Homestead_Market STATE FORM 53560(0.1/&10) IRFASIERta FORM IS-IA
APPROVED BY STATE BOARD Or ACCOUNTS.309 PRESCRIBED BY THE DFPARTETOF LOCAL GOVERNMENT FLYA`CE IC B-1.l-22E1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY 011'NERS
101 Main Street
Princeton, ndividuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
ton IN 4776767 0 more beneficial,there is more incentive than ever 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
10 : T -
benefit and to ormati additional identifying information necessary to sled by uth government o boner monitor homestead
••_I 1 QLy L- ■ filings.This information will be kept confidential and<an only be accessed by awhoriied wont}officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
APR 1.5 2011 Taxpayer Name ``'• Location Address
c'3'111. , Market, Donald J/Renee L
[ 10795 S E
01860N COUNTY AUDITOR IN HAUBSTADT IN 47639
11194
Donald) Market III,I ill II_c111 pop p pop viicIIpill u u u.cueu_u:ilii1c11onniiu110pionenii III
10795 S 525E .
HAUBSTADTIN'47639-7881
1i"'I11"i'IIIIIIIIIIIIIIIIIIIilIIlI"iil"IIi1itll1liiliti1111 State Parcel Number Legal Description
:_. 26-23-01-200-002.208-024Tww OAK 4_ _
•
.l
This form MUST be returned to County Auditor's office •
Please do NOT send this form back with your tax payment to tth county treasurer.
PAR7_2: TA\PAl'E$INFORAI_1TIQ
IC I First ... - Middle
Last
A/7/ f
Mailing Address(numbcr'and street,city,%safe-,and ZIP code) ❑ Same as ro address
•
P RnY
/079 SS z-5- C E. A4Ofw IAd/ i;). G/7‘39 _ -----1—i-- '
Spouse ;l First Middle
4eo ea Lynn /L/firKef °'
Mailing Address(Number and street,city,state,and ZIP code) - - O Same as property address
�.
/0795 5- ScS £ MoLi6t 0/-1 2. CO 63 Y
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 hoinestead standard deduction on this property.Each undersigned also understands that,by claiming additional homestead deductions
nahwfully,he or,she may be liable for back taxes and substantial financial penalties.
lgnalUlt lime ?
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Stete Fortn 5673 (R6 / 4-03)
Piescribed by Ne DepartmeM of Locel Govemment Fina�e
INSTRUCTIONS: See reverse side 7or filing insWctions.
FORM EAR
HC10
���/� -�
� (�'ve) � Y(�('J /�..ls�L�. /
' Ihat on the 1st day of March, 20_
I(We) occupied as our principal place of residence lhe follmving described real property for ich a Homestead-P[npertyTac�C�r.edil is hereby daimed:
❑ I(We) owned ❑!ve buying under contracl GIBSON CO� TY AUpITOR
' Have a benefidal interest in the entity that is liable (or the property taxes on the property and that owns the property or is buying under a wnVaU.
II buy'u�g on conVacf, Fae S"unqe ownefs name
County
N any
m me
where conVaq is recorded
� .�.�-�:�-..��.—�:-.n�''�.:K%:«�^=+m+� m�i�R"`-',t3��PROP,ERTY:UESCRIPTI � 'x?�i
Tamship Tacing d' rict (ci ,
� � L I de Is pro�,
ie residenllal atrudure or the land not axceetling one (1) ave tliat immediatey wrrounds Nat
uzea m produce f�ome.
' �/��O �
��-���i`k����
County
I hereby cerUfy the above statements are W e, coned and complete.
end streef, cily; ua(e. ZIP code)
Caunty
Racord number � Page
�1 property ❑ MoWle Hamo (I.C. bt. t-n
Is useA b produce income, desttibe fhe use and ponbn
20 _ Pay 20 _
Lesser ot t/2 Homestead
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