Homestead_Higgs STATE FORM 53569(R35-I0) TREASURER FORM TS-IA
APPROVE/RI/STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-I.I-22-t.I
IMPORTANT NOTICE .TO`HOMESTEAD;PROPERTY OWNERS
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
deduction becomes more beneficial, there is more incentive than ever for homestead fraud. Homestead fraud
uses higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive the homestead
ss dard 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 information
will be kept confidential 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. v
.P^' 1 FPROPER '- •'FO'MA ION
Taxpa.er Name Property Address State Parcel Number Leeal Description:
Robert C Higgs ?324 W 1300 S 26-22-14-300-001 598-024 PT SW 14 4-I•1-1.09 AC D-2 -- ——
HAUBSTADT IN 47639
Complete and return to: I®IIDllltnmD1111UHO�O]lDltpHE�llIB I�m1711111 .
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670 Lw IW LL MOM
. . .
I '-PART?:TAXPAYER INFORMATION
Chewed— First Middle Last
6�Fr-f- eAr: S LEGS 99s
Malang Address(number and street city,state and ZIP code) Z erne as property address
07-3071•7 w. /30o S. /L&l bsJAdI- i 4763
Middle Last
liorrre Lee /,9,9.5
Mailing Address(number and street tiH,slate and ZIP code) LL I Same as properly address
SAmP
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.
D lure Date
:- tit,_,' :.PART,4i.ADDITIONAL INFORMATION -: -r.
FIT , ED
NOV 5 20`12
GIBBON COUNTY Al iniTOR
1
CLAIM FOR HOMESTEAD PROPERTY TAX
- CREDIT/STANDARD DEDUCTION
� � Sbte Form 5473 (RS HO-01)
r�w PreSttibed Ihe De
by partment of Local Govemment finance
INSTRUCTIONS: See reverse side /or filing insVUCfions.
FORM
HC10
YEAR
�(We) V�\ � certiy�iat on{t�e fsC�ay of March, 20_
I(We) occupied as our principal place of residence lhe f win described real property for which a Homestead PropertyJ��redifis ��� daimed:
❑ I(We) owned ❑ Are buying under wntract %%
� Have a benefidal interest in lhe entity that is liable for the property taxes on the pmperry and that owns the p p rty or is buying tmitler a conVa
. . ,-`/rla 1�
.- ,��:������ �
I( buyirg on conVaa, Fee Simple ownefs name
Counry
ofica whera conUatt is recorAed
Taxnship
Record num6er I Page
ESCRIPTION�3Y�t'�'��^�F,��°�.'°;; ,.��`-��.�:�:1�
Tating tlisUicl (dry, town, townshiP)
Is Ne pmperty in que5lion:
❑ Real praperty ❑ Mobile Hwno (/.C. 61.1-:
portion of Ne residmllal sW cNre w the land nd exceedinp one (1 � aae that �mepf�yr, w n s ihat swGUre is used to O��uca inmme, desfrihe Ne use and portlon
properry u5lizeA tn produce irroome. / M
� v �