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Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS •PRINCETON IN 47670 Individuals and married couple are limited to one hometead standard deduction.As the receipt of this deduetic herons'
more beneficial.there is more incentive than e'er for homestead fraud.I�omestead fraud causes higher lax bills for all:therefore.
®
HEA 1347-2009 requires taxpayers who teethe the homestead standard deduction to verify that they are eligible to recene the
benefit and to provide additional identifying information necessary to allow county goverment to better monitor homestead
filing..This information will he kept confidential and can only he accessed by authorized county officials.The Department of
Local Government Finance will we this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION i.
Taxpayer Name Property Address
- Shanks, Darren K/Lisa E /06 44 em-r'�,e(
(�LV0
■
hlaubstadt IN 47639
2727
Darren K/Lisa E Shanks
106 N Campbell Blvd State Parcel Number Legal Description
Haubstadt IN 47639-8163
Itlttlltttltllt �lt�rlttltt�ttlt��tllrrttlltl�ttlt��tt�tttll 26-18-36-403-000.717-009 013-00717-00 WESTHGTS4THADD26
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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.
.? %) ' p PART?: I 3\r- nER INFORMATION 1
Owner I First - Middle Last
Tatter) Kent 5L'�?kS
gang Address(number and street,city,state,and ZIP code) ❑ Same as property address
iO&i N. en bell Blvd , -10» G IN 117(v,59
Spouse . . First Middle cc��-- ((�� Last
.l )1 50) . Eid/he) �.1�]QJ►1�
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
polo N. (.a U blvd. , liraarbsfar N 47( 59
--- — - - - --
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.
Owne Signature t}ute A,
PART 4:ADDITIONAL INFORMATION • .
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
�• i' State Form 5473 (R2 / 5 -92)
INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
HC10
I CERTIFICATION STATEMENT
I (We) /certify that on j1e day of r , 19_
I (We) occupied as our principal place of residence the following described real property for which a Home laimed:
❑ 1 (We) owned ❑ Are buying under contract �` GIBS N OUNTY 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.
CONTRACT RECORDED
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded
Record number
Page
PROPERTY DESCRIPTION -
Cou
Township
Taxing district (city, town, to p
Parcel number
3 - oo���-
Legal description
aG
It any portion of the residential structure or the land not exceeding one (1) acre that imm arely sunountl that structure is used to produce income. describe the use and potion of
the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County
Township
County
Township
�ereby certify the above statements are true, correct and complete.
Signa e f cla'
dress (number an street, city, state, ZIP codelt
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
-
Other land
(2)
Total land (line 1 plus line 2)
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct, and
complete.
Signature of Assesor
Date signed
verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19
Lesser of 1/2 Homestead
aluation or S2,000
S
Sig cure of Audit r
Date yQnetl , 3 O —O
U ed