Homestead_Stunkel SIAM FORM!)S.Itil HMI TREASURER FORM 71-1A
.ArPWW'EO DV Anal bCIAXD OFMItNTA.vw PRE CRIMODT THE DEPMTA¢VT OF LOCAL GmtRNMERT FINANCE MH.I-r4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ever for homestead fraud.I lomestead fraud causes higher tat 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=lid-mil:l and can only be accessed by authorized county officials.The Department of
Local Goverment Finance will we this information to create tools that will help county officials eliminate homcaiead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Stunkel, Adrian IQMamie M
Rr2 Box 157 1�
r Fort Branch IN 47648
3391 d f f475 t%' •.gz, o/tr
Adrian K Stunkel • rim- Y, eiveldret".5
10518 S 350 E - State Parcel Number Legal Description
HAUBSTADT IN 47639-7869
26-23-02-100-001.844-024 004-01844-00 PT W AC
1111111 nllr lluullr lllnllnllnlull nllluutl11111111It ll p
This 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 II/ First • // Middle .1 Last
/ C//'/ 4/'7 ken n e 7`h �/ 45.-7
®TC Address(number and street.city,state,and ZIP code) ® Same as property address
/0(578 5 YfO E. // svey*c-& .1ti S'7 6.f
Spouse First Middle Last
%7arn.re .71/7i`CLir //e. $f/,7Ae/
Mailing Address(Number and street,city,state,and"LIP code) ❑ Sarre as property address
/Or/( c 3�0 LC /e,S,4a .z`ti y7#Y7
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
/ SL�te Form Sd73 (R6 / 1-03)
Prescribed by the Department of Local Govemment Finance
MSTRUCTIONS: See reverse side /oilliny insVUClions.
� FORM YEAR
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I(We) VV 6!/liL((/ ILJ /\ `� /' � W// l�l.e /�' kC�J W Nl�.� certify that on,the 1st day of March, 20 '
I(We) occupied as our principal place of residence the following described real pmperty for which a Hom tse ead Prope��Tac Credit is lierebyjdaime�
❑ I(We) owned ❑ Fve buying under contract '�� �'��J%��-'--�
.. .a �CL�•�T'! Alr^�.-`=� �
' Have a benefidal interest in ihe entity ihat is liable for Me property �axes on the property and that owns Ihe property or is buying under a wnVaU •� .
I( buying om m�uad, Fee Simple ownefs name
Recordefs ofica whera mntracl is remrded
Tnvnship
Tming dislrict
Is Ue
Rewrd number � Page
��y —. �/ (� �%y"� I �f �/ �—�r��% I � Real Droperty ❑ Mobile Homo (l.C. 61.1-n .
H any portion of Ne residential sWCWre or the tand not azceeaing one (1) acre that immediatety surrounds that cWre is used to produce income, desaibe Ne use and portion
of Ne property utliaed tu produce income.
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