Homestead_Fauquher SINE FORM 53.W,c't.-N1 tltASURIA FORM:11A
APPROVED BY SINE MWROOF"en n,qi'UN PRIXIUBW BY lilt DEPARME3tl4 LOCAL CMERNSIMT!NANCE IC4L1_l.l
Gibson County Auditor
101 N Main :IMPORTANT NOTICE TO HOMESTEAD PROPERLY 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 exer for homestead fraud.Homestead(mud causes higher tax bills for all:therefore.
0 HEA 1344-2009 requires taxpayers who restive the homestead standard deduction to verify that they are eligible to receive a the
benefit and to provide additional identifying information necesa n'to allow county government to better monitor homestead
filings.Diis information will he kept confidential and can only he accessed by authorised county officials.The Department of
Local Government Finance will use this information to create toils that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Fauquher, Bruce A/Carol J
CR 1200 S
Ilaubstadt IN 47639
9614 C`'
Bruce A/Carol J Fauquher
3259 W 1200 S State Parcel Number Legal Description
Haubstadt IN 47639-8649
111111111 iii iiun1liii111 iu hnllntIuIItIiltliii 1t1n11nt1 26-22-16-200-000.190-024 004-00190-00 PTN NE NE 16411 2.60
X AC D-2
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
D12vcE A-L44 -FAuQuEl €IC
tg Address(number and street,city,stare,and ZIP code) t Same as property address — —`—
251 W 1 2005 1-IA/u8STA-OT IA/ 1tr7& 39
-
Spoue e,'r ito L First J EA-� Middle �" Q (--1 e Last
Mailing Address(Number and street,city,slate,and ZIP code) �S7I Same as property address
3164 W 1.200 5 14-14u 6S TA-01--; 1,3 q�u 3 7 '�Y
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
•
•
4� O
: ��
� i
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fortn 5473 (R2 / 592)
FORM
HC10
YEAR
�ea.ti
INSTRUCTIONS: See reverse side lor /iling instructions. -
TIFICATIO S TEM
/
I (We) ifyjF}altor�h�t��of March, 79_
111. 1
I(We) occupied as our principal place of residence the following described real pr erty for whic Homestead Properiy ex Cr it is her y imed:
❑ I(We) owned ❑ Are btrying under contract
❑ Have a beneficial inierest in the entiry that is iiable for the propeAy ta�ces on the property and that owns t pro e p����?ontract.
G18SON COU
� CONTRACT RECORDED -
If buying on convact, Fee Simple ownels name
Recorders office where conVact is recortletl Recortl number Page
PROPERTY DESCRIPTION
County � Township Ta�dng district (ciry, to , owns i �
Parcel b Legaltlescrip6on
� � _//
I ny ponion ot the resitlential structure or the land noi exceetling one i) acre that i mediatety surrounds i[rucwre is used to Oroduce income, tlescriEe ihe use antl portion ot
Ne property iYUlized ro produce income.
�'� - - oo - . o -Oa �
� PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
Caunry Township Counry Township
Si t ot daima t�
•ereby certify the above statements are true, correct and complete.
Addre ( m6erands(reeGciry,stafe,ZlPCOtle)
. � Box�o3 l�au�slr��lf �nI y7(a3�/
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately (��
surrounding residential improvements.
Other land (2)
Total land (line 7 plus line 2) ' (3)
Dwelling (4)
Residential improvements
Garage (5)
Oiher improvements (6)
Total improvements (line 4 through line 6J (7)
Total value (line 3 plus line 7J (8) .
I hereby tertify the above is true, coneCt, and Sigramre ot nssewr Date signed
complete.
Verifyin9 action - SignaNre of Autlitor Date signed
� STANDARD DEDUCTION ALLOWANCE
79_ Pay 19 _
Lesser of 1/2 Homestead S
Valuation or ,000
Signamre of Au ' r Date s'� ��