Homestead_Finney daft FORK a'I✓•in/M•I TPrASUtLA FORM 711A
APrltrWEO By SraTL MVtO or Arnn.Vlc.9v PUSAMED BY fir DEPARIVDITOr LOCAL GLCRVNRR rTAVCE M VI.t.r4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homesead standard deduction.As the receipt of this deduction becomes
mote beneficial:there is more incentive than eser for homestead fraud.Homestead fraud causes higher ax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to recene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be Lop confidential and ran only he arce..ed by authnrbcd county officials.The Department of
Local Government Finance will me this information to create tools thai will help worry officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Finney, Gerard P/Gayle M
106 Jeremy Lane
Ilaubstadt IN 47639
7357
Gerard P/Gayle M Finney
106 Jeremy Lane State Parcel Number Legal Description
Haubstadt IN 47639 °
26-18-36-403-000.413-009 013-00413-00 WEST HGTS 3RD ADD 206
0
PART 2:TAXPAYER INFORMATION
Owner I First Middle ° Last
n
rE. a/�n P F Pa-2/ek F � nty
Address(number and street,city,state,and ZIP code) -- "- "--- ® Sarno as properly nddrts -—--—" — "—
O L Teiz�mt� Lane. firthi3 5 fa! In Veit a?
Spouse First Middle Last
(, aN MG-fa /-e__ Frn /1 te
Mailing Address(Number and street,city.state,and ZIP 1cole) // �1 Same as property address
1 c (, SEA q L&aL l s•A "^i. Jn q-) 39j �l
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is tore 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
PART 4:ADDITIONAL INFORMATION
•
low
R.� CLAIM FOR HOMESTEAD PROPERTY TAX
i! CREDIT /STANDARD DEDUCTION
State Form 5473 (R215-92)
INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
HC10
... ^ �. _•. ,— "CERTIFIC STATEMENT,
1(We -
I (We ccu led as our principal place of residence the following escribed real property r hich a Homestead Property Tax t e�
�. I (We) owned ❑ Are buying under contract r
Have a
a b
� t 1
CONTRACT RECORDED
If trying on contract. Fee Simple owners name
Recorder's office where contract is recorded R
Record number P
Page
PROPERTY DESCRIPTION
.
County Township Taxing dist (' , town, town ip) -
:7mbe1.�Q _ Legal description
If any portionftthe residential structure or the land not 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.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township County Township
I hereby certify the above statements are true, correct and complete. Sig azure of claimant
Tess (number and street. dry, state, ZIP code)
o g E.* le Lti 4v f, 7
ASSESSOR USE ONLY - TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL-
VALUE VALUE VALUE VALUE
Land not exceeding 1 (one) acre immediately - --
surrounding residential improvements.
Other land (p) ,
Total land (line I plus line 2) (3)
Dwelling (4) -
Residential improvements ''-
Garage (6) - -
Other improvements (6)
Total improvements (line 4 through line 6) (7)
Total value (line 3 plrs line 7) (6)
I hereby certify the above is true, correct, and Signature of Assessor Date signed
complete.
verifying action - Signature of Auditor Date signed
STANDARD DEDUCTION ALLOWANCE" ;
19 —Pay 19_
Lesser of 1/2 Homestead
Valuation or $2,000 $
Signature of Auditor Date signed ' Cj -
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township County Township
I hereby certify the above statements are true, correct and complete. Sig azure of claimant
Tess (number and street. dry, state, ZIP code)
o g E.* le Lti 4v f, 7
ASSESSOR USE ONLY - TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL-
VALUE VALUE VALUE VALUE
Land not exceeding 1 (one) acre immediately - --
surrounding residential improvements.
Other land (p) ,
Total land (line I plus line 2) (3)
Dwelling (4) -
Residential improvements ''-
Garage (6) - -
Other improvements (6)
Total improvements (line 4 through line 6) (7)
Total value (line 3 plrs line 7) (6)
I hereby certify the above is true, correct, and Signature of Assessor Date signed
complete.
verifying action - Signature of Auditor Date signed
STANDARD DEDUCTION ALLOWANCE" ;
19 —Pay 19_
Lesser of 1/2 Homestead
Valuation or $2,000 $
Signature of Auditor Date signed ' Cj -
ASSESSOR USE ONLY - TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL-
VALUE VALUE VALUE VALUE
Land not exceeding 1 (one) acre immediately - --
surrounding residential improvements.
Other land (p) ,
Total land (line I plus line 2) (3)
Dwelling (4) -
Residential improvements ''-
Garage (6) - -
Other improvements (6)
Total improvements (line 4 through line 6) (7)
Total value (line 3 plrs line 7) (6)
I hereby certify the above is true, correct, and Signature of Assessor Date signed
complete.
verifying action - Signature of Auditor Date signed
STANDARD DEDUCTION ALLOWANCE" ;
19 —Pay 19_
Lesser of 1/2 Homestead
Valuation or $2,000 $
Signature of Auditor Date signed ' Cj -
STANDARD DEDUCTION ALLOWANCE" ;
19 —Pay 19_
Lesser of 1/2 Homestead
Valuation or $2,000 $
Signature of Auditor Date signed ' Cj -