Homestead_Geuss MADE FORM 5371.9 IR_r1-.N1 1RFXUEEA FORM i3IA
.APFRm'EO BE STATE BOARD OF AmnLTc, IXn PRIYNDID BY riff DEPARTCYa OF LOCAL CAVERNMFA"L FINANCE M 41.1.•'4.1
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 et er for homestead fraud.I lomestead fraud causes higher tax bills for all:therefore.
® HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information neeessary to allow county government to better monitor homestead
tiling.This information will be kepi confidential and can only he accessed by authorized county officials.The Department of
Local Government ent Finance sill me this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpaver Name Prnpertv Address
Geuss, Darrell A
435 Winstead WAY
Evansville IN 47712
3404
Darrell A Geuss
696 E S R 68 State Parcel Number Lefal Description
HAUBSTADT IN 47639
26-23-05-300-000.797-024 004-00797-00 PT W W 5 4 10 .6198 AC
D-9
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2: TAXPAYER INFORMATION
Owner I • First Middle / Last
n-rr-e l ( • �2 //f/ 6-ce 0 5
.g Address(number and street,city,state,and ZIP code) Same as property address
9 C f_ 57/ctiEr / 6 g ,Y 04 tiff �� y7& y
Spouse Firs" Middle Last
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
__ Sate _
PART 3i 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 his property. Each undersigned also understands that,by claiming additional homestead deductions
unlawfully,he the may be liable for b./taxes and substantial financial penalties.
Owner 1/40/11.111.°
Date
•
%
�:i' � =.!`�7X' �i'h�.i
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
smm ram s�r3 �a � soa�
Piewibed by �he Depertrt�gnt of Laral GovenvrK.+rt F"v�ance
INSTRUCTIONS: See ieverse side for filing insWctions.
FORM �j" Y�
HC10
�(�4'e) _fj�/ (i/Z/`t.P �X iE�i'�.(.L�J:� l�7 LLf S S certifY �� Q�e'�1 s�w�n of March. 2b_
I(We) occupied es aa prmdpal pWce of residence ihe foDOwirg desaibed real property for which a Homestead Property Tmc Ge�d/it �is hereby daimed:
❑ � M�) a�� ❑ Are buymg under mntract � N�J°�
�Have a benefidal in0erest in fhe entity that is IiaWe for the property �ces on ihe {xoperiy and that ams���r����ryyragg�tp@F8 contraci
tt buyvg om m�traq. Fee Sirtryle ownefs rertie
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Tw�nship
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bwn.
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H arry partion of Ihe resideNial airuArte w the I�d nal mcceading ona (1) x+e Mat unrt�edately sunwntls thal strWUre is uaad b produce'vimrt�e. deacribe tla use entl Pa�n
d the property uti5md b produca uimna.
fi��t•'-'aR�.w�...i"�'�'in°C�%�h.'.�'ia�`��?��,.»i>e...'i':f'',1,'�'s�.:STANDARD�DmUCT10N'AI:LOW{WCE:rvr i,.� 1• za* �:;�' s „:r�'z>rt;�
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� 20_Pay20_
�esser of 12 Homestead
Valuatian or f35,OD0 S
SignaCire of Ndtur Dau signed