HomeMy WebLinkAboutHomestead_Loesch Slur£FOtM.J Va,R l S-41,1 1lFASutnt WPM 13-IA
*r IMPORTANT NOTICE TO DFPARTMFINT Of LOCAL COVERNMIWI FINANCE
PROPERTY OWNERS 1`i1
Gibson County Auditor .
101 N Main
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 fmud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taxpayer who receive the homestead standard deduction to verily that they are eligible to recene the
benefit and to provide additional identifying infonnatwn necessary to allow county government to better monitor homestead
filings This information will he kept confidential and can only be accessed by authnrired county officials.The Depannlent of
Local Government Finance will use this information to create tools that will hap county officials eliminate homestead fraud.
_ PART 1: PROPERTY INFORMATION
Taxpayer Name _- PrupertrAddress-- - - --
Loesch, Jennifer N 7
1502 N Co Rd 825 W •
Hazleton IN 47640
676
Jennifer N Loesch
912 N Hart State Parcel Number Legal Description
PRINCETON IN 47670-1456
itittutttitiittitttm ��t�tt�t�t�tt�� ��tt�t��trt�� 2612-06300-002.631-028 CONTRACT T OGEORGE/BECKY WILLIS
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2:TAXPAYER INFORMATION
Owner 1 First Middle Last
7El✓w I FErt Ai I COLE }}}
g Address(number and street.city,state,and ZIP code) Same as property address
is N U,4-,:kT S 'r PRI.vcE 'RA/ rti b70
Spouse First Middle Last
^^
T
Mailing Address(Number and street,city,stale,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sae
_ PART 3:CERTIFICAT101 �- --'-'� ' - - -_ --
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 Si nature Date
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDR/STANDARD DEDUCTION
Stata Farm 5413 (R6 / �-IXi) .
Pre�aibed by tlro Department of Lxd Govemment Finarwe
� INS7RUCT70NS: See rewrss sdd,� bW�Sp iWbucBwy.
��� YEAR
FORM �
HC10
� �e) 'cer�y JfjaLdn i�ie'Isl �( March. 20_
I(We) occ ed as our pri pal place of residence the following described real property for which a omestead Pvp � gTa� �radit is hereby daimed:
[ U7
❑ I(We) owned ❑ Ne buying under contract N� �
' Have a benefidal interest in the entity thal is liable (or Ne property taxes on the property and that owns the property or is buying under a conVaU.
I( buying on conirad, Fee Simple ownefs name
Remrdals ofice whare conirad is recorCed
Counry
Tavnship
Tming tlislrict (ciry, fown, (ownship)
Rewrd number � Page
r ce cer I � cnptwn p� �� I �s Na property in question:
��G3(-oo ,-�
irs ❑ Real pmparty ❑ Mobile Homo Q C 6/ /-n
N any porlia� o/ Ne resiEenilal aWdure or Ne land not exceeding one (1) aae lhat immediatety wrtounds Ihat sWC4ire is used b produce income, desaiba Me use and portbn
of the property uGl¢ed tn produce inmme.
Tavnship
I hereby certify the above statements are We, correQ and complete.
end s6eet, city,
Land not exceeding 1(one) aae immediately
surrounding residential Improvements.
Otherland
Tdal land (line 1 plus line 2)
Dwelling
'�Residentiel Gn{xovements or MnuaOy
As��ed Ma6ila � Manufat�red Home Garage
Other improvements
TUaI improvements (line 4 fhrough line 6)
.al value (line 3 plts line n
I hereby cerlify the above is We, corred, and
complele.
Vaifying action - SignaNre oflwdiWr
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i2)
(3)
(4)
(5)
(6)
(�)
(8)
SignaNre ofl�sussor
County
Tawnship
Date signed
Date signed