Homestead_Hasenour (6) data rnau!rv..nc 1 w.l 1REASUtUA EOM(IStA
.VrRrn'En DY snit MV(DOF!tr',NTS.2g PRIsCRmm BY 111E DErMfNEYr(FL(RAL(gnatmasa FN&CE IC 6-1.1-2241
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 mote incentive than e'er for homestead fraud Homestead fraud causes higher tax bills for all:therefore.
® HEA 1341-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This infnrmaion will he kept confidential and ran only he accessed by authorized county officials.The Depanmem of
Local Government Finance will u-c this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Pr - . •
Hasenour, Martin A/Patricia A /0'7`,51 S 270 LO
sH-RHoe?nN a-a--
• :ranch IN 47648
7179
Martin A Hasenour
10456 S 290 W State Parcel Number Legal Description
FORT BRANCH IN 47648-9103
�rlulltnitllntIuIIu ItIt ItunIIII IlIIitlnllIulntll 26-18-34-400-000.710-024 004-00710-00 PT SW SE 34311 .92 AC
X D2
•
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
_ /3'Ja,i71n A Hasenour
IDAddress(number and street.city,state,and ZIP code) - Same as property oddlesi- — -— '---
/b4fSG S 496 GU Farr Rranc% ,, n +16 4t ?
Spouse First Middle Last
Parrs c l a A. Aast°nour
Mailing Address(Number and street.city,state,and ZIP code) E'Same as property address
/04"510 S 079) a). POrT 1POnc sn 9'1 G 9?
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 / (
•
CLAIM FOR HOMESTEAD PROPERTY TAX D�� FoRM YeaR
� CREDIT/STANDARD DEDUCTION � HC10 �t�
� Sta�e Fwm 5473 (R6I1-03) L — 1 -�
Prescribed by the Department W local Govemment Finance �.1J� fi �',...J ��
INSTRUCTIONS: See reverse side forlilin9 instnictions. �'� ' h,����! tL
--' . `�f {"(w .,,? �'e-�x. r,c.i `�-ra-_ CERTIFICATION�STATEMENT,7t+..'"x-f�'r'.�-- �' .'r-:���!�,'?i!': i.�z''�. �=_:..'�r{ ��'.
c x �- =,rlvs�c-..��Y'
r1�1s3��a..,..t,+.s-.a.ir�rcc��.c%�s=.-savicn_�vr.:€`?' �...,. aY!�"�,�,+"�:+r
I(We) � certify U^iat on the 1st day of March;120 /1
I(Oye) occupied as our principai place oi residence the following descnbed real property (or which a Homestead Pwperty,T�c;Creditis hereby daimed:
! r
l�l I(We) owned ❑ Ne buying under contract •� aSO�• '. �� •� . uL� C.
�Have a benefidal interest in the entlty that is liable for the property taxes on ihe property and ihat owns the property or is buying under a contraU.
If huying om m�tract, Fee Simple owners name
Remrdefs office where wnVacl is recordetl
Cou^ty � TamshiP � Tacing tlislrict (ciry, tq�n, township)
Parcel number L al descnption I Is Ihe
�s `� i— 51,\ �5 � 3v— 3—I/
RecoM number �Page
❑ n,owie Ho�o
It any portion of ihe resitlentlal sW ctura w Me Wnd not ezceetling one (1) ave that immetliatey surrounds that swGUra is used b Oroduce income, describa Ne use and poNon
W ihe prope ulili m roduca income. ��
Oo4-oa'1/p_ 0 0
IB-3'f-4o6 q�,3r�l���-� ��— ��— ��f �7///J_�T/S7). %i���„?S�-
":��"�`"�'�'��..",u.��.���i��'�,�����i-`STANDAR�:DEDUCTION'ALCOWANCE:-='���u e::�'�s���-�:�`��s°r���`������=
20_Pay20_
Lesser of 1/2 Homestead
5
vauauon or E35.000 .
SignaNre of PUditw " Date sgnetl