Homestead_Staggs snit MIMI!IKIR:r-.P TREASURER Mt;7eA
tertio En BY STATE B%IRnc*M( L'.ts.u'M pt wAtnFD BY DIE DEPARTMENT OF LOCAL raw<R,W.FNT FINANCE trista.t.4
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 e'er for homestead fraud Homestead fraud causer higher tax bills for all:therefore.
® HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they am elitible to reeehe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
blimp.this infnrnlation will he kept confidential and can only h.:accessed by authorized county officials.The Depanment 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 Pr rI-I r e
Staggs, Darren/Beverly A
Haubstadt IN 47639
7246
Darren Staggs
10221 S Hunters Crossing Dr State Parcel Number Le°al Description
HAUBSTADT IN 47639-8673
26-18-36-300-001.872-024 004-01872-00 HUNTERS CROSSING 9
I I t I r I rr I n I u I I a I r I a I I r I e I r IIt I I I o I I t Ir II n u iv 11
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Da cce n �f a■,ne5 StaT3s
-
tg Address(number and street city,state,and ZIP code) IN Same as property addteas - -- - . - - _-
lO22 S . - n-1- S CfoSSinq Dr .
_
pouse First int Middle Last
Sever' Iv Ann S+Ctart
Mailing Address(&umber and street city,state,and ZIP code) Same aspmpFny address
IOZZ1 S. R -i s Cross1fl( Dr
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is but 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.
Own Signature Date
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fwm 5473 (R614-03)
Prescribed 6y Ne Depariment W Loral Govemment Finance
INSTRUCTIONS: See reverse side Por filing instnxtions.
y
FORM � YEAR _
,o o � �
I(VJe) certify [hat p�,,lsl� arch, 20
I(We) occupied as our principal place of residence Ihe follo � escribed real for which a Homestead Property T�r�I t i aimed:
❑ I(VJe)owned ❑ Arebuyingundercontract GIBSONCOUNTY f��
� Have a beneficial interest in the entiry that is liable tor the property taxes on the property and that owns the property or is buying under a wntract.
If buying on conNad. Fee Simple ownefs name
Recorders olfice where contracl is recorEed
To.mship
number
. (� �IS the
tawn,
H any portion of Ne resiAen9al sWCWre or Me Wnd not exceeEing one (7 ) aae Ihat immediat�y wrrounds �hat
at the properry uu7izeC b produce income.
a�-i�-��-��o_�o�. a��-o��
Record numher � Page
al v�operry ❑ MoDiie Homo (/.C. 6L 7-n
is used to produce incame, tlesaiba the use and portion
"��-�_-�"i�'�`=��.`:_ ��?+'.�••'!ri�7s+-��.i�n.u`+: �'.�i�:����i STANDARD:DEDUCTION�ALCOWANCE �� :'"aa."`'t.:�7+rPu.-i �su�'9��i�**`.�`e_�-__�e'-Fi�..�..'�i��:
20 _ Pay 20
Lesser W t/2 Homestead
vauanon w E35.oW 5
SgnaWre of Auddw " Date sgned