Homestead_Gehlhausen Stitt FORM!!!M°E NMI 1RFANIEA FORV 7-IA
ArrRt.'EO BY ST•TE ltD(WM IIST%.!VM PRG4Rmm BY TIE DEPARTfffr(F LOCAL GOVERNMENT FQ:A\CE MLI.t-S_-.I
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 incentive than e'er for homestead fmud.Homestead fmud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the hotnestead 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 be Litt confidential and can only he accessed by authorized county officials.The Ikpannent of
Local Goverment Finance will use this information to create tools that will h:Ip county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Gehlhausen, Terry/ Nancy E Trust
R3
__ -_ Oakland City IN 47660
4886
Terry Gehlhausen
4416 S Taleia Dr State Parcel Number Lesal Description
Oakland City IN 47660-7650
IEIttllttuI,IIurtllttllrlrl,iIIIIIIutIuIIII IlFllIuIllFll 26-13-34-400-001.160-006 003-01160-00 PT SE SE 34-2-06.476 AC
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PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
_
levy hav /cS 6e4J/ use".
tg Address(num. and street,city,state,and ZIP code) - - — ® Same as property addtgs — -- - -
44 /6 S, %/e; Dr
Spouse N e First +f b Middle Last
/- �. e � ��h l�a-uSeri
Mailing Address(Number and street,city,state,and ZIP code) ® Same as property address
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 liaback taxes and substantial financial penalties.
Owner/ gnaWre (A/L4- ��/�/
•
UAjW'I I Ui( IIU'LOILI-�D i'I\UI'IJU I IIV% UI\L-IJI I I uk iuu 1J-?6
SEE BACK FOR FILING INSTRUCTIONS .
certify that on the 1st day c
19�a I we) cupid as our _ rincipal place of resi ence the .following described real
Drop ' rty. -or nicr. a'I up-stead Droparty Tax Credit is hereby. being claimal: /
are.bu_vinq u.76er contract
In Ej
a.Je a e�neficial interest in the taxpayer
P e °_rtj' L�SCrip'' Oil 1Il 0:)uIAty lil/ ;I1 :11 i i
'Pa rg
District (City, Ta-rn,. 7banship):
o
�ercei }iunil�es I I I or legal description shown on tax statomst:
�4-- e,}
i- bu-,rLi :7 on con =:act: Q. 1°rs :kbTP- (ree siurole owner)
r�C�t P°g- tier's Office - Pscord ib. Page
_`Ty �o�� `9, s_� n4a1 structure or the land, not e.xealir?g one (1) acre t}Iat
inn:- Stately surZourris thzt- structure is used to produce inccine, describe the use a[Cl portion Of
pp,, i�.I�L�
tfle DiJ �rtV uLrVzI 1 W %-oduce ii .,e
AI;t' other
T
ti i dual c ns or is burring real property: County
certify the above stata-tent is true, correct and cOUP"e e.
`ItT:7nshiD
/V (:it , State aid Zip Ctrl
p e Street A ress Y
*inciividtal eitJn_r a...s or i s bssri, ?g uner a contract ti-kit provides he is to pal tie
D ov1 ty '-aties on 'lie residence, or has a i T_ficial interest in tile taxpayer.
- FOR ASSESSOR'S USE ONLY -
1x11','.1 TIOt e,Yceedd'gg 1 (One) acre L'I "eTL{li.ately
sli= OL=Lng resj eI!Li.al :LTTD--Q. V�- -1nts
o CIIer Land .
Total Lord
P?Si T7ot'ltlal li�D- UVET•i s°_S1Cs Dwelling
Garage
Total
. othe_r improvcnents
(1)
(2)
(3)
(4)
(5)
(6)
(7)
True Cash IUsessed
Value Valuation
'ic Lnp ovei nts - Tine (6) plus (7).epuals (8) (B)
i epy. carrti£y t}1 °_ -' ve is true, ccrreCii., ai`}iI CC711Dlete.
r °_ Or Sees SCr
- i%rTIOiI F1' AUDITOR -
Date:
L)a to
Valuati ^:
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