Homestead_Hacker (2) . STATE FOAM S9 J,ail.-lot IR ASUP3P.FORM Is:A
• Ar?VR En RV THE 3n.AOOF.'Irt$NTCYM INFx PIBED RI'nu.OVAAIML.T 01-La'xiOt1C0.1L.i ILht`F E IC f.-!:r as
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N.Main Street Individuals and married couples are limited to one honass •ad standard deduction.As the receipt of:his deduction becomes
' _ Princeton, IN 47670 more beneficial.there is more incentive than mar for homestead fraud.Homestead fraud causes higher tax bills for all:therefor.
HHA 1344.20(19 requires taxpayers who receive:he homestead standard deduction to erify that they are eligible to tech else the
T benefit and m prmidc additional identifyim_ imlhrmalion necessary 'o allow county govcmment to better nwmimr homestead
I 6 �j 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 mete tools that will help county officials eliminate homestead fraud.
APR 2 3 2012 PART I: PROPERTY INFORMATION
Taxpayer Name Location Address
C.�. r T Hacker, Ruthabelle
—
408 E WALNUT ST
GIBSON COUNTY AUDITOR
FT BRANCH IN 47648
1136
Ruthabell Hacker II DI I I II D DDI Mill I II_II III 101 I 101111111111111 I
408 E Walnut
FORT BRANCH IN 47648-1433
I'I'IIII'I'IIII'III'1111""I1I1'I"II'IIllilllrlIlllllltllllllrl State Parcel Number Legal Description
26-19-18-303-000.955-026 WALTERS ADD 323PT/324PT
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.4RT.2_T 1PAYER INFORMATION�__« ,___ __ _ _ -
ter I First Middle Last
;'�' Ita G Key
(l Th a b� 7 ie /v v 7��
Mailing Address(number and street,city,state,and ZIP code) ❑ Same as property address
61 O e F `ftta I n70T Sr fort Bra- nrc,/Z ra ft •zf 76, il 8
Spouse First Middle Last
De (2..{-;• a S' e---..ci
Mailing Address(Number and street,city,slate,and ZIP code) ❑ Same as property address
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 unlawfully.he or she may be liable for back taxes and substantial financial penalties.
Owner I Signature Date
Q °, rt•na
t CLAIM FOR HOMESTEAD PROPERTY TAX
- � � CREDIT/STANDARD DEDUCTION
` , SUte Fwm 5473 (R5/ 70-01)
���� Prescribed �y tha Oepartment of Local Govemment Finance
INSTRUCTIONS: See reverse srde loi (ling instructions.
FORM
HC10
�f
YEAR_ i
�
I(We) /�-�i� �n� �- /� l�,�{� jL—) _(,i _/i� �) certify thal on the 1 st day of March. 20_
—r
,I�(W,�e) occupied as our principal place of residence the follovring described real property for which a Homestead Property T�c Credit is hereby daimed:
C7' I(We) owned ❑ Are buying under wMract
' Have a benefidal interest in the enliry that is liable for the property taxes on the property and that owns the pmperty or is buying under a contract.
�:_��'>�'`$� •�;z: � � '�: �� �' _`�- . �......iC",.:CONTRACTRECORDED,':.. -..�.... . . . .. 3 .. _
If buying on conUaG. Fee Simple owner's name
RecorOefs office where wntrad is recorded Rewrd number Page
Counry
V'�Tavnship �
ESCRIP,TION�.,,._,;'. ;: _: :Y:. ; , .: r.g•..;:._.;.� .,
Tacing CsSnc) (cif , owq rownship) � �
Parcel number Q Le9al descnption//�� :{ '��y �i� Is the v�operty i uestion:
O��— �� l�S �� ���� .ICX .i I � 4� I �eal OroVertY ❑ Mabile Homo (/.C. 6 f.1-7)
If any portion ol the residential struclure w ihe land.not ezceeding one (1 � aue t�at immetliately surrounds lhai sWCture is usetl lo produce income. desui6e �he use and portion
of ihe properry utilized to produce inwme.
d .�v`e�'��l.�t.�--f `4 _ . : � 1. . . . . . . ... . �:
i' �"�� ASSESSORUSE ONLY `TRUE�TAX � -� � �ASSESSED VALUE . =HOMESTEAD •' ��; 4� NON RESIDENTIAL� � �5
�?a'�'�S`rs. '- ' , . _ .:"a �,. '. •t. _-� . : .. - . ��'..' VALUE � . .: ''AT 100 /o OFSN .. �. : VALUE y�.. . ' ��: HI`ka�..
Y.�.:�":�:. +,.. VALUE � .
Land not exceeding 7(one) acre immediately ' 's �'� � °"" x' `� > �-_
sunoundin residenlial im rovements. t� `. t_
9 P (�) �.f i � � �`i r �_ , . �?" i _.
'�+.{s:..::':� � '
Otherland (p) - t;i.s:-,�:.s`�a�
Total land (line 1 plus line 2) (3�
Dwelling (4) �c.o t�Y';y�A�.n, --:
.L�' t l# �b' Y ?. �'`�f � �±
ResidentialimprovemenLS , � �.� � ��;��. _,
Garage (5) ,"' � i ,�+:'�' N��-r�:4�' �.S?,:
i . h � 4 , � .. j �Y
Otherimprovements (6) �� � - -
_ :,
Tcial improvemenLS (line 4 through line 6) (7�
Tdal value (line 3 plis line n (g)
I hereby cedify the above is W e, correct, and Sgnamre o( assessor Date signed
complete.
VeJifying actbn - Signature oflwditor Date sgned
20 _ Pay 20 _
Lesser of 1l2 Homestead
Valualion or 56,000
S
signetl