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Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 IndividuaLs and married couples are limited to one homestead snndanl deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ner for homestead fraud.homestead fraud causes higher tat bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recent the
benefit and to provide additional identifying information nectar;to allow county government to better monitor homestead
filings.This information will he Leo confidential and can only he accessed by authorized county officials The Depannrent of
l.ucal 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
Egneu, Charles A/Doris \f
R2 Box 199 C
Haubstadt IN 47639
8327
V✓
Charles A/Doris Egnete
605E Eisenhower Lane State Parcel Number Legal Description
Haubstadt IN 47639-8035
Illttllttlltllttttllllllttlttllll Ilttllllllttttlllllllttl 26-19-32-101-000.257-024 004-00257-00 MACK CURTIS 23
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
CNAR1E5 AtAit/ a IA/
•g Address(number and street,city,sate,and ZIP code) j'Snme as property address — - --• — — --- -
051 [-1,5E4//184/Ef /.t,✓< l-JAa5s%thi X/✓ 1763
��
Spouse D ofr/ S First A A/� Middle E GNE Last
Mailing Address(Number and street,city.state,and ZIP code) /V Same as property address
‘OSE EjsnAigoJae ' /Awn /JAu9s /f ,4 _z- 7y7
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 1 Sign Lure Date
�,E n„�
a.� °Y CLAIM FOR HOMESTEAD PROPERTY TAX
i��'= CREDITISTANDARD DEDUCTION
�,��� State Form 5473 (R2 / 5-92)�
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INSTRUCTIONS: See reverse side �or filing instruc�ions.
CERTIFICATION STATEMENT -�
FORM
HC70
` .i II il .�1
( �
) ��_��-�1_�`�- �� certify thai oq�� s�idy q�h. 79�
�) occupied as our principal place oi residence the following de ibed real property for which a Homestead Property Tax Credit is hereby claimed:
I (We) owned ❑ Are buying under contraci ,- ��¢ �- %L� . ...s
,< <.�
n.. �
❑ Have a beneticial interesi in the entity that is liable for the property taxes on the property and that owns the property ocis buying under a contraci.
-. . CONTRACT RECORDED - . ��
It buying on contrad, Pee Simple owner's name �
Recorder's ottice where mntrect is recortletl Record number Page
Caunry
Parcel number
Township
Legal description
tli5trict (city,Jown,
C`�c� y-C�as I-a� I I d IC�.e�.�C. Cu,t_� �t �.
If any ponion of the resitlential simaure or the land not ecceedirg one (7) aae that immediatety surrounds that structure is usetl ro
ot ihe property utilized to produce income.
describe Ne use and portion
PROPERTY OWNED BY CLAIMANT IN OTHEfl COUNTIES
�^unty Township County Township
eby cenify ihe above statements are true, co« ect and complete. �9na� re of aaim m
Address (number and sfreel. uty, sfale. ZlPCOde)
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON•RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately
surrounding residential improvements. (�)
Otherland (p)
Total land (line 1 plus line � (3)
Dwelling (4)
Residential improvements
Garage (5)
Other improvements (6)
Total improvements (line 4 (hrough line � (7)
ITotal value (line 3 p4s line � (g)
I� hereby certify the above is true, correct, and Signamre ot Assessor Date signed
plete.
ving action - SiqnaNre ot Auditor Date signed
STANDARD
19 _ Pay 19
lesser of 7l2 Homestead
Valuation or 52,000
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