Homestead_Dix %DALE FORM!3,M ICI wl - 'rf SUIEA roam:}IA
.ANTONIO BY MATE WARD OF"COU.NTS.:RN puuYAIBFnnt mE DEFAIIINCFAT OF LOCAL GOVERNMENT FINANCE M 4-1.1-L4,1
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 tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they ate eligible to recene the
benefit and to provide additional identifyine information necessary to allow county government to better monitor honestead
filings.This information will be kepi confidential and can only be screws!by authnrired county officials.The Department of
local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Dix, Kent J Deanna L
Ht
IIAUBSTAD'I IN 47639
11037 — — — —
Kent J Dix V1
2449E Classic Dr State Parcel Number Legal Description
HAUBSTADT IN 47639 4963
�t�tt��Itr�t��tt tt��t�t�tr�rtt��t�rr r��rrtt��tt�r r��r�tittl�r� 26-23-16-200-002.134-024 �O2 LO-00 RIDGE MANOR ESTATES
•
• PART 2:TAXPAYER INFORMATION •
•
Owner I First Middle Last
{e n+ Slime. L x
-- •Ig Address(number and street city,state,and ZIP code) — —® Same as property i idkss - -- — —
aqy9 E Class - Q Drive Naub s ► N Ll710
Spouse First Middle . Last
\
Mailing Address(Number and street city,state,and ZIP code) 14„Same as property a ddr sss
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 a re Date
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
t State Fortn 5473 (R7 / 5-06)
P�esrnbeC by Me DeperUnent of Loml Govemmart Fu�ance
INSTRUCT70NS: See iatrerse side fa ning instrucffons.
�
FORM � YEAR
HC70
�(WQ) }�X/ 1� \Y. �xLt.�/ I V 1,IL.L_ ia_A_/�J certify that on theyt�st day o/f M,ya�'c'h. 20_
I(We) ocapied as av prmdpal place of residence ihe fo0owirg desaibed real property for which a Homestead Properiy TmCCri�dit i5'h�.�6y daimed:
�(We) owned ❑ Me buying unda mntract GIBSON C UNTY AUDITOR
ave a ber�efidal mtere� m fhe entity that is liade fw the property ta�ces m the poperty and Cat wms the property w is buying under a co�tracl
rc Wy'e�g om m�tracl, Fee Simple ownefa reme
Rewdefs ot6ce where caNe4 is recadad
Twrsldp
��ar�a�, r�
N erry portion of �ha reside�rtial struchae n Me IarM nol exceading one
d Ihe yoperty uliEmd b ploduce rt�mne.
Ta�g di�rir,t (cYy,
Is Rie
Recard num6er
Pege
a�w�b LJ Moa� Ho� ��.c. 6,.,-n
is used tn produce'v�mme. de.4aibe the um and partion