Homestead_Richter • STATE FORM P)!t IIC ' O 77WASYRIR PORN 73-IA
.ArPPrwEn BY 515TE ammo*mo*ACTT i.\'It_'1/M PRfl JBn1 BY Mr DEPARTMENT(FLOCAL emvERNMEAT FINANCE IC 61.1.22-ti
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 ever for homestead fraud.Homestead fraud causes higher tae bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only In accessed by authorized county officials.The Department of
Local Government finance will u+c this information to create tools that will help count'officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Richter, Gregory S/Bonnie R
•
RI Hose I I
Ilaubstadt IN 47639
9605
Gregory S/Bonnie R Richter
3366 W 13005 State Parcel Number Legal Description
Haubstadt IN 47639-8658
III I I I I I I I I III I I I I I III 26-22-15-300-000.377-024 004-00377-00 PT SW SW 15 4 11 1.61 AC
ru urt nu ttunn ntttnn nt not X D-2
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
re ono r S
c �+�r
ag Addr (number buil street,city,state,and ZIP code) - - - 2'lcame as property address — - - — - - - -
--
Spouse First Middle I ^ Last
ti, 111 ic14 r
Mailing Address(Number and street,city,state,and ZIP code) 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 I Signature Date
•
,B. `'�`.TE �
� �s
,y o
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r
�'i�Ct�77�
6
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Portn 5473 (R2 / S92) �
INSTRUCTIONS: See reverse side !or filing instructions.
FORM
HC10
� �
YEAR
CERTIFI ATION STAT ENT ` Q
I(We) ceniry tha -on " � st day f ich, i9_
I(We) occupied as our princi pla residence the following described real property for which a Ho e tead S���yi��iit�by claimed:
❑ I(We) owned ❑ Are buying under contract � GIBSON COUNTY AUDITOR
❑ Have a beneficial interest in the entlty that is liable for the properry" taxes on the properry and that owns the property or is buying under a contract.
CONTRACT RECORDED -
If buying on contract, Fee Simple owners name
Fecordefs office where contract is recorded Recortl number Page
PROPERTY DESCRIPTION
Cou Township Tazing district (", ta o ship)
rcel number Legal descnption
7 7-DZ� f' 0��� �s- � // � �� /�
If any portion of the resitlential structure or the land not ezceeding one O acre [hat immediatey sunounds that structure is usetl to protluce income, describe the use and portion of
the D�opeM utilized to produce income.
�-�� /3-- eb- .3�� o�SL
PROPERTY OWNED BV CLAIMANT IN OTHER COUNTRIES
Counry Township Counry Township
SignaNre ot Gaunant
.reby certify the above statements are true, correct and complete. �
Adtlress (number and sneef, ciry. stafe, ZIP crode)
/2Je/ f,�x Il3 N�uds-3��� tN �176 35
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately (� � _ _
surrounding resideniial improvemenis.
Otherland (2)
Total land (line 1 plus line 2) (3) �
Dwelling (4)
ResideNial improvements
Garage (5) _ �
Other improvements (6)
Total improvements (line 4 through line 6) (7)
Total value (line 3 plus line 7) (8)
I hereby certity ihe above is true, cortect, and Signamre of Assesor Date signea
complete.
Verifying action - Sig�Nre oi Audiror Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19 _
Lesser of 1/2 Homestead � �
V luation or S2,000
Sig t e of Auditor -� Date ned
�3-/a-o