Homestead_Harpenau STATE I ORM'3N IR_I YPO TREASURER FORM i}IA
APPROVED RVMkTE IOUm Or.MrT INTS.SVr. PttAAmm BY TlIr DEPARTMENT(FL(CAL GOVERNMENT fa:ACEIr FI.I-r--uI
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead sundard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than net for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to revoke the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing,.This information will be kept confidential and can only he accessed by authorized county officials.The Depannxnl 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
_ Harpenau, Rebecca A
R 2 gc'
Fort Branch IN 476-18
3022
Rebecca A Harpenau
413E 780 S State Parcel Number Legal Description
FORT BRANCH IN 47648-8006
26-19-19-204-001.292-026 007-01053-00 INDIAN HILLS 52
lultillitilillioleilltillierldlemilettell litillittlisi
0-27
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
RebPC-C_cz A 'n IN 0.._.V- pe.nC�c.)\_
�g Address(number and strca,city,state,and ZIP code) Sane as property address
WI3 Ioo5 -68rarr1ksN Li -1 (S) gb
Spouse First Middle Last
1 °•.r Y1 e.-i ."ie\ CLAS Imo n
Mailing Address(Number and street,city,state,and ZIP code) Warne 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.
Ow 1 Si atue Date
PART 4:ADDITIONAL INFORMATION
1 )CiA a Lo fl..Q. ' �_ o L.—rh9-71.-
CLA1M FOR HOMESTEAD PROPERTY TAX
CREDR/STANDARD DEDUCTION
sme� Fom, ssrs (ra i sa�
P�affibed by tl�e Dapethnaq d Lool Gorsmas Fvm�
INSTRUC710NS: See iaverse slde (or filing instructions.
.. . ,.�i� .�.� .:�..; ... . �_'� �� ' ' '� � �..,.�:... ' ', . CB2741CA71
FORM
HC70
_
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I(We) certiy that on the 1 st day of Marrh, 2(1_
I(We) occupied as av prmdpal plaoe of rrsidence th fo6owirg described real popeAy 4or whirh a Hamestead Property T�c Credil is hereby dairtied:
�� M/e) owned ❑!ve buyug under mntrad
Have a benefidal mterreUU in tl�e entity that is liade 6or Ihe popery �ces m tl�e property ard tliat owns the poperty or is buying urder a oontracl.
� � � CONTRACT<RECORDED•"�' �:.tr . :t.`;i`; t s : 7 , ;i;�e:
IF Gry'vg m m�traci. Fee 5rrple owrefs �ame . �
1�cvdels o� rlw+e mr�6act is recaded Rernd number Pege
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Is tha papary n question:
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n enr vation d Ua rasde� �.e u u,e la,e na m�rg one (1) aoe mal' ainamm nw sNCh.a is used m pmd,ce nmma. deso,te u,e � m,a puGon
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County Tn�nship Counly Township
I hereby certi(y the above Sta�CS are true. mrrect and oorrple�. �+re d daimxl
(nurber arin �sst �: sfa�e. ZIP cade)
. ..". " � � - a'"• t`� � <TF8IE�TA7C ASSESSEDVALUE �FIUI�STEIID'�� �� '� " ''�� i
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ht .is. t�. i pe sn � � 'i'�. i' r. �� � r( °e:,. �`Sa r k.Vld` w:t.. �'� Yw:.L�'.NzY.V'� .lf�
... '.. �. ei ac � ,,. . '�'. .. . '� -..... .... . �.,... n .r,.;.,». . .... �
Land not euecM'ing i(one) aae irm�edately '' n� �'� �� c:v F"+�'"�'s4.'s tiE�({R
v s n �'
surrwmd'ag residential improvements- (�) 'a.� �'Y'�i s�{;: � r''%,.,�.5 �`�a^�iiN:
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a�'ks�����ir�s �., ; rrv
OwePn9 (4) � s r''a "�1a nyv 2c���c:�'��&�1'ba
Resdential'unprovementsarMrwally �.a.�c`�„r...,;sati_.��,s...�; .,�'v�._
As�ed MohBe /� F10rt�e r t�e ���, �^r�� r.�� �, r: a.�
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OIhCf OfIpfOVCffICfILS (6� ' ; `5ll '
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Tdal "vnprovemerAS (fire 4 Wough 6ne 6) (�
TUaI value (1'nre 3 pks ffne n �g)
I hereby certiy the e6ove's true� catrecC and 39ret�ae otASSa�u Dam eigned
mmPlete.
Wityirg aaian - Si�mme of ai6mr Date ais�ied
� ' - • . . , , STMIDARO�DEDUCTION ALLOWIINCE ,'' ....;+:'<i* '' . 1- -` <�2'.'{�.,;`$
20 _ Pay 2(1 _ .
Lesserof72 Hortestead
Valuatian w 535.000
E
Si�ahae d Ndtor Da1e si@ied