Homestead_Dilger SlarE lnt4!S'qC-r.M. IALASYIEFF TORY 7-IA
A MOVED BY STATE BCARn OFAC n'NTs.env PAEYRIamaY PIr DEPARINCER or LT AI&Asti:o n"TnoescE r i.1-L--sl
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 dedunion becomes
more beneficial.there is more incentive than steer for homestead fraud.I lomestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only he accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help counts officials eliminate homestead fraud.
PART 1: PROPERTY LNFORMATION
Taxpayer Name Property Address
Dilger, Brandon UJanet M
R2 Box 93
Haubsadt IN 47639 V
A
3463
/1,5
Brandon L Dilger
4505E 1150 S State Parcel Number Legal Description
HAUBSTADT IN 47639-7921
26-23-12-300-000.316-024 004-00316-00 PT NW SW 12 4 10 2 AC
1111t11,111E 1111111111illoll1r11r11t111111111111tr111111111111 ^ D-10
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 I First Middle Last
Brandon L.evJ •s I)i layer
lig Address(number and street,city,state,and ZIP code) EiSame as property address
4505 E. 1160S•, Haubsfa4t, IN 11439
Spouse First Middle Last
•
Jorid- Marie, DI 1�
Mailing Address(Number and street,city,state,and'LIP code) Same as property address
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 PROPERTYTAX
CREDIT/STANDARD DEDUCTION
State Form 5473 (R6 / 4-03)
Presaibed by Me Department of Loral Gwemment Finance
INSTRUCTIONS: See reverse side /or filing insfixlions.
,
FORM � YEAR _
HC10 �
i(we> v.�� �-w n�nc ti 1 V /. �en�ry �na� o� cyS�� �¢v or ���i. zo
I(We) occupied as our principal place of residence the following described real property (or ich a Homestead Property Tac Credit is hereby Gaimed:
❑ I(We) owned ❑ Are buying under contract '--y��� �
p �r
, Have a benefidal interest in the enfity Nat is liable for the property taxes on the property and fhat owns the proGIBSON C�U9d1 Y X�L�,r���
If buying om m�trad, Fee Simple ownefs name
RemrAafs olfice where wntracl is remrded
•• �1I
To.vnShip
description (�
r�oau 1'+
Ta�ing dislrict (ciry, (own,
Rewrd number � Page
aoo�m ❑ �bila HOmo (l.C. bf.
N any portion ol Na residential sWCture w the land not axceeding one (1 � acre lhat immediatey surrounds ihat sWCture is used b produce income, describe Ne use and portbn
of the property uLLzed to produce inmme.