Homestead_Hirsch (9) SIATLFORM,YeaiR:t>401 OWASUTDA FORM iS.TA
AP?t(WED BY STSTE MSPDOFACC;ESTS.`0v runraEnaY 111E DEPARTLegfO*LntAL COS'cLNMDcT Fe:AcElc11.l.l-r-sr
Gibson County Auditor a
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 ever for homestead fraud.Homestead fraud causes higher tar bills for all;therefore.
® HE.\ 1344-2009 requires taxpayers who retire 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
. filing...'Ibis infbrmatio will he Leg coati-canal and can only be accessed by:uthnrircd 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
_ Hirsch, Kenneth J/Susan D
11005
Ilauhstadt IN 47639
10850
Kenneth J/Susan D Hirsch
91 E 1100 S State Parcel Number Legal Description
Haubstadt IN 47639-8836
MI1lli1111.Ill r.P IItiiiiiir.IiIuiIuiiIIiuIIiiltl 11111IIiIIlri 26-23-07-200-000.469-024 004-00469-00 PT NW NE 74103.659 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
KEA/WEIR 70look y//PSc y
•te Address(number and street,city,state.and ZIP code) 2Snine as property address - - —— - — —
9( E 1100 S HAaeSTg,0 , IN, *7629
Spouse First Middle Last
5LALS LV• D�� 1.o. Hlrsck
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as propeny address
Same
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
weM hc io is�s
hescriDeE By State Board af Tax fqmmissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREUIT FOR YEAR 19�
To & FIeE in Dupliwte
�(We) /�QJ •�� �� x"' �`-Certify that on the 1st day of
arch, 19�, I, (We) occupied as our principal ce'of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned
O are buying under contract
❑ have a beneficial �telest }n the taxpayer
Doi�-�3o,�G9-oo
�3 � �o1a� -a�. �9- oa `�
Property Description in ounty T' Township
Taxing DistrieF-¢6i4�wn, Township):
Parcel Number or legal description shown on tax statement: %D'/
> 7"
��tlaJ�NEi � y la �
If buying on contract: Owners name �`� ""'o�e ow�e�r
Contract recorded in Recorders Office - Record No. Page
If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
structure is used to produce income, describe the use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property:
�hereby certify the above statement is true, correct and complete.
.n 9 i .!1 / ' i _ _
1 Box 330
Aoareu
County
s tod f
Township
6-is-�y
Gry. Sta:e a�w Zip Coae
' Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1.{� ) �''im�'�?� t��
surrounding residential�pr�enfents�'1_ L
Other Land
JJ iJ
Total Land
.�Uy 1 �� 1519
m
Residential Improvements � welling
��y'� ���uu2.cv`"`�Garage
AUDITOR
Total
Other Improvements
Line (6) plus (7) equals (8)
�ove is� true. correct. and complete.
True Cash Assessed
Value Valuation
_-!� ^ — � �'%
(a) d ol05 /O
�5� �L�
(6) s9io�a/D
(�) — ° —
,8, a a�o
- ACTION BY AUDITOR -
Homestead ,�q
Valuation�
iz�v--L') i�0
/ - s - �9
Da;e