Homestead_Helfrich (5) •
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.AITROVED BY MIL w'RDOr MYVR INT,._nu RREY(AIBFD BY TM BEPARTMEIT OF LOCAL ooremmrea M A:CE M6-1.1-t-J.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to or homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than e'er for homestead fraud.I lomesteal fraud causes higher tat bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to reecho the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only he accessed by authorised county officials.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
Helfrich, Blake
�2 Box 217-\
Ilaubstadt IN 47639
3166 new address-011 sysiem) 01C
Blake Helfrich
%LI E. a
lol5�S
R2 Box 217 A RalAbs+adt-TN State Parcel Number Legal Description
HAUBSTADT IN 47639-8040 2
ir�u�int�tI�n n�I �t�n�n itiinu�n�ll I�u t�D iiiI x(.03 26-19-32-101-000.164-024 004-00164-00 MACK CURTIS 47/48PT
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 INFORMATION
Owner I First Middle Last
3�• . - I hefra6
'lg Address(number and street,city,state,and ZIP code) O Same as property address
5I o�1 E �ca5 S . ck_L 7LQ33
•
Spouse First Middle Lan
Coss �e (vicole Net r cH
Mailing Address(Number and street,city,stale,and ZIP code) I I Same as property address
5PR \W5 3 . I- ale bst041- IN y7(.o39
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 PROPERTYTAX
CREDIT/STANDARD DEDUCTION
Stete Fortn 5473 (R614-03)
PrescribeA hy Ne DepaMUnt W Local Govemment Finance
INSTRUCTIONS: See iererse side /or filirg ins6ucbons.
FORM \�' YEAR
HC10 �
� � �
� N`'eJ �� certify lhat on the 1sl day of March, 20
I(VJe) occupied as our principal place of residence the Ilowing descnbed real property for which a Homestead Property T�c Credi is hereby daimed:
Oijz�., ,c%%�
❑ I(We) owned ❑ Are buying under contract
c y OUN TY AUDITOR
' Have a benefidal interest in fhe entity that is liable for the property taxes on the property and that owns th��tp�rry�r is bupng under a conVaU.
If Ouying an contrad, Fee Simple owner's name
RecoMe/s ofice where canirad is
7avnship
VVn l vv I V y�I Le9�Qe:
�
H any poNon of Me resitlentlal sW cWre w the lantl not
of the properry uL7ize0 b produce iMOme.
County .
acre
-/ / ' a')rrS -/F// -(,C.KJ /(� 7_
,-.: - _,_ ._-- K -- - — - -- - - -
��i ,�.6�`-�-�-'�'�:;:�'.�FROP.ERT:-`(;OINNE016YCL'AI
Twvnship
I hereby certi(y ihe above statements are We, wvect and complete.
Ad�ess,(Pumber and sbe�(, city, s(ate, ZIP code) .,
Record number � Page
7ating tlistrid (riry,
the vmcerN in
n �1 Real praperty �,J Mopile Homo (I.C. 67. f-n
sunounds Nat swGUre is used b produce income, desaibe the use antl portion
Twvnship
20 _ Pay 20 _
Lesser W 1r2 Homestead
ve�uauon w 535,00p
S
Date