Homestead_Hardin %WWWE FORM 53t iR2(5-trvl fREl91Lr1 FORK:11A
APPROVED aTStiTE M•RO OF NT`"EYTS.Vv rtr.YNBm BY 11W DEPARTMENT. L0.kL CAt2RVMrNT FINANCE K- t.l-_J.t
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple are limited to one homestead aundanl deduction.As the receipt of this deduction becomes
, ' more 1344-200.there r more incentive wh trece ever for om estead standard Homestead to causes th higher tae bills for all:therefore.
HEA 644 cial, h quiet ore incn who than
receive the homestead standard dNstead to fraud eau that they are bills fe al rtcere the
benefit and to provide additional identifying information nett.sat to allow county government to better monitor homestead
filings_This information will be kept confdential 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 feud.
APR 8 ZU1U PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
74ae ,Qt Hardin, David R/Harriett A l�
GIBSON COUNTY AUDITOR Rl Box 49((trine 3SO J
Francisco IN 47649
////
1103
David R Hardin
6722E 350 N • State Parcel Number Legal Description
FRANCISCO IN 47649-9273
I I I I III I III I I III III I I VIII 26-06-20-300-000.949-017 009-00949-00 PT SW 2019 2.335 AC
t o Fu F nF n t u F uu F urn nr F n F F t F C-1
k
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
',ski/A)
g Address(number Bnd iKaY,eery,sate,anti ZIP ender-- —'—` _ ___ ._-_ prp:.T'addicts- _ _. ._ _ _- --
t in r 33 to s-. C-Sco, raS14un 47d r7 9z73
_
Spouse First Middle Last
A car c9 t n
Mailing Address(Number and sweet,city,state,and LIP code) VSarne as property address
(pi �2 G ycasco =K) L1)(,4 9-Q2,-1-3
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 ro ge)74,
—
PART 4: ADDITIONAL INFORMATION
The-, y-o Cl I I Otat Fess C4onc c Pl-oo9-rFs & Mlrs5 1S 0722E 3513 Iv
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State I= 5473 (R614-03)
Prescribed by the Department of Local Goverru ent Finarx;e
INSTRUCTIONS: See reverse aide brffiling imbrrr Bona.
-:.t3� °.:��i:�Ss�°- �`::K"K ��..• � ,,,.�CERTIFICATIONSTATEMENT• -,
I (We)
1 (We) occupied as our principal place of residence the following described real property for which a
❑ I (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
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded
FORM
HC10
Record number
�A YEAR
20
claimed:
a contract.
Page
e''r""rtzrSiY..- P,ROP,ERT,Y:DESCRIP.TION �t c,�F '.q '-
County Township
Testing districl (city, town, township)
P r ber aI de tan
Si azure of claimant
Is the property in question:
❑ Real property ❑ Mobile Homo (I.C. 6-1-1-7)
If any portion of the residential structure or the land not exceeding one (1) arse that immediately surrounds that structure is used to produce income. describe the use and portion
of the property utilized to produce income. J-3issfIr.
L
`"'A�
+.^?� xASSESSOR�USE ONLY-
County Township
County Township
I hereby certify the above statements are true, correct and complete.
Si azure of claimant
Address (number and street city, state, ZIP code)
VALUE"k
..?�.ai
L
`"'A�
+.^?� xASSESSOR�USE ONLY-
C TRUETAXj
ASSESSED VALUE
HOMESTEAD
INON fiESO)ENTI,4L%+
u,
ai- '- '�7.i�.:r�Q' ,:SX- kl#"arr'ovSmG�.,�
VALUE"k
..?�.ai
-AT1100 °b OFTTV
s- ,..,... -, . y.tx....�.
�^- VALUEC'vr
x'• '+�
Land not exceeding 1 (one) acre immediatey
surrounding residential improvements.
(/)
�;�N y ; _ -. t A
Other land
(2)
MI
Total land (line 1 plus line 2)
(3)
I
Dwelling
(4)
; -,,imp �,,,�u- 'Tr,l1 <'+e1
Reskentiel improvements or Annually
-
Assessed Mobile I Manufactured Home
Garage
(5)
NO
4,J
Other improvements
(6)
Zee
Total improvements (line 4 through line 6)
(7)
-
Total value (line 3 plus 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