Homestead_Pullum IDLE FORM!! *gR2r YNI IREAAIIEB FORM'MIA
.VrRnsEO BY ST LIE BOARD OFAMOILp1R`I% IEEAABW BY tor DEPARfMEW IF LOCAL Cdn2RYMEM1T FINANCE 1C tt-S-I.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one home ead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than eter for homestead fraud Homestead fraud causes higher tat bills for all:therefore.
40 FILE I,. HEA 1344-2009 p requires atonal s who receive the homestead standard deduction to verify that they am eligible to homestead
the
i benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
i filinggs-This information will he kept confdetuial and can only be accessed by authorized county officials.The Department of
Local Govertvncnt Finance will u c this intonation to create tools that will help county officials eliminate homestead fraud.
APR 2 3 zutu PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
l,C 1\ J C Pullum, Bran D/Angela K
�
RI Box 128 A!
GIBSONCOUNTYAUDITOR � 1/
Haubstadt IN 47639
2679 • ' r
: -an D P, hum / N e` ok
R :o :07
State Parcel Number Legal Description•DT IN 47639-8622 I
1111 toIt II nr t I rI llI ll I a II tot I rI nI r III Ir II 26-18-36-300-002.102-024 004-02102-00 HUNTERS C
ROSSING 2
,C. LOT 85
is 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
Br1QIn 1ba I c 'Pu L( u,n--)
m Address(number and street,city,ate,and ZIP code) [] Some as property address
ILOaol S • G2 uai1 ss\ nq kaulbs 4 tNI 471039
A n ela_ 74,a y Pu /. IL/ it/
Mailim:Address(I'soer and street,city,state,and ZIP code) 9 Same as property address
1oaoI S. Q1A I\ Crosm1c I-A &.��5 1-/- . N ''7. (039
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
��A�� CLAIM FOR HOMESTEAD PROPERTY TAX
�CREDIT/ DARD DEDUCTION
/ Stat� (R 403)
Pres h epartment o1 Local Govemment Finance
INSTRUCTION81 S� re crse side (or liliny inslructions.
1 FORM YEAR
r HC1D :
�
� J� �� J �� �
� (We) CL r � • i ( .i
certiy.thabon.the.tst day of•March;20_
I(We) occupied as our prindpal place of resi ce the following described real property for which a Homestead ProperiyTac`die8it'is�h'ereby�daimed
� I(We) owned ❑ Ne buying under wntract
; Have a benefidal interest in the entiry that is liable for the pmperty taxes on the property and that owns ihe property or is buying under a wntraG.
I( buying on conVad. Fce Sim01e owners name
Remrdefs olfice whera coniraq is recordeA
�e'?��'����.. -� :'.,;t�'ri ��e�+,°!Yi$Y' �
Counh �_ Tamship
p�� ' v vi i vcn v—
N any portion of ihe resitlential sW cture a
ot Ihe property uti"¢ed tn protluce income.
land nW e:ceeding one (1) aue at imme
���
T�ing
wrrounds that
Record number � Page
fownship)
Real property ❑ Mobila Homo Q.C. 61J-7)
ire is used to produce income, desviba Ne use and portbn
20 _ Pay 20 _
Lesser of ti2 Homestead
vauanon w E35.000
Signature of fwditw
S
Date signetl