Homestead_HightCLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION HC10
State Form 5473 (R817 -07)
•� ,•• `� Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
i
I (We) XW-fAej certifytthek o l�y I of March, 20_
1 (We) upied as our principa ace of reside a the following des crib r I property for which a Homestead roper�r 7x redlI is hereby claimed:
'0 1 (We) owned ❑ Are buying under contract
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the p"ropeir is g under a contract.
If buying on contract, Fee Simple owners name
Recorders office where
Record number I Page
County I Township Taxing district (city, town, township)
Pa rum I al[deesccnjyLton (ls the property in question:
WJ 1 ��[�il'�A�'1)T) ❑ Real property ❑ Mobile Home (IC &J.1 -7)
If any portion of the 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.
iu_pay 20
Lesser of 112
Homestead Valuation
Of
45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
44,000 for 2008 pay 2009 41,000 for 2011 pay 2012 $
43,000 for 2009 pay 2010 40,000 payable after 2012
Date signed (month, day, year)
Land not exceeding 1 (one) acre immediately
-
surroundingresidentialimprovements.
Other land
(2)
'
Total land (line I plus line 2)
(3)
Dwelling
(4)
x
Residential improvements or Annually
Assessed Mobile I Manufactured Home
Garage
(5)
�n
Other improvements
(6)
=- "
Total improvements (line 4 through fine 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed (month, day, year)
complete.
Verifying action - Signature of Auditor
Date signed (month, day, year)
iu_pay 20
Lesser of 112
Homestead Valuation
Of
45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
44,000 for 2008 pay 2009 41,000 for 2011 pay 2012 $
43,000 for 2009 pay 2010 40,000 payable after 2012
Date signed (month, day, year)
s.
STATE FORM 535o0(0.11610) TREASURER FORM 73-IA
APPROVED B\STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BV THE DEPARTMENT OF tLCALCO ERWEVT FDUVCE IC 6-11-II-0.1
Gibson County Auditor IMPOR1ANT NOTICE TO HOMESTEAD PROPERfl OWNERS
101 N. Main Street -Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes
Princeton, IN 47670: 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 verify that they are eligible to receive the
f benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Location Address
_ Hight, Justin/Jennifer R
408 E Church
4laubstadt IN 47639 ,
2686 .
Justin Hight II IHIII_ III BII I IIII1I II Bill 111111 1 lI BillIIJI_IIIIIiIII 1_I 1I 111111,111111
408 E Church St
HAUBSTADT IN 47639-8211 °
lI'IIII'IIIIIII'IlldlidllI'lll'111I111111611Jltlltu I I t t ..:_ .reel Number Legal Description
- _ 1� .`19'C� 01-000.052-00,9/ELPERS NEUMAN 10 •
-
- APR 12 2011 V
GIBSON COUNTY AUDITOR
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.
F PART 2: TAXPAYER INFORMATION •
Ow..-. I First - Middle - Last
Jus-Rn William �ig1�F.
-
Mailing Address(number and street,city,state,and ZIP code) sr Same as property'addm
.
Spouse First Middle Last
ki-
c
(�flfl$ti ''at l
Mailing Address(Number and street,city,state,and ZIP code) — ' • - - -- Same-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. - ,
Owner I Si . .- Date
PART 4: ADDITIONAL INFORMATION