Homestead_GordonCLAIM FOR HOMESTEAD PROPERTY TAX
CREDfTISTANDARD DEDUCTION
Slete Fam 5173 (RB / �-03)
Presaibed by the DeGerbne�n d Lofal Gowmment Fmarce
INS7RUCTIONS: See rewrp atds /w I@rp iraburb'ont
FORM �Ir YEAR
HC10
�(We) 6�1('�'�'�/1N� `�XX i� � � � � ceri'ify�t'di'bn'�ie"�s� March. 20_
I(VJe) occupied as our principal place of residence ihe following described real property for which a HomestgadPJOq�rp� T��r,�dit is hereby daimed:
❑ I(We) owned ❑ Are buying under contract . r tt� Il 9 Ub
�,Have a benefidal interes� in the entiry Nat is liable (or ihe property taxes on ihe property and ihat owns t�property� i�uying under a conUaG.
�/c�.,
If buying on conirad, Fee Simple owner's name
County
If any
ol lhe
contraC is recwded
Ta�mshi0
sWCWre w Ue Wnd
ice i�ome.
Twvnship
Record number � Page
Tating disUict (ciry, town. fownShiP)
` Is the D�P�Y in question:
]� a'I I 1 y� ❑ Real Droperty ❑ Mobile Homo (/.C. 6/.7-7�
one (1) aae that imrtreCiatety wrrounds that sWCWre is used b produce income, desaibe Na use and portion
I hereby ceNfy the above statements are W e, coned and complete.
County
- ��F��-�r�:��;��i�'n�y���;#,.�'{?•`STANDARD:OEDUCTION'qLLOWAlICE;`•'`'�' "
�.�«�`�.. �'% �>n"!a . �.'r� ��� ��'
20 _ Pay 20 _
Lesserof 1/2 Homestead
$
VawaUan or f35.000
Sgnature o(NWitor ' Date signetl
STAiE FOA.N Si569��21iH-IO)
APPRO�'ED BY STA^. E BOARD OF ACCO(7�T5, 3009
ITREASURE0.F00.\1T5-IA
PRESCRIBFD BY l}[E DEPM"fTfETT OF LOCAL CAVER\\fE\T Fl\A.\CE IC61.1-2'-8.1
Iodividuals and married couples are limited to one homestead standard deduction. As the i-eceipt of this
�� duction becomes more beneficial, there is more incentive than ever for homestead fraud. Homestead fraud
causes higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive ttie homestead
standard deduction to verify that they are eligible to receive the benefit and to_ pro��ide additional identifying
information necessary to allow county goverument to better monitor homestead filings. This information
rvill be kept confidential aad can only be accessed by authorized county ofticials. The Department of Local
Government Finance will use t6is informatiou to create tools that �vill help county officials eliminate
homestead fraud. i
Taana.er �Came
William A Gordan
Complere and return �o:
OwnIer 1/
W , ��� �
�V'
Prooem Addrese $b1e Parcel Svmber �,eed Descrimi�ig � V
2567 E SR 64 26-12-IS-300-002.545-027 P'f S W SW I i 2 10 4.0598 AC
PRINCETON IN 47670 i
. IUr111001 G��������!!�!l1��na�;l���i�11I��ll�lf!(Ilgp�
GIBSON COUNTY AUDITOR, ]Ol N MAIN PRINCETON IN 47670 ,
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Each undersigned certifies, under penalty of perjury, that the above and foregoing information is true cnc corract and tha; he or she is'eligible to receive ��
homestead standard deduIXion on this property. Each undersigned also understands that, by claiming additional homestead deductioris unlawfully, he or
she may be liable for back taxes and substantial financial penalties. �
o,.�. i sre�c�,re oa�e
SW�+ieS„�e ,
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