Homestead_Hirsch (12) S1AE FORM'xWIR: •an) •
t TREASURER
FORM 73-IA
MHRpnFMYR�\ta.h�v IV4UBm BY LOCAL CAt[RYMfAT iRkSCEIK V'.1_r.l
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 hWividuaL and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive dun et CI'for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 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
filings This information will be kept confidential and can only be accessed by authorized county officials.The lktannmnt 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, Thomas J/Kristina L
10311 -' t Booneville-new Hard
Fvansm -IN 47720
2662 9�]15_v S, a rvi e Pi 104
Thomas J Hirsch
H/" U 4s1- V74S7
9854 S Clearview Dr
HAUBSTADT IN 47639-8625 State Parcel Number Legal Description
Itl ��ttr�tl�tttt��r�t�tt�tt�tr�lttt t�tlt�t�t t�t�t t�tt�tt t��� 26-18-35-204-002.300-024 CLEARVIEW ESTATES 6 D-27
t t
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2: TAXPAYER INFORMATION
Owner-I First Middle Last
•
-c
1 somas Jam 95 WI(-5 al,
40,g Address(number and stray,city,state,and ZIP code) ❑ Same as property address
9 ;5y S J e/ earvitt �r, /44025+-4-664- It-A/ yr/6,3 .
&
Spouse First Middle
Last
K ri ST] /e) Lyrl n / /l-rSG4
Mailing Address(Number and steel,city,state,and ZIP code) [J Same as property address
q t_57 s, diearvi eiui I�r /��L�s c �Cf =Ai c/-7-
PART 3:CERTIFICATION _ _.____ ___ ____. -7-_— _
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 Signe Date
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDITISTANDARD DEDUCTION
t State Form 5473 (R6 / 6-03)
Pres�ibed hy Ihe Oepartmant of Local Govemmenl Finance
INSTRUCTIONS: See �avarse side for filing insfructions.
,
FORM \�� YEAR _
HC10 V"
I (We) / �/l,(/1'/�L,{,/J� /{ � O� - �� N �� � . � certify that on Ihe 7st �da�o(�a(c�Q��
1(We) occupied as our principal ce of residence the following described real property for which a Homestead Property Tac C�reyd,it, is hereby daimed:
❑ I(VJe) owned ❑ Are buying under contract p�I� ,��
, Have a beneficial inierest in Ihe enGty that is liable for the property taxes on the property and ihat owns the propertyisl6$01�fiA�@�7CIET9 qpO�R
I( buying om m�traq, Fee Simpie ownefs name
Remrdefs olfice where conVacl is remrded
�±•-;.• �.� ��-arr- �.�'��.�;:m-�
:.�c"�-�„�^".::F�,..a;�[�+,?��:t>:�x'�r ,i.��r P
CounN Ta.vnship
5
Legal
I( any portion of Na re5identlai sW cture w the land not
ot Ihe properry utiiized tu produce inmme.
Tmcing
one (1) acre that im iatety
Record number � Page
fOwnship)
properry in question:
' ❑ Reai property ❑ Alobile Homo p.C. 61.7-7)
that swcture is used lo protluce income, describe the use antl portion