Homestead_Hess ST Vf InKM`!NIR r 4N1 TRFAS1:LtR FORM71.1A
.SrrRovEB BY ST\Tt.B IRO M Mf/e:'ti.yn p.rnmED BY air DEPARTMENT OF LOLL GOVERNMENT r:n\CE IC 4-I.1-2_4.I r.
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 become:
more beneficial,there is more incentive than ever for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
HEA 134-1-2IX9 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to receive the
benefit and to ptovide additional identifying information necessary to anew county government to better monitor homestead
lilinte'.This information will he kept confidential and can only be accesml by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead thud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Hess Daniel T/Judi L 3 ,/if
Y CR 1025 S
Haubstadt IN 47639
8294
Daniel T Hess
348E 1025 S State Parcel Number Legal Description
HAUBSTADT IN 47639-8041
1P1u11ut1t11 un11 t1t1 n1n1t11 uu1 nInl11 tiii��ii�it��til _26-19-31-400-000.006-024 004-00006-0ONSE 313101.77AC D-9
PART 2:TAXPAYER INFORMATION
Owner I� t /'y
First 1 Middle Last
L/fin ) Q.1 O nOQkS
tg Address(number and street,city,state,and ZIP code) NI Same as property address - -"—
Spouse First Middle // // Last
bu Lynn /�Q S'S
Mailing Address(Number and street,city,state,and ZIP code) --"■...L 1 Same as properly 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 1 Signalize Date
S
CLAIM FOR HOMESTEAD PROPERTY TAX �c� FORM YEAR
n• x CREDIT/STANDARD DEDUCTION HCto Q�
State Form 5073 (R8 / 7-07) � �
� 1 Prascnbed by Ure DepaMieM of Local Gwemment Finarroe � V
INSTRUCTIONS: See reverse side !or filing ins Wc6ons. �
��e� T , certify that on Ne t st day ot March, 20_
I(We) occupied as our prinapal place of idence the following described real property fa which a Homestead Property T�c Gedit is hereby daimed:
I�n I(We) owned ❑ Are buying under contrad /
.iave a benefiaal interest in Ne entity that is liable fa the property ta�ces o� the property and that owns the property or is buying under a contract.
tl buyvig om m�Vaq, Fea Simple ownefs reme
Recordefs of6ce where conUact is recordad
Caunry 7ownsttip
lo:vn. fo»nsND)
Recwtl number � Page
Parcel number Legal descnplion Is the ploperty in queslion:
I �� WWaM ❑ Mobile Home (/C 61./-7)
If arry portion o( Ihe resid¢rtlial sWCture w the land not exceeding one (7 ) acre ihat immediately wrtounds �ha re is used lo produce income, tlescnbe Ure use and portbn
of Ne property utiGi� b pmduca inmme.
al�-► �-3�- �SCY�-c�. cX��-ea �
.. . . . .. . .
,, .
Land not ex�rg 1 (one) afre immediatey ' � .�.�- � � "_ -
wrtounding residential improvemenis. ��� ` _� ; '��, -. • � �
Other land ':''^ c: � .. . ';
�2� - J.-.k.,p'� �--(9,
Tdal Wrni (I'me 1 plus line 2) �g)
DweAing (q) . . ..
Residential improvemenls aMnualy . . �
Assessed Mobile I ManufaCuretl Hwne . - .., �. ,+ , � -
Garage �5) ; - .•. � .
Other improvements (5) '^ %S - `� � --
Ta[al improvements (line 4 through line 6) ��)
To1a1 vafue (line 3 plea Grre n �g)
I hereby ceAify the above is true, correU, and Signature of Pssessw Date signed (monN, day, yea�
complete.
Vaifyirg action - SipreWra of Audilor Dale signed (mmN. daY.Y��
� • ' � � � • �
� ' pay 20 _ qs.ppp for 2007 pay 2008 42,000 for 2070 pay 2011
Lesser of 12 qq ppp for 2008
Homestead Valuation P�Y Z009 4�•000 for 2011 pay 2012 $
w 43,000 for 2009 pay 2010 40,000 payable afler 2012
SignaNra ot �iw Dafe signed (mm�th. QaY v��
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