Homestead_Hart (2) S LATE lOtsi)..0.0C I.wt 'WARMS FORM 71-IA
■PYEP'ED PY'TATE BOARD OF Ar(S'RL\i5.9• PtLARtnm DV mf DEPMMEV,OrLOCAL fOVERVMe1.T F*A51E
Gibson County Auditor
11 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N
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 net for homestead fraud.homestead fraud causes higher lac bills for all:therefore.
• HEA 1344-3009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information neces ry to allow county government to better monitor homestead
filings.This information will he kepi confidential and can only be accessed by authorized county officials.The Ikpanment of
Local Government Finance will sex this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Hart, Stacy N/Cindy C
7974 S Andec LN
FORT BRANCII IN 47648
2977
Stacy N Hart
7974 S Andee Lane State Parcel Number Legal Description
FORT BRANCH IN 47648-1545
lt�u��ut�t��nt�n��n�nu��t�r�n�u�t�t�t�r u�r�rt�t�t�rl 26-19-19-103-001.194-026 SOUTHGATE8
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.'
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
kfrAc y /1/e22_ ff4-gr
ng Address umber mid street,city,state,and ZIP code) ❑ Same as property address
794 J. 14/DE 1-A-NE Fr%k4Ncif, by 47&4(
envoy �o� Env /gig
Mailing.Ad ess(Number and street,city,state,and ZIP code) Q Same as property address
-- - -- _ - ---
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
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Slete Fam 5473 (R6l I-03)
Prosaibed by the Deperhnmt d Loml Gwemrtbnt Finaxe
FORM `� YEAR
HC10
INS7RUCTlONS. See ra`orso ffidf br J86p inaburb'�orq, � „/ /
/i�.(.r/h' w,
�-,.Y�t�*a,L.' +s?=_�.,����_�-'.'a',�'-�� ���� �s.%:5�?'_gj ERTIFIC T10N STAIEMENT:"-r d t4-.�.,-tr--�S.y '_-. '.-�+- d'y np-. r.'S":
..__. _..__._.,. ���'�rs.. .�,.-,r,.
��e) certify Ihat on Ihe 1st day o( March, 20_
,I�(W,�e occupied as our cipal place of residen e fol mving described real property for which a Homestead op �Tac�Credit�h reTy dmed:
f� I(We) owned Ne buying under n act �� ���
Have a benefidal interest in the entity that is liable (or ihe property taxes on the property and that owns the property or is buying under a conVaU.
County
Tavnship
OI Lagal descriOUon
Tacing dislr'Wt (c�y, town,
Is the properry in question:
8'F%al D�aPertY ❑ Mobile Homo (/.G.
1/ any poAion of the residential sWCWre w the Wnd not axceeding one (1) acre Ihat immediatery wrtounds that sVUCture is used to produce income, desaibe the use and portbn
of Ue property uLT¢ed in produce inmme.
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