Homestead_Hollander (2) clan FORM!.1:1.IRrI r •l nrANlfl Po101 TIA
‘1.MOWED By',ntE BOAR/POE N rv*LeI%.9r WARMED BY fir DERARTWJT OF LOALrOVERNMFTT FaaWWE In-1.1_+I
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.
HE,\ 1344-2IX9 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recent the
benefit and to provide additional idemlfymc infonmmon necessary to allow county government to better monitor homestead
filings.this information will he kept confidential and on only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create ads that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Nance Property Address
_ Hollander, Henry R/Lori A
R2 20B
Fort Branch IN 47648 IC)
8548 Q
Henry R Hollander
6256 S 725E State Parcel Number Leeal Description
FORT BRANCH IN 47648-8600
1 t t t t t I I I I I I i l l I I I I 1 1 I I 11 1 26-20-08-400-001.798-001 001-01798-00 PT SE SE 8 3 9 1.872 AC
t o tot tit u u t n u n nt tot t o nt a D-8 .
I L,E u II
APR 1 6 Zul
PART 2:TAXPAYER INFORMATION
.r •Owner I First •u OF; B' . •t.. 1 .. Last
H en r g R 1-10 l l cz rt d e-r
�tg Address(number and street.city state,and ZIP code) ®..Same as property oddi¢s -- _ - _•
( .SL, S 1 A S E ccrt branC.h t 1 rJ 4-( le 4 8
Spouse First Middle Last
Lo r I A_ 1- 0 l Lei_d e r
Mailing Address(Number and street,city.state,and"LID'code) g Same as property address
lr a_5 to S -1 �S E comet 131--ar\CY L-tsJ '{—lC!,14 CO)
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury,that the above and foregoine information is true and correct and that he or she is elieible 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
7
k�
CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION HC10
State Form 5473 (Re 14-03) /
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for riling instructions.
I (We) 1 V - "pv— certify thAon the%st-�ayr& &arch, -In -Y
,1��(We�) ooccupied as our prin ' I place of residence the follovving described real property for vihich a Homestead Property Tax -f1Fed is hereby, claimed:
E4'f(We) owned ❑ Are buying under contract n/ U 1. I
Rk Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the prgperty or is buying under a contract.,
If buying on contract, Fee Simple owners name
contract is recorded
Record number IPage
°• r"' p. t�y =r„"'� t a�i"'mr 7 ifs s'a"'., i; "3 r yr' STANUARO DEDUCTIOMALLOWANCE"' -l`=
20 _ Pay 20
Lesser of 112 Homestead
valuation or 535.000
Signature of Audit Datgygrred
I�P.ROPERT.XDESCRIBILON95
T„-` Y' s' �N���� .;,�n�5i'•,'- ,�6�svr��+��a�C -_
County
Township
I hereby certify the above statements are We, correct and complete.
Taxing disl (ci , t to nship)
ar u
be�
V
Lpoal description
Is the perty inquestion:
TRUST, -�
k�.V-
.ASSESSED VALUE
100 ° /s_'OF'TTYi
SE'5e
ID-Ava ' property ❑ Mobile Homo (I.C. 6-1.1 -7)
Nany 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 moome.
u : , a,..r:.,. ,.S
-,a „ �...�ss.a-
.X.,_..
Land not exceeding 1 (one) acre immediately
°• r"' p. t�y =r„"'� t a�i"'mr 7 ifs s'a"'., i; "3 r yr' STANUARO DEDUCTIOMALLOWANCE"' -l`=
20 _ Pay 20
Lesser of 112 Homestead
valuation or 535.000
Signature of Audit Datgygrred
Count Township
County Township
I hereby certify the above statements are We, correct and complete.
SiMattl& of claimant
Address (number and street, city, state, ZIP code)
r a r\ q ?
ASST ?SSOR�USE ONLY"
TRUST, -�
k�.V-
.ASSESSED VALUE
100 ° /s_'OF'TTYi
:HOMESTEADD
VALUE
''� h`NO ESI�ENTIAL� :h
ft,
�"'"'13 • VALUE'-�'�'
.ALUE��AT
u : , a,..r:.,. ,.S
-,a „ �...�ss.a-
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Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
(2)
1Mss
Total land (line f plus line 2)
(3)
Dwelling
(4)Tx
WK
,
Residentialimprovements or Annually
Assessed Mobile I MarplfeW lred Hoare
Garage,
a
()
'""'�,
-�
' -
Other improve eats
(6)
Trial 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
°• r"' p. t�y =r„"'� t a�i"'mr 7 ifs s'a"'., i; "3 r yr' STANUARO DEDUCTIOMALLOWANCE"' -l`=
20 _ Pay 20
Lesser of 112 Homestead
valuation or 535.000
Signature of Audit Datgygrred