Homestead_Bock ‘1 ATE FORM.)V.PL/ 1 TRE, Wt rOR,CT-IA
.ArmrwuT BY STATE BOSRD°,ArT! T%._E PRESCRIBED BY TIM DEPARTMENT OE LOLL GOVERNMENT FNAscEIC11-I.I-L'4.1
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 incenthr than eser for homestead fraud homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recehe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept conlldemial and can only he accessed by authorized county officials.The Depannmm of
Local Government Finance will me this information to create tools that will help county officials eliminate IRanestcad fraud.
PART 1: PROPERTY INFORMATION
..._ ._ ..._ .__ .. .. . .. _. .. Taxpayer Name - - _ ._...... Property Address
_ Bock, Darrin R/Carol A
-1(4 1504 I lawthomc Ct
PRINCETON IN 47670
2374
Darrin R Bock
1504 Hawthorne Ct State Parcel Number Legal Description
PRINCETON IN 47670-3334
I I I nI ut III I I I I I I I n III I III ' 26-12-06-401-003.976- 1 006-03976-00 NORTHBROOK HILLS
o ta
t t t to nF it mil n F ei PHASE IV 74
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Oor6 n R. IS
;Addrrss(ncmbe andswct.city,state,and ZIP code) — - — --- _—. ._®-came e s pmpem eddre:=—. ___ __ _ __ _
\ 4 i 1-horn e ctL.
Spouse -'
„\ First Middle � �' 1 Last
Mailing Address(Number and street,city,stale,and ZIP code) ® Same as property address
\�L \- \u c . c-\-.
\
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
unlawfitlly,he or she may be liable for back taxes and substantial financial penalties.
Owner I 'erratum ^ C/\���%� fM`-'t�I I 0
•
� � CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Sla�e Form Sd73 (RB / 4-03;
Presrribed by Ihe Department of Local Govemment Finance
INSTRUCTIONS: See reverse side lorlling insf�uctians.
� `N\� FORM YEAR
�' � HC10
�� ���1
i(we) _p�[LA/1/1L�SA 1`JVC1C� certfy Ihat on the 1st�day of March, 20
I(We) occupied as our principal place oi residence lhe following described real property (or which a Homestead Property�Tac�C�edi� is �re aimed
%�"`"�`""`` ;i�;�yC
❑ I(We) owned ❑ Are buying under contracl G!9SON GOU;1T y;,UDITCS �
' Have a benefidal interest in ihe entity thal is liable for ihe property taxes on the properry and tliat owns the propeRy or is buying under a conVact.
II buying om m�irad. Fee Simple ownefs narne
RemNels oifice where conuaq
V ��.J � J ( /l0 t..l
If any poAion of Me resideniial sWCWra w
of the property util¢ed to produce inmme.
Tavnship
one (1) aae
Tating
the
Remrd numher � Page
� D�aPenY ❑ Mobile Homo (I.C. bfJ-�
is used W produce income, desai6e the use and portbn
� �-ia-�6-�0/- d�3. 9��-aa� �
20 _ Pay 20 _
�esser d 1/2 Homestead
. vgivaSpn w 535.000
Signature
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