Homestead_Ackerman J
SLUE FORM )vx rE/Hnl THE SUEEA FORM 73-IA
APITOVED SY s1 OE IX4ROOF Ea?S.elM PRr]lRlnnl BY TIM OEPAFfASYT(IF LMAL rmLNMENT FINANCE ICH.I-t_-s.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 aaandanl deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than titer for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
HEA 13+4-3009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the
FILE benefit and to preside additional identifying information necrsan to allow county government to better monitor homestead
Local.This neon atinn will he me mnLderuial and can only oo accessed l heluthorized onunty officials.The nesteanent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
APR 1 2 ZU1U Taxpayer Name Property Address
Ackerman, D/Shirley
6 'e'f4d
al ax ,'47639��I - .
fleas-ow COUNTY AUDITOR
12409 S Rosetta Dr State Parcel Number Legal Description
Haubstadt IN 47639-7939
hiiiilll iiirllt,i.liiliiiiltrr lit lrrtt ii tlrlt iiitttl tlttt'Itlf 26-23-17-200-001.586-024 BENKERT EST D-9
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Sponse First Middle n Last
dA,F C A Ackerincc, r)
Mailing.Address(Number• d street,city,state,and ZIP code) Warm as property address -
/a '1O 9 S (?Ostyf ct De . c2- e-J7 .r, LI-7 �q
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
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....�
� CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
'� � Sfate Fwm 5473 (R4 / &00)
u�.
lhe property or is buying under a coniract.
1f byvg on wntract, Fee Simple owneYS name
Counry Tamship Ta�i g Eis '(c' . fown, fownshiP)
umber � Legal descripL
D — ( 6� ���
If arty poRion o( the resitlential sWCture w Ne land �rot ezceeding one (7) aue that immediately surrounds Nat sVuc[ure is used to
of the praperry WLZeO to proEUCe inmme. � .
siv-iiiic
County �I Tarnship,
I hereby certify the above statements are We, corred and complete.
�a (number and streeL �+N, stdte. ZIP code) �,,
Recortl numDer
Twrnship
Page
ihe use and portlm
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.�
�.
20 _ Pay 20 _
lesser of 12 Homestead
Valuation or $6,000
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