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ry
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Arr Mw W BY,TATE BrtUpnf.Mitl\T[_ay RFYRIBm BY Tilt DEPARTMENT OF UAL NIT ERMfAa FINANCE tes-U-_!.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 standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentbr than eter for homestead fraud_Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-3009 requires taxpayers who receive the homestead standard deduction to verify that they me eligible to recebe the
benefit and to provide additional identifying information neassar'to allow count'government to better monitor hormseol
filings. this information will be kept confidential and can only be aree wd by authorized county officials.The Ikpanmemt of
Local Government Finance will use this information to create Owls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Begin, Daniel/Carol A Money y,
R2 Box 152 P
llaubstadt IN 47639
11019
Daniel Begin
12213 S Brook Drive State Parcel Number Legal Description
HAUBSTADT IN 47639-8000
r n II r It II II t I t I n I n It II nr II nt II 26-23-16-100-002.181-024 COUNTRY AYRE EST#2 2627PT D-9
D-9
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Dte-K; e-1// Al . Raj(�1
•tg Address(number and street,city,state,and ZIP code) - - - - - SCI Same as property's-dams' - —1.3 S.S. 1 ,- L A le;v-1- 4a0-6s4- +, Z'iV 163q
.."Spoaia Ow,ick J.. First' Middle Last
Cara( A. M one y
Mailing Address(Number and street.city,stale,and ZIP code) 'C-1 Same as property address
/fl (3 S. Brooke_ Arryd_ ti&(tis-144 4-1-2439
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.
Owner I Si nature ///��� Date
••
% .-
,
. ' CLAIM FOR HOMESTEAD PROPERTYTAX
F CREDIT/STANDARD DEDUCTION
' t State Form Sd73 (R6l d-03)
' Presaibed by the Deparhne�rt of Lacel Govemment Finance
INSTRUCTIONS: See reverse side Por filing inshvctions.
FORM
HC10
YEAR
�_,.... -.r..z�e�-:.w�+i°°.�.:er1=s.=:•a ..��.�-xc,119:-Etr3:i'Y:f�.crt��r� �IVn.JI(ilemenl'yS ' ��-;"Kp a 'y'ir �:r:�'),.:F :`r.
/� . ._ . _ _ _ . . _ _. . " ` _' - �-'•. �
i(we) e l. a � O � , • certify Nat on the 1 st day of,Merch, 20_
I(VJe) occupied as o r prindpal place of residence tha following described real for which a Homestead ProDerty T�c Credit is heraby daimed:
/� I(We) owned ❑!ve buying under conVact �— �
Have a benefidal intarest in Ne entiry Nat is liable for the property texes on the property and that owns the property or is buying under a conVact.
If buying on conVep, Fee Simple ownefs nsme
Remdars ofllce where conVect Is recorded
Rewrd numbar � PaBe
Caunry Tavnship r I Tadng districl (ciry, tawn, townshiP)
� So�J Oh/�SO.J .
Parcel number Legal dascription Is e property in questlon:
- ' O v ' u dr S 2G � ❑ Re� o�cem ❑ Mobile Home p.Q 67.1-7)
I( afty poRion ol Me residential s4ucture or the land not e: Ing one (1 � eae that immedlatey su nds Ih t strucWre is used to D�duce Inmme, describe Ihe use and portion
ol tha pioDerty uNhed to pioduce Income.
� i '� � ii —� ii�ii �.
�' �'r-�z°'�� �-�� � ' °'�" �"' �. ��s"'� "`��s _��TRUE TAX� "v �ASSESSED VAL'UE HOMESTEAD,-, �fY�`.- ` s` NON �RESIDENTIAL' s � `
��„��ASSESSORUSE��L�� .�,�L � S y;� yq�UE3'��'� �AT,100%OF.�T.Nc^;�_'iVALUE.,3.;E�-.ke:�.#VALUE'`i.,fi��:�� _�.
land not exceeding 1(one) acre�immediatey . � ,�, r<4h,x��`��sc��`(�r ��,�t�;k
surtounding residential improvements. � � �z�. � � ��� � �.., � ;,,,��;U;
Other land �f - -' �' "� �
/C� ".r' S'P!'l�'..�
\ t'('.'G
Tatal land (Ilne 1 plus line 2) �3�
a ���;� �F§�:. s�tic .:i
Residential improvements orMnualty �����9 �4� � '� ' •= 1 ,�„�• £:
Pssessed Moblle I ManuFactured Hwne s,; r�- �-n�uz ��'-- s�- ;
Gare e - .
9 �5� s.,;Y ,. _ - -'..'� _ r
r�. -� � _
O�qe1 improvements (6) �-� �, � s r: �
.. ,_ ...
Tctal improvements (line d fh�ough lirre 6) (7) MAY 1� 20
Total value (line 3 pl�s line � (g�
I hereby certify Ne above is We, cortect, and � Sipnawre ofwuessor � G�BSON � Dau sipned
complete. COUNTy qUD170R �
Veril)vp ection - SlpnaNre of AudiWr Date sipned
*EZ"'0.;$?%..=: �-°,.�N.`:.*'`ra ;�x-'� a�'r.?=,5`STANDARD':DEDUCTION'ALLOWANCE^:. � . '
20 _ Pay 20 _
Lessar of 12 Homestead
Valuation w 535,000 S
Signature of Auditor Date sipnad
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