Homestead_Pflug (3) S lATE FORM 5N IR_I_WO • tuAAURF}MIN 73-IA
IMPORTANT NOTICE TO HOMESTEAD PROPERTY IOWNERS t
Gibson County Auditor ,
4101 N Main
PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes
mare beneficial.there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1343-2009 requires taxpayers who receive the homestead standard deduction to verity that they am eligible to reeebe the
sr
benefit and to provide additional identifrine informaton necessary to allow county government to better monitor homestead
filings.Ibis information will be trim confdentinl and can only be accessed by authorized county officials.The D pannrnt of
Local Government Finance will use this information to create tools that will help county uft`acials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION i
Taxpayer Name Property Address
_ Pflug, Gene A/Gloria Jeanne
none
Evansville IN 47714
5664
Gene A/Gloria Jeanne Pflug
2899-- _ , -_Oakl S 12ity IN 47660-7821
, - _ • _ --- _- --_.—State-Parcel-Number - - LeEaI"Desc rip(ion — - ---
Oakland City IN 47660-7821
III I I I I I I I I I I I I I I I I III 26-14-30-100-000.750-006 003-00750-00 PT NW 30-2-8 10 AC
r n nt t nt n tar nr a tat t tat t a r unr C-1
K
PART 2:TAXPAYER INFORNIATIQN
Owner I First Middle
Last
6 1 I b erf ,p PI .1
rg Address(number and street city,state,and ZIP code)
Some as property address -- — -- - — -- -- —
;2r gcrcis is o ) F o 404 YVP Clii_y_ -r✓ y 7 66o
Spouse First Middle Last
CIor113. , f"4Y111e_ P F IQ y
Mailing Address(Number and street,city,state,and ZIP code) 9 Same as property address
- --a 8qq-S - /aoo -S- 0-e-144hcP-C,', -- -N--y7l60 — — -
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
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Owner I Signature Date
FORM HC 10 1979
Prescribed By State Board of Tax Commissioners
To Be Filed in Duplicate
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 191-Y— ,
SEE BACK FOR FILING INSTRUCTIONS
0 40 3-c10'15o -0�
(We) Q' ��"^ A- certify that on the 1st day of
March, 19-Y-%-- I, (We) occupied as our pri ipal place of r idenc the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned �l. -�T30 -/oro J �D�• 7cS� 'GQ�
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description
Taxing District (City, Town, Township):
Parcel Number
If buying on contract: Owners name 0- simple o.ner)
Township
or legal description shown on tax statement: /
Qt %1G<J% .?o -.2 -,F lo�J
Contract recorded in Recorders Office - Record
If any portion of the residential structure or the land, riot exceeding one (1) acre that immediately surrounds that
structure is used to produce income, describe the use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property: County Township
hereby certify the above statement is true, correct and complete.
#3 1
'Signature t Street Address City. State am Cone
lndivMual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1 (one) acre immediately
surrounding residential improvements
Other Land
Total Land F
Residential Improvements
I.__
v -.
welli
JUN 4A
g-
Total
Other Improvements �p ti
Tr' '.Improvements - Line (/plus (7) equ, alsp$,%
®aby certify the aloe is true.. corregt, and complete.
Signature of Assessor
True Cash
Value
(1) ,-D--
(2) /& So
(3) / �Q
(a) 7.5 elo
(5) - 0-
(6) 0
(7) /O1o20
(8) 0
Assessed
Valuation
/70
0
Date
Homestead
Valuation
0
Date: GZ��