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Homestead_Harpenau (3) STATE FORM 555%(R3/610) _ 'MEALn FORM TS-IA
APPROVED BV SLATE BOARD OF ACCOUNTS 209 PRESCRIBED BY THE DEPARTMENT OF L OCALCo5TANMENaFINANCE IC 6-1i-222.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
Pnnceton, IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore,
FIT E HEA 1344-2009 and to p requires taxpayers who receive the ation homestead standard deduction to porovidiee
to beucr mom[or homestead
filings.11ii information will be kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will tile this information to create tools that,will help county officials eliminate homestead fraud.
• PART 1: PROPERTY INFORMATION ' • '
•
APR 1 3 2011 Taxpayer Name Location Address `
C h Harpenau, Mickey G/Valarie J
1301 W CLOVERDALE CT
GIBSON COUNTY AUDITOR c - HAUSSTADT IN 47639
2934
MickeyC & ValarieJHarpenau .1,1111.11111 ElIEl HEEliElifhlil11111111 11.111EUEl111111111111111EUII II
1301 W Cloverdale Ct -
HAUBSTADT IN 47639-8761
"1il' 'i1'I'III"I'I'III'illtl1iilil1l1titllttll1llllttlt1t1"11 State Parcel Number Legal Description
26-22-12-300-002.205-024/THE MEADOWS LOT 12(2.12 AC)
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-INFORNIATION
Oa_ . I First - - _ Middle Last
/vll`ckec� levy i r et_.re `v ct U
Mailing Address(number and street,city,state,and ZIP code) ® Same as property address
13 o I (A) C I a 0 f ret d e C - l ta-U;: °s/f-acL,�f LA q 7 l� 3 �r -
Spouse - First Middle la st
1JC l ar I e e a r� e�n.2r( �
-T-- _--- - - ��
r Mailing Address(Number and slider;city,state,and TIP code)"T'_ - lay Same asp 'eny admess
'
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 Signa , Date '
-
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Sleta Form 5/73 (R6I4-03)
ROeaibed by tM DepaMronl al LOC81 Gmelnmetrt Fm2nC!
MSTRUCTIONS: See rewuse aide hrlIDnp iqbycbont.
V " FORM
Hc�o
% � .. !' y :7 ,w .
� F� �` _� � � -
I (VJe) `
I(We) occupied as our 'ndpal place of idence lhe following described real pmperty (or which a Home eaG
❑ I(VJe) owned ❑ Are buyin u der contracl GIBSON
` Have a benefidal inlerest in the entiry that is liable for the property taxes on Ihe property and that mms lhe p
If buying on conVaq, Fee Simple ownefs name
conVact is remrdetl
7avnship
Ta�ing district
�uT ���V� '�Legaldescription IlstheVm
— T
ponion of Ne residentlel sWcWra w Ne land not exceeding one (1 � ave lhal immediatety surrounds that
propery utilizeA tn produce i�ome.
—i!/X—/�f_n ")/ [/�
YEAR
FfeT§1ba7�4FNlarch, 20
T�c Credit is hereby daimed:
a conVact.
Record number � Page
question:
teal Dmperty ❑ Mobiia Hwno Q.C. 61. f-7)
�e is used to protluce income. descnbe Ue use antl poNon