Homestead_Hasenour (2)CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION HC10
Slate Form 5473 (8817 -07)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions. FILE
I (We) certify that on the 1 st day ''o�rff / March, 20 -
I (We) occup' as our principal place of residence the following described real property for which a Homestead Propere,Qayagreby claimed:
�l (We) owned ❑ Are buying under contract GIBSO°N ,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.
60104RA& RECORDED
If buying cn m tract, Fee Simple owners name
Recorders office where contract is recorded Record number Page
County /U _ Township
Parcel number I Leyil description
the
If any of the residential structure or the land not exceeding one (1) acre that immediately surrounds that
or the Way utilized to produce income.
(46- A? -IJI- _cam- 000- 7J�7-CC 9
properly ❑ Mobile Home (IC 6-1.1 -7)
is used to produce income, describe the use and portion
PROPERTY OWNED BY
TRUE XVALLIE
TA -i'AT-100%OFTT
(1)
County Township
County To mship `
I hereby certify the above statements are true, correct and complete.
I re of claim
s (number and street city, state, and ZIP -del
/
( °a E• �l rt/ %�iclye Cf fiavlSfaif /nf y-7
ASSES •. . USE ONLY
Land not exceeding 1 (one) acre immediatey
surrounding residential improvements.
TRUE XVALLIE
TA -i'AT-100%OFTT
(1)
ASSES SED VALUE
V
VALUE
VALUE
.. .' •'`" -
Other land
(2)
Signature of Auditor
Date signed (month, day, year)
Total land (line 1 plus line 2)
(3)
Residential improvements or Annually
Assessed Mobile I Manufactured Home
Dwelling
(4)
- -
Garage
(5)
.. -
....
Other improvements
(6)
.. -.
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus fine 7)
(8)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed (month, day, year)
Vaifyirg action - Signature of Auditor
Date signed (month, day, year)
STA14DARD DEDUCTION
ALLOWANCE
2J _ pay 20 _ 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
Lesser of 12 44,000 for 2008 pay
Homestead Valuation pay 2009 41,000 for 2011 2012
§
or 43,000 for 2009 pay 2010 40,000 payable after 2012
Signature of Auditor
Date signed (month, day, year)
STATE resEat,3fteo-r.uet TREASURER/ORM IS-IA
.APPROVED BY STATE BOARD OF Arcot LTS.w” Ptr-AlUBMBY tr.DEPAATHENTOf LOCAL nNRR4Mtla FPIReE le 6-1.1-1-E.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to recene the
• benefit and to provide additional identifying inform:mon necessary to allow county government to better monitor homestead
fi t n .This information will he Lep.confidential and can only be accessed by authorized county officials_The Depannent of
Local Government finance will use this information to cream tools that will help county officials eliminate homestead fraud.
PART I:PROPERTY INFORMATION
Taxpayer Name Property Address
Hasenour, Ryan J/Sarah M
702 E Laurel Ridge
HAUBSTADT IN 47639
3155
Ryan Hasenour
702E Laurel Ridge Ct State Parcel Number Legal Description
HAUBSTADT IN 47639-8233
I n1t n11trn1r 11rttr11n1r 1nn1nn1nt rinirnllnnilrilrnr nnItlttiltl 26-19-31-400-000.757-009 BRIARWOOD SEC 242/43 PT D-9
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
1?Ya9 L5EPH RASEiJ a tiR
Illpg Address(number and street,city,state,and ZIP code) Z1 Same as property address
/02 t, LAVREL RID6t cT.
Spouse First Middle Last
SIV AN �Y]1 CH EL LC F/AS ENo U R
Mailing Address(Number and street,city,state,and ZIP code) ,P {y Same as property address
Tod E , LAVi2EL /21D66
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