Homestead_Hudson (2)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
Slate Forth 6473 (Re l 7 -07)
..,. Prescribed by the Department of Loral Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
FORM �/rJ YEAR
0
ECR c onnn
CERTIFicA
STATEMENT
I (We)
rtry that s arch, 20_
1 (We) occupied as our principal place of residence the following described
property for which a Homestead P.ro8 T Credit ereby claimed:
❑ I (We) owned ❑ Are buying under contraG
GIBBON 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.
CONTRACT
••r
If buyvhg on contract, Fee Simple ovneta name
ASSESSED VALUE
Recorder• office where contract is recorded
NON-RESIDENTIAL
Record number
Page
County
PROPERTY
Tarmst ip
Taxis district (city, town. f 'p)
Parcel number
L al descnption '
q Is the property in question:
I hereby certify the above statements are We, correct and complete.
N Z Y—/- ��
�� • / % 9 !} L ❑ Real property ❑ Mobile Home (IC 6-1.1 -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.
,;),& -o y- o�41-/oo - 00o2. 3
79 -oi6'
PROPERTYOWNED :
0pay 20 —
County nship
County Township
I hereby certify the above statements are We, correct and complete.
ig daimam
Address (number and street city. state, and ZIP code)
0 ul yo Al Tu _71V Y766G
ASSESSOR USE ONLY
TRUE TAX VALUE
ASSESSED VALUE
HOMESTEAD
NON-RESIDENTIAL
Signature of Audits
AT 100% OF TTV
VALUE
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
zr
Oiler land
(2)
'4...; :-T.•.; -:; ;��
- SF - "� �..
Total land (lime 1 plus line 2)
(3)
Y h
Residential improvements or Annually
Dwelling
(4)
.. -
Assessed Mobile I Manufactured Home
_ :r:-e.' -:.• ..
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Trial value (line 3 plus fine 7)
(8)
I 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)
STANDARD DEDUCTION ALLOWANCE
0pay 20 —
46,000 for 2007 pay 2008
42,000 for 2010 pay 2011
e r of 12
Homestead Valuation
44,000 for 2008 pay 2009
41,000 for 2011 pay 2012
S
0
43,000 for 2009 pay 2010
40,000 payable after 2012
Signature of Audits
Date signed (month, day, year)
• • SIAT�FORM!Ma tRZt so" !WARMER FORM rs-m
aaFIMPORTA T NOTICE TO HOMESTEAD DEPARTMENT
P PROPERTY ROWNERS z
Gibson County Auditor
101 N Main
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 tier for homestead fraud Homestead fraud causes higher in bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to revert the
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 Property Address
Hudson, Ronald D/Kathleen J
R3 Box 210
_ Princeton IN 47670
2266 __ _ _ __ _ - - _
Ronald D Hudson
1180 W 440 N State Parcel Number Legal Description
PATOKA IN 47666-9283
I I I I I I I I I III I III III III 26-04-24-100-002.379-018 010-02379-00 PT N 24-1-11 11.979 AC
r n ur t rat nr ra t nn t o rat t n t
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
_ igt4 L D 4-mob si
411Address umber grid street,ity,state:ad ZiP code) ._ _ _ _ — _ _ _ _ aSamc as prcper:addr.:.
) go w ti 41( A-) ROM- .TN ift66 C2,13
Spouse First Middle Last
6-11-1 trot/
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 1I Si /tea `I� lh�te/
PART 4: ADDITIONAL INFORMATION
•