Homestead_Sides t Sit 1OR4'3NM OC fl.Nl MASURIR FORM 75-IA
Arras.n BY GAIL WARD n MTVRIWT&IDV rt RMED BY 111E DEMRNVJT OF tCEL GOVERNMENT FINANCE MFLIS-LI
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 homesiead fraud homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information nemsary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only he accessed by authorired county officials.The Ikpanmevl 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
Sides, Jeffrey K
701 Roosevelt Drive
-
Fort Branch prance IN;7638
6724 •
----Jeffrey besides — - - -- - - - - -
701 Roosevelt State Parcel Number Legal Description
FORT BRANCH IN 47648-9774
��n��l� 26-18-13-101-001.131-02l� D 6011-01131-00 CANDLELIGHT VILLAGE 18
t o ut I nl n u r t u tit ut I n D-27
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
TePPPeY Keno- l�I Sides
g Address(number mfd street.city,state,and ZIP code) - — — — I I-Same as property address --
70/ Rooseve-/f Dr,ve_ Fort 8rancA Tnd.ana. di7 8
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) El Same as property address
Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
soar
_ –— PART-3:.CERTIFIC-ATION--•---^ ---------^- _-- =
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 �
� Stete Fwm Sd73 (R6 / 4-03)
Prescri0ed by the Departrnent of loral Govemment Finance
INSTRUCTIONS: See reverse side for (ling instnxtions.
FORM
HC10
�� YEAR _
�
I(We) 1 certify th�yI�¢Vr� t��t d2Iuwf March, 20
I(We) o pie our princi al ace of residence the foilowing desuibed real property for which a Homestead Pro �rty reait�s hereby daimed:
� I(We) owned ❑!ve buying under contract � �
' Have a benefidal interest in the entity that is liable for the property taxes on Ihe pwperty and that owns the pra6ertyROr,is�vin4TUnder a wntracl.
if huying on conVaa, Fee Sfmple awners name
Recorders ofiice where conVacl is remrde0
County
Tamsn�v
(own.
Rewrd number � Page
re/�c��� n/umcer 7, L 1 OBStn I � IS 018 plOpEfiY in que5tion:
V�•' Q�� v l // �,� Q�� L/� J� � Real Droperry ❑ Mobile Homo (LC. 61.1-7)
If any poAion a/ Ne resWenUal sW cture w the Wnd nol exceeding e(7 ) aae Ihat i tliatety sunounds that sW cture is usad b produce incwne, desfiibe Ne use and poNon
ot the proD utiized to produce inmme.
'�c�� /e� /,3- /�/- �/. /3 /- DaG
a��R��'�`���`�e�"i=.�'�eir�"P".`.,�:?R�r-'#`Y';.p�v��_✓`rSTANDARU'.DEDUCTIONALEOWAtJCE-t��'�.'«`."'T' �"��'' ""'�. ,_`
s.3^i�_,."e`-3i.�S::e.."�r+ �;'+.'_=.2r�t.r:�-�5..�_
20 _ Pay 20 _
Lc;ser of 1/2 Homestead
uaUm or E35.000 S
Sgnatura oflw w Date signed