Homestead_Hirsch (11) MATE FORM.'W tr t awl 1RFASLIIr3 roam C3-IA
APPROVED III'STALE BOARD Of AT<MN'Ia.les PAFYAIBFD BY THE DEPARNIFNTCY LOCAL COVER,MFAT FIANCE IC 61.1-r4.1
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 eser for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1544-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reecho the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings This information will he kept conlidemial and can only he accessed by authnriced county officials.the Ikpannem of
Local Government Finance wilt use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION - •
Taxpayer Name Property Address
_ Hirsch, Robert R/Mary Margaret
PO Box 326 ^�
Ilaubstadt IN 47639
•
10851 .
Robert R/Mary Hirsch
493 E SR 68 State Parcel Number Legal Description
Haubstadt IN 47639
26-23-07-200-000.470-024 004-00470-00 PT E NE 7 410 1 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
1
Sp.L•D✓T S
I ' C
tg Address(number and street,city,state,and ZIP code) -- - r/ --bar as property address - - - -
/4 , 3 P S/7 e 11/4�hs76Ji, r, 1476-39
�
Spouse First Middle Last
Mailing Address Os mber and street,city,state,and ZIP code) 1-1$iTiie as property 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 ignaune ( Date
FORM HC 1� 1979
RescribeE By State Boara ol Tae Cammissianers
CLAIM FOR HOMESTEAD PHOPEHTY TAX CREDIT FOR YEAA 19�
To & FiIM in Dupliwte
SEE BACK FOR FILING INSTRUCTIONS QD�� O�/L7D—D�
� r��-�Z" ,� � i.�et� %?Z�2.�—u� r i
�We)��, _ certify that on the tst day of
arch, 9 I, (We) occupied as our principal pla of reside ce the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
�, (We) �wned G�lv -0�3 -Q� 0300- ��. 7%�- Qo��
❑ are buying under contract
❑ have a beneficial interest in the taxpayer /� _ '
Property Description
Taxing District (6+f�r, �ewrt, Township):
Parcel Number
If buying on contract: Owners name ��� sim0�e ��e��
Township
or legal description shown on tax statement
� Ey �vE/ �- �-� o ���
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: County Township
' hereby ceriify the a ve sta ment is true, correct and complete.
�� o,�...,� 2� � �/z/ /30 � 3a6 ,�.� �6s�� d%, .Lhd; o�A y�� 3 y
., ti r, • ,.
`C`�lww. �r. 1J.v�-c�w
'Signature Street Aaaress City. State ana Zi0 �e
' Individual either owns or is buying under a contract ihat 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(one)��rr e ia
surrounding residential improv� ents ��
other �and AY 2;; i979
Total Land �
Residential Improvements�
��'�''t� ��ing
A���TOR Garage
Total
Other Improvements
TN Improvements - Line (6) plus (7) equals (8)
I�oy cer�itv the above is true. correct. and complete.
/ \ i n ,
Signamre of
True Cash
Value
(�) Sn0
(2) —
(3) S� O
(4) /�/ O
(5) `
cs� iy 9i o
c>> / 9 0
(8) .�o/do
- ACTION BY AUDITOR -
Assessed
Valuation
/70
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Homestead
Valuation
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Da:e
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