Homestead_Hasenour (7) •
SIAM FORM:Wt tie/!-1741 TREASURIA FOAM TS-IA
APFRCWEDOY MATE NINE Dr1Fs •Jtc.Mn PRFANamnT nit DEMnIE`ar OF LOCAL GOVERNMENT FINANCE K' 1.1-14.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
_ more beneficial.there is more incentive than eser for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-21)09 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reecho the
benefit and to provide additional identifying information necessary to allow county govemment to better monitor homestead
filings.This informatnn will he kept confidential and can only be accessed by authorized county officials.The Depannlem of
Local Government Finance sv ill use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY LNFORMATION
Taxpayer Name Property Address
Hasenour, Scott R/Diane ya ul. 77S S,
- bs--
HAUBSFADF IN 47639�\L,
8136 f161
Scott A Hasenour
48 W 975 S State Parcel Number Legal Description
HAUBSTADT IN 47639-4800
Irlrtilr �t��rrrt��r�t�t tr�tt��tt�t��ttt��ttrt�tt��tt�t�rtt�� 26-19-31-201-002.364-024 NW NE 313105.00 AC
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PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
5 Gn R t F 0 en • u
ag Address(number and street,city,state,and ZIP code) - Same as property address - -
161 -
91 . 975 5 . Haab5fadf- . I7 4 39
Spouse First �yy� Middle Last
0iton lflOriei Ha5ennur
Mailing Address(Number and street.city,state,and ZIP code) 1 tame as property address-
I
(..4) 7 5— 5 . Novb S-Io,11-. N , �oJ 47 4 3
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
•
•
the- e lop et> A-Ad1c55 r ,`nCnrfee+
L 9aue. 4-h e_ r.nrrec+ one -
CLAIM FOR HOAAESTEAD PROPERTY TAX
CREDR/STANDARD DEDUCTION
smm wm, sar3 cR� i soe�
Prasabed by tlie Daperhriart oF Lool Goram�erd Fe�anm
INSTRUCTIONS: See ieverse side (or filmg instructions.
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I(We) ocwpied as o� prmdpal place of raaidence the fo8owing descnbed real properiy for which a Hm�esMad Propaly T�c Gedit is hereby daimed:
I(We) owned ❑ Me buyug unda mntract
Have a benefidal crteBSt in Me entity fhat is liade fa C�e poperty tazes m the propgly and tl�at orns Me property w is buying under a cantract
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fbmdefs al&� whae m�bea is re�ded Ra�d numDer Pege
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I heieby oertiy ihe above 5fa�ts are We. cared ard carp{efe.
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I here�y certify the above is true. corred, and Sie�mae of Avmsar Date sip�ed
�e.
Vaiying aWan - Si�m4ne of NdNOr DaOe sipned
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20 — Pay 2b—
Lesser of 12 Homestead
Waluatim or 535,000 S
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