Homestead_Gallant • SlOE I ORM!AM°Chop TREASURER F(0.4 31A
AITRP'E0 BY sic,.RMRDrF AMR-NT,.Ziy RtISMBFDOY 111r DEPARTMENTOFLt flr stRVMrNT FINANCE I('.4-t.t-r-1.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couplth arc limited to one home:mad standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than eser for homestead hand.Ilomesteal fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to medic he
benefit and to provide additional identifying information nest.r-rry to allow county government to better monitor homestead
tiling',.This information will he kept confidenninl and can only be acetxcnl by amhnri<ed county officials.The Ikpanment 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
Gallant, Richard J/Denise C
004-01942-00 COUNTRY AYRE 1S'F#2 23
Uauhstadt IN 47639
11005
Richard J/Denise C Gallant
1738E Sierra State Parcel Number Legal Description
HAUBSTADT IN 47639-7976
I I I I III I I I I I III I III I I I 'I I 26-23-16-100-001.942-024 004-01942-00 COUNTRY AYRE EST#2 23
t o rur nn t taut r unit nn t o urr D-9
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
•(g Address(number and stmt.city,state,and ZIP code) -- --- - - D-'5one as property address --1-13i L. 15C. ga-ub s 'f72-d 1--- In/ q 7639
Spouse First Middle Last
Mailing Address(Number and street,city,stale.and ZIP code) IJSaune as property address
addr ' / `70/
/ 2 3 V C. Sig Ky<,✓ r, /�a wb use"Aa_c� .T/V 7 x9
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.
Own r I Signs e Date
e`�, rt•�
.4 t CLAIM FOR HOMESTEAD PROPERTY TAX
= CREDIT/STANDARD DEDUCTION
` J SUte Fwm Sa73 (RS / 10-01)
��° Prescri6ed by the Department of Local Govemment Finance
INSTRUCTIONS: See reverse side /or (iling instrucfions.
FORM M YEAR _ �
Hc�o D� �
I(We) ��" `" t"�'"'�-- " �"�`� '�`^"-� i(/1�<�`�° �"'� certify that on iti� 13i d�y bT M42f�14; 20_
I(VJe) occupied as our principal place of residence lhe following desc�bed real property for which a Homestead Pr �ert�isreFeb]�
❑ I(VJe) owned ❑ Are buying under wntracl i
�iave a benefidal interest in the enGty that is liable for the property taxes on lhe prqperty and that owns the prop6i�SQWtSiifii ngalriilck�acoArsc4
c�irs�:r`°�.�.�'/''s`'..t .:���•�,fu,tf �-;-t �.c;'f.;"':::CONTRACT'RECORDED.: [. ''•a� - " . .
It buying on conlraa, Fee Simple owneYS name
Recordefs ofice where wntract (s recorded Record number Page
Tavnship
Uo u o/g��-� %
I( any portion ol the revAenlial sWClure w Ne land not
of tha pfoPerry uWized W produce i�xome.
�o���Y
Tonnship
Taing tlistrict
Q ^'�� � I Is Ue prdpafty in questiop:
`� Nl
❑ Real pmperry ❑ Mobile Homo (LQ 61J-7)
aue �hat immedia�ely surrounds Ihai swcture is used lo produce fntome, desaihe Ne use antl portion
. /Da -GD/.
I hereby certify the above sfatements are W e, wvect and wmplete.
city, sfale-i{P code)
County
- D�
,�- .v ,
�''�,���x°ASSESS RUSEONLY ��?`�'�f��� �sTRUETA7( ,� ASSESSEDVALUE:>HOMESTEAD's�'Sr�jNON,RESIDENTIAL`�t�y�,
�, -i,�z`.`.<.::a.£ ..a','�..s'..rz..=-;-.¢ t'..�a�'`^�r'.��YVALUE., r ��AT.100%OF'TN VALUEqt'-�...i: 's..Y ,.VALUE�-.,+..��Y.'-
Land not exceeding 1(one) acre immediately ' ��ti H�""� ��.'�> "=
surrounding residentlal improvements. ( � `� , z„�..M�,� ��,`,�s„n zr;:� i�.;��
Other land 2 i���,� "' .�:� '
( ) i...�.-��a, s;?'r
Total land (line 7 plus line 2) (g�
�t.._� e � �� _ .:.
Dwelling (4) �; � �, ic�'�t�r N�' ` u�.y`�c�°'
Residential improvements '" -`� � �� _ •nr x � � cri`�b
,,,�a � .�"�y' ,q,f,*.�'
Garage (5) .'� 7�+.,� - orA�$" � .h:i;-
..i.> ,.-�.�:�?�.�?'.�i.
'P>p
� ��4 c
Olher improvemenis (6) y{fi i.��az:�.
,-i_3
TUaI improvements (line 4 through line 6) (7)
7dal value (line 3 plus line n (g�
I hereby certify the above is We, correct, and Signature o(ASSessor � Date signed
complete.
Verifying aclion - SignaWre oflwditor Date signetl
20_Pay20_
Lesser of tl2 Homestead
Valuation or 56,000
3
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