Homestead_Blume (2) MATE FOAM'F!MIP:YNI TlEASUIER ro0.V 75-IA
i1PPM5En bv[r.Srr.BOARD Of ACC/PONT,.NOP PIEYa1bm AY nit DrPARTSff.VT/F LOCAL I:OW.S'MrA'T FINANCE MVI.Ir4I
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 homestead fraud.Homestead fraud causes higher lac bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the
benefit and to provide additional identifying infomumun necessary to allow county government to better monitor homestead
filing-.This information will he kept confidential and ran only he accessed by amhorimd county officials.The Depannmnt of
Local Government Finance a ill u this information to create Owls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Blume, James C/Laura D
•
R2 Box -
Ilaubstadi IN 47639
8341
James C/Laura D Blume 6 55,2- 9,SD
R2 Box 185 C I State Parcel Number Legal Description
Haubstadt IN 47639-8028
1r liil lit,lil liu,ill ili luul rrlr ll ll p•l rr�r�rrili lilli,l 26-19-32-101-001.677-024 ELPERS SUB DIV7
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Qvnes ear
carne,
�ng Addrcss(number and street,city,state,and ZIP code) algae-as property address
I O35a S I & uaoa-}ash 4 r r '-I"7 GSA
Spouse First Middle Last
Q.-ur CL pQu n u rne,
Mailing Address(Number and street,city,state,and ZIP code) Daunt as property addrtss•
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.Signature • Date
PART 4:ADDITIONAL INFORMATION
. -
aMf n`��
�'° ' i CLAIM FOR HOMESTEAD PROPERTY TAX
;;��'� CREDIT/STANDARD DEDUCTION
,�;;��� State Porm Sa73 (R2 / 5-92)
�sis
INSTRUCTIONS: See reverse side lor �iling instnictions.
FORM
HC70
� \�A�
YEAR
�Ne) �[ SK L#h ��' [�(,(�G,GtdL�.J/ �,(.0 /y}'�� . cejjl� RPat on the 1 st day of March, 791 �
e) occupf as our principal place of residenw the following described real property tor which a Homesiead Prope Ta�'�g�{�h` ereby claimed:
❑ I(We) owned ❑ Are buying under contract . �i��riiaJ✓ O�'�QR a
W�_'
❑ Have a beneficial interest in the entiry thai is liable for the property taxes on the propeny and that owns ihe pro� y or is buying under a comract.'
� . CONTRACTRECORDED - -
I( buying on contrect, Fee Simple owner's name . � .
Recorder's office where contract is recorded Record number Page
' PROPERTY DESCHIPTION
Counry _ Township Taxing disiria (ciry, fmm, fownshrp)
Pa� el num er Legal description - r...
' � �
11 any portion of the reSWential swcture or Ne Ia�M not exceetling one (1) acr t�at immediatery wrrounds t�at swcmre is use
ot the pmperty u;ilizetl m produce income.
n�����
'- 6� �
to produce income, describe the use and portion
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Counry T County Township
I
�reby certify ihe above statements are true, correct and complete. ' Sign=2ure of ciaimam �
Addre (num6er ndsneet, ary, sfate, Z/Pwde)
0 �' a 3 g�/f S j OT
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON•RESIDENTIAL. �
� VALUE VALUE VAIUE VALUE
Land not ezceeding 7(one) acre immediately
surrounding residential improvements. (��
Oiherland � (p)
Total land (line 7 plus line 2� �3)
Dwelling (4) �
Fiesidential improvements .
Garage (5) '
Other improvemenis - (6)
Total improvements (line 4 through lina � �7)
To�al value (line 3 p�s line � (g)
I hereby certify ihe abOVe is irue. correct, and Signature of Assessor , Date signed
complete. �
.fying action - SignaWre of Autlitor Date signed
t. �
Synawre o� Audiror
19_Pay79_
Lesser of 7l2 Homestead
Valuation or 52.000
STANDARD DEDUCTION
S
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e
signeA
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