Homestead_Happe STATE FORM 5!M IICI vPI TREASYIFA FORM 3IA
Arras EB BY MATE BitARD OF AgTi '.-.c PLEallInm BY TIE DEPARTMENT(If LOCAL GOVERYML.S'i PB:..ANCEMLI.I-2r4.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individua6 and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever for homestead fraud.homestead fraud causes higher tae bills for all:therefore.
dO HIM 1344-2069 requires taxpayers who receive the homestead standard rk-duction to verify that they are eligible to receive the
benefit and to provide additional identifying information ncce'.saty to allow county government to better monitor hornestead
filings.This information will he kepi confdemial and can only be accessed by authorized county official-The Department 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
Happe, Dean A/ Laura M
• ■ R3 Box 310-b
Ilaubsmdt IN 47639
10884
Dean A/Laura M Happe
898E 1200 S State Parcel Number Legal Description
Haubstadt IN 47639-8818
r��r�r�r r�re�r�rr�trrl���rl�r�r�rr�rr�r�r�rt� 26-23-08-300-000.97$-024 004-00975-00 PT E SW 84101-02 AC
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PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Dean A /an ,a Pte
ag Address(number and street,city,state,and ZIP code)
Same as properly address
Ill
8 9 8 6 /300 s //au bsJ4d/, r-/l/ 1/7637
Spouse First Middle Last
Lau au Mae Al4PPe
Mailing Address(Number and street,city,stale,and ZIP code) I f ❑ Same as propene address
R98 E /aoo 6 !hubstki./, /v A/7639
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 he may be liable for back taxes and substantial financial penalties.
Owner 1 Signal re Date
all
C�-1~R .
; CLAIM FOR HOMESTEAD PROPERTY TAX
_;��: CREDIT/STANDARD DEDUCTION
�;; � State Form 5�73 (R2 / 5-92)
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INSTRUCTIONS: See reverse side Ior liling instructions.
� - � � � � . ' � CERTIFICATION'STATEMENT . _ ` _��'��
I�We) RK i� �--Q.. .�a.� (C ��-63 n s�. certity�that on the lst day of Mamh, 19_
�) occupied as our pr nc al pla of residence the following described real property�tor which a Homestead Property�7ax Credii is hereby daimed:
�(We) owned 0 Are buying under conirac4 �
❑ Have a beneticial interest in the entity that is 1ia61e for ihe property taxes on ihe property and ihat owns ihe property or is buying under.a contract.
- • � ��CONTRACTRECORDED � � -
If buying on coniract, Fee Simple owner's name . - � . .
Recorder's office where contraa is recorded Record number Page
Counry
Township
PROPERTY DESCHIPTION
fOwn.
Parcel number I legal description � I 1
�, ex� �1 • t�4 z5 - c� a �
It any portion of the residen;ial structure or ihe IarM rrot ezceedirg one (1) acre that immedia;ey surrounds thai swcture is used to produce i`xome. desaibe the use and portion
of the prOperty utilizetl to produce inCOme.
'/ ' . _ . • � _ . -
Si�i�/1.�f�7I!/G
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ASSESSOR USE ONLY � TRUE TAX � � ASSESSEO HOMESTEAD NON-RESIDENTIAL
VALUE • VALUE. VALUE VALUE
Land not exceeding 1(one) acre immediately -
surrounding reSideNial improvemenis. . (�) �
Other land � (p)
I
Total land (line 1 plus line � (3)
Dwelling (q) � .. � ��
Residential improvements
Garage (5)
Other impmvements (6)
Tota� improvements (line 4 through line � (7)
Total value (line 3 p6s line 7� (g) �
I hereby certify the above is �rue, correci, and Signature ot Assessor Date signed
complete.
�ing action - Signature of Autlitor - Date signed
- STANDARD DEDUCTION ALLOWANCE � �
79_Pay79_
Lesser of 1/2 Homestead '
Valuation or S2.000 5
Signature of Aud� or . Date signed
'�_