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Homestead_Hess (3) SUIt rO M!X.11∎2l'1 MEASURER FORM Z IA
.APPROVED BY Cf,TE NV/ROOF MrnuNrs.U PErYAInm BY TIE DEPARThQNTOF LOCAL rvesem a FIANCE ICH.1-r4I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to ore homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive dun nor for hotn veal fraud.Homestead fraud causes higher tat bills for all:therefore.
® HEA 1344--2009 requires taxpayers who receive the homestead standard deduction to verity that they are eligible to recent the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This infntmauon will he kept cmlidential and can only be accessed by authorized 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
_ Hess, Thomas G/Patricia A
Rr2 Box 53-a 0jC
Haubstadt IN 47639
10736
Thomas G/Patricia A Hess
5110 E SR 68 State Parcel Number Le2a1 Description
Haubstadt IN 47639
26-23-01-400-000.444-024 004-00444-00 PT W E 1 4 10 14.723 AC
X D-10
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
-rh671 as Ge orae 4 ess
g Address(number and street,city,state,and ZIP code) — -—- _. - -_.j_-— -- Same os piopeny address —' -__
51/0 e- , sr Rd, o,)7 HOOKSin it , //v 4 74r3
Spouse First Middle Last
- PO7LNleia Ann Hess
Mailing Address(Number and street,city,stale,and ZIP code) IG1 Sane as property address
I
c/ E, ST d. (
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
S
aE RYn
aE °4 CLAIM FOR HOMESTEAD PROPERTY TAX
��': CREDIT/STANDARD DEDUCTION
� �� State Form 5473 (R2 / 5-92)
iei� .
INSTRUCTIONS: See reverse side tor /iling instructians.
• �
t' � ( ' � ' ^ �
;� �r i,
MAY 41993
I�We) ��yIAM.�Y �• �"\�0,�1�A.fA.o- �-�l • r't«^� ceriify hf aipci� �� arch, 79�
��) occupied as our principal place of residence ihe following described.reat property tor which a Homestead Property ax re ii is hereby claimed:
n.I (We) owned ❑ Are buying under conhact � ��
�'ve a beneficial interest in the entity ihat is liable for the property taues on the property and that owns the pmperty or is buying under a contract.
CONTRACT RECORDED
It Wying on contracL Fee Simple owner's name � - •
Recortler's oHice where contract is recordetl Record number Page
Counry
Parcel
Legal
PROPERTY
� `C ' w� �-f I V'�t `w i
If any ponion of the residential siructure or the land not exceedinq one (1) ave
of the property utilized to O�oduce income.
town.
- `i-I� `{. 723 �C.
tety surrountls that swcture is used to produce inwme, describe the use and portion
ASSESSOR USE ONLY . TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL.
VALUE VALUE VALUE VALUE
Land noi exceeding 7(one) acre immediate�y �
surrounding resideniial improvements. (� � °
Otherland (2)
Total land (line 1 plus line � (3)
Dwellin9 (4) � . .
Residential improvements
Garage �5�
Other improvemenis � (6)
Total impmvements (line 4 through line � (7) � _
7otal value (line 3 p6s line 7) (g)
I hereby Certify the above is Irue, correct, and Signature ot Asseswr Date signetl
complete.
�tying action - Signature of Auditor Date signetl
19_Pay19_
Lesser of 1/2 Homestead
Valuation or 32,000
STANDARD DEDUCTION ALIOWANCE
S
Dare signetl
5 �f-93