Homestead_Ross MAIL I ORM",raga_/•.wl TR/ASIR/A FORM
.xrrrrTro BTsrxtt'.BRS l)nr ACCOUNTS.`, . PRinYRrats BY TII1 BEPARTAn.VT(F LOCAL CAItcR.YMCWT FINANCE IC 6-11-12-1.1
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 ever for homestead frame Homestead fraud causes higher tax bills for all;therefore.
® HEA 1344-20G9 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to acme the
benefit and to provide additional identifying infomiatton necessary to allow county government to better monitor homestead
filings.This inlnrnulion will br kept confidential and can only he accessed by authorized county officials'Elie Depanntrnl of
Local Government Finance will use this information to create tsols that will hip county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Ross, Oscar E/Jessica D
Off CR 1500 W
Ilaubstadt IN 47639
9526
Oscar E Ross
11562 S150 W State Parcel Number Legal Description
HAUBSTADT IN 47639-8753
—26-221127300:002.127-024._,004=02127_00.FINW SW12-4-U-1Ac _
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
OSCOX E Ross , Jr
\ddress(number and street,city,state,and ZIP code) D.Yame as property address — --�- - - ' --
�I15(oa 5 150 lu f (t bSlo ± 1 Mu 47) (03 9
(
Spouse First Middle Last
JQ.551 Co- R OS S
Mailing Address(Number and street,city.state,and ZIt'code) lifSame as property address
PART 3:CERTIFICATION
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
•
:�
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
` ` Slate Fwm 5673 (R817-07)
Prescnbed by Ihe DepaAmerrt af Laal Govemmen� Finence
INSTRUCTIONS: See ieverse side /or 61ing ins6uc6ons.
VQ� FORM
HC10
YEAR
I(We) r /� �� certify Nat on lhe 1 st day of Marth, 20_
I(We) oocupied as our prindpal place o idence fhe following described real property tor which a Homestead Pr��'f9c ���Qiereby daimed:
�I(We) owned ❑ Are buying under contraU
Have a benefidal interest in ihe enfity Mat is IiaWe for the property taxes on the property and that owns the pro�f psi� buyi6§�der a contrad.
If Wy'uig on wnUeq, Fea Simple ownera name
RBCpdEfs O}fiCB WhBfB CMU2d i5 rOCpdBd
Counry Twmship
district (cify, lown,
Recwd number � Pege
�� �� �.�N ZN�' 11G { I`���cnl l�� �p�,� -1 "�, 1 I s �he property�uaslion:
� Real property ❑ Mobile Homa (IC 67 f-n
tt arry poAion of the residerNal sUUGUra w Ihe land nd exceedirg ona (1) acra ihat immediateiy wrtounds U�at structure is used b produce irxvme, describe Ihe use end portion
d tha propeity Wpzed b produce inqyn�.�
� d ��
•.- . .: . .
Counry Toxnship County 7avnshio
I hereby certi(y the above statements are We, correct and complete. I i9n re oi daimam_
/"� _
(number and sheeC cily, 9ate, end LP rode)
�
�' �
� � . � • �
�i'. •
LarM not ex�ng 7(orre) acre immediatey '� �'�' � �
iV
surroundirgresidentialimprovements. (�) ' ' .n �z;,.-.,_; y..... =^
Oiher land (2) . - +:n.; �.�3.
'ic'
Tdal land (line 1 plus line 2) �g�
, . f.
Dwelling (q) ^ rr � �' � ,�' �'
ResidentialimprovementsaMnually .+�, � ' :a,:�
htsessed MWz'le I Manufachired Home ,,;;':
Garage �g� - s:ky�s:.. '
Other improvements (6) _
Tdal improvements (line 4 fhrough lirre 6) �7�
Tdal value (line 3 plts liire � (g�
I hereby cerfify the above is We, corred, end SignaWre ofASSessor Date signed (monN, tlay, yea�
complete.
Veif�dn9 actim - SlpnaWre of Audibr Dale signed (monN. daY. Yea�
�.-� � � • •
20 pay 20 _ qs�ppp for 2007 pay 2008 42,000 for 2010 pay 2011
lesseroft2 qq,000for2008
Hortrestead Valua6on PaY 2009 41,000 for 2017 pay 2012 $
a 43,000 for 2009 pay 2010 40,000 payable after 2012
SignaWre of Audilar Date si9ned (mmmth, day, yea�