HomeMy WebLinkAboutHomestead_Dunlap ,IME FONM"-5-.r/%7I ., TtTASUIER FORM 75-IA
APPROVED BY'MME MVIU OI l Alg9N PVgtnm BY TIE OEPMMLYT OF LOCAL fOVttNMrfl Fa:.4UCE ICH.IQ>f.l
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS.
PRINCETON IN 47670 Individual and married couples are limited to one home stead standard deduction.As the receipt of this deducion becomes
more beneficial,there is more incentive than on for homestead fraud.Homestead fmud causes higher tat bills for all:therefore.
• HEA 13-74-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reeche the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
flint..this information will he kept conlidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will me this information to create teals that will help camp officials eliminate homestead :laud.
PART 1: PROPERTY INFORMATION 'A
Taxpayer Name Pro.ertv Add - -s
—. Dunlap, Tom
R 2,Box 152P
oartlaubsmdt IN 47639
11002
Tom Dunlap
1700E Sierra Dr — State Parcel Number Legal Description
Haubstadt IN 47639-7976
III nI I e I r I a I ru III u I III I I I I III 26-23-16-100-001.926-024 004-01926-00 COUNTRY AYRE INC EST 2
n n
t at n r car t u cat Xr LOT 22
- ? _ _ .' PART 2: TAXPAYER INFORMATION;' 1,
Owner I First Middle Last
Th l'iphitc N , D idt>1 l e,
fitg Address(number and street,city,smte,and ZIP code) — ---_lRi Same as piapeny oddity; - —- — -- — -- --
[ -lot) E , SjitYh Vr_ -H A-v-h ihati- 1/V Ll7413 61
Spouse - First Middle Last
DOnnet C . Dvhtet
Mailing Address(Number and street,city,state.and ZIP code) g Same as properly address
YeitYPI C.
x i_ , 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 attire Date
.
.11
:} CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
,r Sute Fwm 5473 (R6l L-03)
Prescnbed by ihe Department of Local Govemment Finance
INSTRUCTIONS: See reveise side Ioi Iiling insfmclmns.
FORM
HC10
YEAR
�(We) certify that on the 1st dnay ofM�7 , 20
I(We) occupied as our principal place oi residence lhe follo ng described real property for which a Homestead Property�c �re�t s h6�daimed:
❑ I(We) owned ❑ Are buying under contract (ni�
� Have a benefidal interest in the entity that is liable for the property taxes on the property and that owns the prap��erty or is�.buyjng�urnde�a,con��tra�
If buying om m�lrad, Fee Simple ownefs name
Remrdefs afice where conVad is recordetl
Toxnship
P\N ` ���� l..l JlLegaldeu p\/�il�
If any portion ol ihe residentiai sW cture a the land nd exceedinp one (1)
of the propery util¢ed m produce i�ome.
Counry
� � -��2� �� -
�����'�PROP,ERI
Twvnship
I hereby certify the above sfatements are We, corred and complete.
rQs� (nuq�bey�nd sheet, py sfate. ZIP code) . . 1 . ,
Record number � Page
Taing dislricl (city, town,
��� T�Real DropeRyv ❑ Mobila Homo (LC. 61.1-�
wrrounds that sWCWre is usetl b produce incane, desaibe Ne use and portion
a �-
�/
Tavnship
20 _ Pay 20 _
Lesser of 1Y2 Homestead
vauauon a E35.000
$
AudRw� \ �"ii _ �h �� �Date