Homestead_Will (5) •
STATE FORM I1!taill'/)-HI ltrAnit[A FORM TSIA
?omen ()By•T•TP.BnaPO(i MY e'.nlc.S•• PEfNnm By nil nrPART O4T(fLft t nn\ctNMEAT rD:AscEte II-!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 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
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
fling..This information will he kept confidential and can only he accessed by authorized county officials The 0.panment of
Local Government Finance will Inc this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Will, Ronald K
P O Box 8
Ilaubstadt IN 47639
8145
Ronald K Will
P O Box 8 State Parcel Number Legal Description
HaubstadtIN 47639-0008
II III II I I II II II I III I I III 26-19-31-300-000.461-009 013-00461-00 PT E NE SW 31-3-10.272
1 11 Ire t Irlr r t lr 111 Irt ill 11 1 111 Il ll r t AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
7-; VAt. KE%TM �/ L L
-- ®re Address(number and street,city,state.and ZIP code) - I I Same as property oddness
- - - - - --
PO . Box 2 yAUBSTne 14/. 5/76 37
)
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
Social Security Number Bast 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Part 4 below)_ -- -- -
state
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
( )
PART 4:ADDITIONAL INFORMATION
•
CLAIM FOR HOMESTEAD PROPERTY TAX FORM
CREDIT /STANDARD DEDUCTION HC10
State Forth 5473 (Re 14-03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
YEAR
I (We) 1 1 V Y�/lI� -3CJlX ��,- certify that on the 1st day of March. 20
Tt• T °�', r r
I (We,�CUpied as our pdncipal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
•f—J, 11 We) ovmed ❑ Are buying under contract - r I -L n Ij
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 aypntract.
If buying on contract, Fee Simple owner's name .-.7r. )v/��ti•ff
GIBSON CcuNTY AUDITOR
Recorder's office where contract is recorded Record number Page
""E&"fS1k'.F><'`*:- •rcE=r�".lp "W$— '+!3u'Y c:"�' c� r�. t .,i�.Y rrx.�?n.�'�cer ,nz.�.�._ � �.,
sPROPERTY� �EBCRITION���',+,S;,sE>fis4c.
County
Township
Si of cla"
Testing tli (i ,town, to nship
P cel bet
" ASSESSOR!USE ONLY.'- -'
Legal description
ASSESSEDVALUE
Is the property in %Lption :
eal property ❑ Mobile Home (LC. 61.1 -7)
H 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.
40 WqKN#°� ""r °' t'-'-- tPROP. ERTY, OWNEUrBY: CI' AIMANT- IliOTHER `CUUtJTIES,'".'+,2.�Le*.'�,
County Township
I hereby certify the above statements are We, corned and complete.
Si of cla"
Address (number and street, c" , state, ZIP code)
•O • BO U S .rill. 3
" ASSESSOR!USE ONLY.'- -'
''�TRUEvTAX
r ,T
ASSESSEDVALUE
HOMESTEAD, <'
NON=RESIDENTIAL'
%•�kz`VALUE��;--s.
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
(2)
c?
Total land (line 1 plus line 2)
(3)
Residential improvements or Annually
Assessed Mobile I Manufactured Home
Garage
(4)
(5).yT..:�„
orlDwelling
- <, y 7
Other improvements
(6)
W1 -nr
,--
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pits line 7)
(6)
1 hereby certify the above is true, coned, and
complete.
Signature of Assessor
Date signed
Vedtying action - Signature of Auditor
Date signed