraud causes higher tax bills for all:therefore. 0 HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to serifv that they are eligible to receive a the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filings.This information will be kept confdential and can only Iv 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 I: PROPERTY INFORMATION _ Taxpayer Name Property Address Woodside, Gary R/Karen A 1 2,10101-1 S 9 U W Rr l De..21 I L _ Hauhstadt IN 47639 11148 - - - _ _ Gary R/Karen A Woodside - Haubstadt INB. I a-8 IoM S H w State Parcel Number Legal Description Haubstadt IN 47639-8714 ItlIIllIIIiIIIIIIIIIIIIIIIIIIIIIIIIIIIIlltlrtlti�IIIlIIIIIIlll 26-23-18-300-001.111-024 004-01111-00 PT SW 18410 .55 AC X PART 2:TAXPAYER 1NFOR\IATION Owner al(f) First Middle r l Last © rf �g Address(number and surer,city,state,and ZIP code) me as property address-- ' - - -- "- — •- - / & G 4 8 - ek 0 -u7 Spouse First Middle Last 4 iil000/5 /de Mailing Address(Number and street,city,state,and ZIP code) f 'Satre as property address Its b lo cf S LE 0 k1 LJ PART 3:CERTIFICATION, Each undersigned certifies,under penalty of perjury,that the above and foregoing infonnation 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 / ' • I, �'�-,�e) n+�rch, 1 ���y CLAIM FOR HOhESTEAD PROPERTY TAX CRII)IT FOR YEAR 19 S�f � S HACK FOR FILI�J6 IN UCTION/S� R: F aiu...,.. C.0 , oertify that on the lst day of I, (p]e) occ�mi as our incipal glace oi residence the folluaing described real which a iiocrestead Pxoperty Tax CYedit is hereby being claimed: Z, (We) ['3'oo�nei Q are buyinq under wntract - � have a beneficial in t in the ta�mayex PmDerty Description. in �.�xJ Taxing District (City, Twm, 'IbwrLShip) : pa � _ o///%: oa . � •. � • . �� _ . . / Parcel ihmibes or 1 al description shown on tax statarent: �T. �t�l ��y 18—Y —�o .Sf I� buvina om m�tract: Owners name (fee si�le owner) Contract recorded in RPwrder's Office - Record No. Page If any portion of the residential structure or the land, rrot e��eeding one (1) acre that iJm�ediately surro�3s that stn�ctise is use3 ta produce incrnie, descri.be the use and portion of tne oroperty utilized to produce iricome ►� �.s�i��rir�i:i� Pny other c�imties in which inciividual aans or is buying real property: I hereby certify the above staterent is true, wrrect ard con�lete. Coim ZbFmshiP *7ndividual either aans or is buying imer a mntract that provides he is to pay the oroperty.taxes on the residence, or has a beneficial interest in the taxp3yer. - FOR ASSESSOR�S USE ONLY - Ia� not ex�in4 1 lone) acre inm�ediately slsroiuriing residenti.al i�rovarents �� ��i � Pesidential Inprov�nents ixaelling Garage �� True Cash Value (1). �D.O_ cz, — cs) So 0 c4� .� 3 S�o (5) � c6� ,�35`0 Assessed Valuation /!O �������� %%%/%%///�% . -= ' c�� � — otn�r I�rwenents � _�--� � �. �rorovenents - �.ine (6) plus (7) equais (8) (s) a 3S6 0 ' �� _ —�— I hJeseby certify the above is true, correct, and oatwlete. � lcmature of Assessor - ACTION BY P.UDITnR - Armn�ved: Date: Date ilanestead Valuation . ////%//%%%///%/0 ����������� ���������� %%G/%%%//%% ��: %����� `;'%��//O�