Homestead_AlvarezCLAIM FOR HOMESTEAD PROPERTY TAX FORtA YEAR
CREDIT /STANDARD DEDUCTION Hcto
State Fenn 5473 (R7I 5M
Prescribed by to DepwbTmd d Loml Co ernrnerd Fr
INSTRUCTIONS: See reverse side for Kling instructions.
CERTIFICATION STA7ElmiT: E ' Sp2 * r • j; Fi; -;,
I (we) ceri fyi�AAr" 1 ay of March, 20_
I (we) owrphed as principa) place of residence the fotowirg described I which a Homestead Property Tat Credit is hereby chimed:
rhe
I (We) owd El Are buying under contrail
Have a beneficial interest in the entity that is liable for the property 67hces m Me property and that ownG186pMeftgW WyMgXM0ff a cenlracL
CONTRACT;RECORDED -; ... -''_c? i, ;t::,`; , " ,;`r:; ;xJ
If buy V on mhbact, Fee Simple owners nacre
lasmrdees offce where mead is ramded Rend number Page
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-- PROPERTY DESCRwnoN.'' - - "t "- •`";'t :h "`„ `
County
Townstup
County
Taring district (dy, town. r
I (hereby certify the above statements are true, correct and complete.
r
.,.VALUE
Q
�/ ,
Legal description
h
the question:
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surrounding residential improverthents.
property ❑ Mmile Homo (LC. &1.1 -7)
If arty portion of the residerdial hbumse or Me IoM not exceeding
one (1) acre Mat irnme&My anrtowuh, Val hbhraae is used to produce ihwne, describe the use and portion
d the property h tW b produce u come.
Other land
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County
Township
County
Township
I (hereby certify the above statements are true, correct and complete.
r
.,.VALUE
tuberaM dry;
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1-01
- ,'STANDARD DEDUCTION ALLOWANCE
TRUE.TA7(
ASSESSED VALUE
HOIAESTEAD`
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.ASSESSOR USE ONLY
VAWE,
ATf00X OF 7'IN
.,.VALUE
VALUE
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Land not exceeding 1 (one) acre imrhediaffily
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surrounding residential improverthents.
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Other land
(2)
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Tcdi land (lire 1 pkrs Fme 2)
(3)
Dwel hrhg
(4)
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'4 >x`« � h�,�}'r"-0�
or Anelly
Residential brprovernors rw
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rage
Assessed Mobile I Marar<acbred Home
(S)
Other improvements
(6)
Trial 'xnprovemems (Lire 4 !tough fine 6)
m
Tidal value (Pare 3 pM fine 7)
(6)
I (hereby certify the above is true, cared, and
complete.
S®rehxe of Assesso
Date alphed
Vaifying action - Swmbxe of AhsBar
new signed
- ,'STANDARD DEDUCTION ALLOWANCE
20 _ Pay 2O _
Lesser of 12 Homestead
f
Valuation or 535.000
Silphabxe of
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3—(c�
SIAM FOAM!lfle U Su" TREASURES FOAM TS-IA
PPRU'ED BY ST ATLIIOIFDOF MYTH TS.:ON PRffATRD BY THE DEPARMeit OF LOCAL(Awtt'MENT FINANCE M41.1 r-4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 IndividuaLs and married couples arc limited to one homestead aandard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ner for homestead fraud Ilome_itead fraud causes higher tat bills for all:therefore.
all HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to receue the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept cont denial and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create ads that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Alvarez, Michael N
103 N West ST
Haubstadt IN 47639
2705
Michael N Alvarez
103 N West St State Parcel Number Legal Description
HAUBSTADT IN 47639-8171
26-18-36-402-000.393-009 WEST HGTS A PT SE
lt�n�111,l1 �uul11111u�u�un1111 11ut���� ��uu��� 36-3-11 .072 AC
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 I
/ First / Middle Last
/ ii Lh /1�/ /VP VAr do
•tg Address(number and street,city,state,and ZIP code) 9 Same as property address
/ 0 3 //. tve-r i- NAth SIaG/'' ZN V7619
Spouse First Middle Last
Mailing Address(Number and street,city,stale,and ZIP code) ❑ Same as property address
Social Security Number(last S digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
_- _- —_ ..saw
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