Homestead_CranceCLAIM FOR HOMESTEAD PROPERTY TAX FORM
CREDIT /STANDARD DEDUCTION HC10
state m 5473 sg
Presoi bd by th e Department of Loral Gouernxrnax Finace -
INSTRUCTIONS: See reverse side for Igbng instruct s.
- CERTff1CAMON STATE!IEff,,
I (We) that on sit day of March, 2(1_
I (We) occupied as our principal place of residence the to6owirg descnbed real property for which a Horrescredit is hereby claimed:
I (We) owned ❑ Are buying under contract GIBSON COUNTY AUDITOR
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract
. - - - CONiRACTRECORDED` '; "i��:' f,; ,'" a;._..¢•i.
If err in on oontrad, Fee simple arnefe name
Reradefs d5ce where mdrad is }eco}deo Revd number Page
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.f• PROPERTY DFSCRIPiION
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County
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Taring
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poverty ❑ Mobile Hume (I.C. 61.1 -7
Carry potion of the residential structure or the lad not exceeding ono (1) ace oat immediately amuxds mat struNae b used m produce ikon ii, deco be the use ad portion
d dime properly WSmd b produce income.
aaoPERn OWNED SrCLAmANTOfoTNetcouKr1Mr,
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County
Township
County
Township
I hereby certify the above statements are true, correct and complete.
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• . STANDARD DEDUCTION' ALLOWANCE : ,F
TRUE.TAX I.
ASSESSm VALUE
H"O1ff.STEAD`
`: tNONiiFS@EN71AL e['C�s}'.
ASSESSOR USE ONLY .: .,
.: USE
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VALUE -.,.
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Dale
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Lard not exceeding lone) acre trmtedateN
&:nk`{{4,,„,,,;s .'zi'�.•�ytydrJttt,p
slaroundmg residential improvements.
(1)
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.i f• r}Y rI1.rSt" }.,r �11.fi �i y�til
Other land
Tdal land (lino 1 phn fine 2)
(3)
Residential improvements or Annually
Dwe lling
(4)
Assessed Mobile l Mmnttactaed Hone
Garage
.;
Other improvements
(b)
4'
Total improvements (Pere 4 through fine 6)
(T)
TUal value (Iare 3 pis fine n
(S)
1 hereby car* the above is true, correct, and
SW%at," of Assess
Date signed
complete.
Varying adicn - signature of Audilnr
Dab signed
• . STANDARD DEDUCTION' ALLOWANCE : ,F
20 _ Pay 20 _
Lesser of 12 Homestead
Matuaticn or 535.000
$
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Dale
11 1 —, rr n , e 11 - __
alAIE FORE MIA iR_/wo MEASURER FORM SIA
APPRtw'En BY MATE BRAD OF Af"MEN/S._:TM PLE9.NBm BY TIC DrPARnMECT OF LOCAL GOVERIMExl FINANCE M•I.I-2.24.1
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 incentive than eta for homestead fraud homestead fraud causes higher tax bills for all:therefore.
S HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reecho the
benefit and to provide additional identifying infomation IE.‘ssarr to allow county government to better monitor homestead
filings.This information will be kept confidential and can only to accessed by authorized county officials.The t)epanntent of
Local Govertvnent Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Crance, Donald F
202 W Sr 68
llaubstadt IN 47639-5 145
3411
Donald F Crance
202 W ST RD 68 State Parcel Number Legal Description
HAUBSTADT IN 47639
26-23-06-101-000.114-009 013-00114-00 PT W 6-4-10.26 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
•
> >aro, d c ,anLe
L Address(number and street,city.state,and ZIP code) in Same as property address
Spouse First .- Middle y Last
Mailing Address(Number and street,city,state,and ZIP code) KSame as property address •
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.
Ow. -a...e Date
PART 4:ADDITIONAL INFORMATION
•