Homestead_Bittner (6) S TAR FOBB/DIe.IA 1,-P'1 TREASURER W0.4 CIA
B ITRIT En nT A.TE B s RI cW m1NTY SPY PR/SCRIBED BY THE DEPARPDETfi L(XAL rATtRVMIWr M'A'CE IC(.1.1-2:4,1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual,and married couples are limited to one homestead sundani deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ever for homestead fraud.I lomestead fraud causes higher tat bills for all:therefore.
HEA 1341-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing..Unit information will be Bpi confidential and can only he accessed by authorized county officials.The Depanmenl of
Local Govermnena Finance will usa this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Bittner, Jeffery A/Misty J
3 K2 Box 59 X
Haubstadt IN 4763Q/
3396
0 Jeffery A/Misty J Bittner
10832 S 350E State Parcel Number Legal Description
Haubstadt IN 47639-7867
26-23-02-300-001.915-024 004-01915-00 PLEASANT RIDGE 4
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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 1 First Middle Last
jit Weg y 4 (... 4N 13 , H A) Eiz
•ag Address(number and street.city,state,and ZIP code) 12-Sirme as property address
- Jo3go? S. 3 s it ,1-74v,Jscn-rc r X17437
(
Spouse First' Middle Last
m15 r sAN i3 ( T-r-Ne12
Mailing Address(Number and sweet,city,state,and ZIP code) 12-Same as property address
10932 c. 3sb C , j--( vt ,/(5_5 -roDri <rN U7637
• -
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 I Signature Date
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
t � StaU Form 5473 (R5l 10-01)
� Presaibed by the DeparhneM d Local Govemment Financa
INSTRUCTIONS: See reverse side /or (Irng instrucfions.
FORM
HC10
YEAR
� M�e) � certify thatCon the t�d���arch, 20_
I(We) ied s o r princ I place of residence ihe foll ' g d s 'be real property for whirh a Homestead Prope�f ,., 2by daimed:
❑ I(W own d ❑ fve buying under contracl � � � /)
// I/
Hava a benefidai interest in the entiry that is liable (or the property taxes on the property and fhat owns �prope �uy'�g_underf��teritrad.
� ���,.;v nnD�TOP. .
, i,ioa..,. _ _.
If buy'vg m contracl, Fee Sfmple owners name
RecoNefs ofica whaze contract is rewMed
County
N enY DoRbn ot
of Ne orooeM i
Record number � Page
Tamship Tating districl (dy, tawn. fownshiP)
/y� L cription Is the Property in question:
'W ❑ aea� o.00ero ❑ htom�e Hw„n (La � �. �-� .
ial strucWra w ihe d not exceeCinp one (1) aae thet im tey unds that sWCWra is used b produce inmme, dexribe the usa end portbn
�duce i�ome.
-�3-�J�-e�QO-.rx�/_ 9i� --va�
20_Pay20_
Lesser oi 1/2 Homestead
V�ua6on or $6,000
Siglawre of Auditw
S
�.