Homestead_Hasenour MATE FORM SsaIRU ,Pq tRElSIMI*COIN 7.3-1A•- .APPROVED BYSISTE BOSRDOI'MNTRJNIS.9w rREYWarn BYTIEOEYMhnurewLOCAL IXn24YMElN FINANCE IC 61.1124.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and flurried couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than escr for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requites taxpayers who receive the homestead standard deduction to verify that they are eligible to remise the
benefit and to provide additional identifying information necesurs'to allow count'government to better monitor homestead
filings.This information will be kept mnfdcntial and can only h:accessed by authorized county officials.The Department of
Local Government Finance witl tae this information to create tools that will help minty officials eliminate homestead fraud
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Hasenour, Frederick J/ Delores R
R 2 0
Haubstadt IN 47639
11055
Frederick J/Delores R Hasenour
2440E Warrenton Rd State Parcel Number Legal Description
Haubstadt IN 47639-7964
II III I I I I I III I I I I I III III 26-23-16-400-000.419-024 RIDGE MANOR ESTATES 1 LOT 3
to utt ref f roof f of nt e r n i``
PART 2:TAXPAYER INFORMATION -
Owner I First Middle Last
PRFnctejoK o (C /� 4 SKNoaR
tg Address(number end street,city,state,and ZIP code) -- --- Same as property address-
/ _
Spouse First Middle )) Last
DE�.ot?ES R SE /-7//A _q EWOliR
•
Mailing Address(Number and street,city,state,and ZIP code) 'Same as property address •
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
FOflM MC 10 19i9
Pre5cri0e� By State Boara oi TaK Commissionea
CLAIM FOR HOMESTEAO PROPERTY TAX CREDIT FOR YEAR 19Z
io Be FiIM in Ouplicate
SEE BACK FOR FILING INSTRUCTIONS �yD�`oO�/� n�
/J C/ C/C/
�(We) d'k�v �i���Sl �°f" �.�,�� certify that on the 1st day of
arch, 19 � I, (we) occupied as our principal place ot residence the following described real property for
which a Homestead Property. Tax Credit is hereby being claimed: /
I, (We) O owned . p'(o'p�a7 -�CO -/v�l -QO�. // 9 Qc�T
❑ are buying under contract �
❑ have a beneficial i,�t�rest,�in the taxpayer // ,
Property Description in-�"��'"`-"
Taxing District GCit�--�ewa—Township):
Parcel Number
If buying on contract: Owners name «� simoie ow�en
nty
Township
or legal description shown on tax statement:
f�r. �� 5� � /�-'y / a . 75 �-�
Contract recorded in Recorders Office - Record No. Page
If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
structure is used to produce income, describe the use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property:
�hereby certify the above statement is true, correct and complete.
_ �. / e
County Township
Sta:e and 2io Code
Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in ihe taxpayer.
f� i L• ��Y ��Y � L i FY � bY �iP I� i
Land not exceeding 1(one) acre immediately
surrounding residential improve�nts� � �
Other Land �
Total Land
Residential Improvements -���� ` .i �97Dwelling
Gara
, , b-�C�
Oiher Improvements !+UDI70R
Tr'-' Improvements - Line (6) plus (7) equals (8)
I�by certify the above„is true. correct. and complete.
Assessae
Approved
True Cash
Value
( � ) � @--o
(2) - _ �
(3) S o-o
(4) �, lo o2v-o �
�5� �,r_ /Lz�
�6> a � a�
��� � o _
(a) di (c o� d-+�
- ACTION BY AUDITOR -
Assessed
Valuation
/ 7 0
— o —
/70
__�
Homestead
Valuation
i .�. -r-- - �.
�-�-7i
Da:e �
Date: � �-C° � 9