Homestead_Hipp (7) [1A7t FORM MS.dt: P-Y1 TRL 5tltr)FORM:-IA
VPMA'ED BY Seat BOARD Of"(MINT,.Vw PnnYA®ED BY THEDEPµ1YL4T(w LOCAL GOVERNMENT MANCE M 4-I.t-r4.I
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 becomes
_ more beneficial.there is more incentive than e'er for homestead fraud.homestead fraud causes higher tat bills for all:therefore.
HL,\ 1344-2009 requires taxpayers who receive the homestead standard 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
filinty.This information will he lcpr confidential and can only be accessed by authorized count'officials.The Department of
Local Government Finance will use this information to create tavls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Hipp, Jerry R/Joella S
R.1 Box 116c
I laubstadt IN 47639
11050
Jerry R/Joella S Hipp
1588E Warrenton Rd State Parcel Number Legal Description
Haubstadt IN 47639-7943
III I I I I I III I I III I I I III 26-23-16-300-001.703-024 004-01703-00 PT NW&PT SW 16 4 10
to utt tut hunt tntnu tntuntt X 2.60 AC D-9
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
?—R-y H-1 PP
Address(number and street,city,state,and ZIP code) — Same as property address -
I �S%8 C• 1 � A�2c=Nrt� (LD 5771rb7; TN A/2 t,39
Spouse First Middle Last
Mailing Address(Number and street,city,state.and ZIP code) Er fame as property address
I Sys e. W PU2 F/J1DN 2a - -A-u35Th-7l r 1 Lf7&C
- Each undersigned ceitifies.-undet penalty ,of perjury•,thafthe above and-foregoing-information istrue and correct and-that-he orshe'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
�a �°s CLAIM FOR HOMESTEAD PROPERTY TAX
i��� CREDIT/STAt�DARD DEDUCTION
�..,�q ,�'� S1a[e Form 5473 (R2 / 5-92)
�m .
INSTRUCTIONS: See reverse side for �iling instructions.
� '- FORM - - YEAR
''� Hcio � 9
� ..
i
DEC 3 11996
v✓I � y��
��We) _ � . certify that on the 1st day of � arch, 19
�� occupied a o principa lace of re i nce the follo� � g descritied real property for which a Homestead Property Tax Credii is hereby daimed:
(We) owned ❑ Are buying under�contract . = , ,
❑ Have a beneficial interesi in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contraci.
.• � COMRACTRECORDED� � � � � � �
It buying on contraa, Fee Simple owner's name � � �- � '
Recortler's oNice where contract is recorded • qecord numher Page
- . _ � . . ' .'r . � .
Counry
Parcel number 1
�O'-1- 0 I-1 03-cr�
It any ponion of the residential siructure or the
ot Ne pmperty utilized to produce income.
notexa
��� �
PROPERTY DESCRIPTION
fown,
�� �� �t9-ti-�� .a..�o
one (1 � aue that immediatety surrounds ihat stnicture is used to produce inwme, descnbe Ihe use and portion
- PROPERTY OWNED BV CLAIMANT IN OTHER COUNTIES " � �
Counry Township Counry Township
��by certify ihe above siatements are irue, correct and complete. � nawre of ciaimam .
Address (num6erandsheet, ciry, state, ZlPoode)
ASSESSOR USE ONLY TRUE TAX . ASSESSED HOMESTEAD NON-RESIDENTIAC
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately
surrounding residential improvements. (�) -
Oiherland (p) -
Total land (line 7 plus line 2� (3) , .
� Dwellinq (4) � �
flesidential improvements
Garage (g) . ��
Other improvements (6) .
Total improvemenis (line 4 through line � (7)
To�al value (line 3 p�s line � � (g)
I hereby Certify the above i5 irue. CorreCi, and Signature of Assessor Date signed
complete.
� rg action - Synamre of Audiror Date signed