Homestead_Young %DATE FORM''ta 1R'/E'rt TREASURER FORM 73-IA
APPROVED BY AISTENARM*nn NTAbw pur_9LRImmD BY 1111'DEPARTyn.YT OF LOCAL CA'sRxMMT rnA,E M VI 1424.1
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 rage for homestead fraud.Ilomestead fraud causes higher tax bills for all:therefore.
HEA 134-1-2009 requires taxpayers oho receive the homestead standard deduction to verity that they are eligible to creche the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he Lein confidential and can only be accessed by authorized county officials.The Depanmott of
Local Government Finance will use this information to create touts that will help comity officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Young, David/Christine A //?3 Q S Co G
3?e-F'
llauhstadt IN 47639 0
3438
David/Christine A Young
11239 S 50 E State Parcel Number Legal Description
Haubstadt IN 47639-8828
26-23-07-200-001.938-024 004-01938-00 PT E NE 7 4 10 1.00 AC 111 nu_1.11_II III IIIIIf111l1llll1111_1.1_prtflll D-9
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 I First Middle Last
�
£
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
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32 I S . s. 0 3 d J H
Spouse First Middle Last
cNRIS-TI 1\1 < fi 4�o ug
Mailing Address(Number and street,city,state,and ZIP code) y5y4Tme as property address
lid 39) sv E
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.
. iyy
Own Sig e/Lzet/ Date
• ( i
f
�t HC 10 1979 � • To Fi� Fiied in ih�lic�ce
�cribed By State Baard of Tax Oo�missioners �
;
� CLAIt� FOR HOr"ESTFAD PROPERlY TAX CRmIT FOR YFAR 19� �
SEE BACK FOR FILING INSTRUCTIONS
��,�,',(, �/%,,,�/. oertify that on the lst day of
r�19 , Z, (P7e) occupied our rincioal place of residence the foll.a.uing described real -
operty for which a ti�stead' .Property Tax Credit is hereby being claimed�� �p
cwe) a,,r,ei (/ �1.30 -vC7
�] are buyirw under oontract OQ � �� . 1,� ,
/v.y�.,
� have a beneficial interest/ Iin� the taxpaYer . �4N� l��3
operty Description in �1r,G.�fin. ��tl' � � T°+��P
xing District (City, Twm, 'IbwnsYup) :
rcel ihanlxs or legal descripti.on stiown on tax statarent:
�,f ��/x �nF'/� 7'= �- /o /Rc.
buyino on oontract: Owriers nan�e (fee si�le owner) �
Contract z�ecqrded in Remnier's Office - Recard No. Page'
any portion of _the residential structure or the land, not e�eeding one (1) acxe that �
rnediately surroiuris that structure is used tn produce irtcane, describe the use and pnrtian of
e property utilized to produce income �j
n - -� -oSOD' OD/. / 3 - ✓OS �• ..a.?��
:f other oounties in which izxiividual owns or is buying real pnopertyq �
u
the
staterent is true, oorrect arrl coc�lete.
� '�t � 3 �v..� .� Q /
*Individual either owns or is tuying �mer a�ntract that provides he is to pay the
ProP�-Y. �� an .the. residenoe, or has a beneficial interest in the taxpayer.
� . - FQR ASSESSOR�S USE ONLY -
'iYue Cash
� Value
� not exoeeding 1(one) acre inanediately
�rrourciing rnsidential i�rovanents . , (1) �O�D
her Land (2)
,tal Land
:sidc�ntial Irtprov�rents p�.�llinq
�•�� � a
(3) . SOO
(4)
(5)
(5) 5�3.5 0
her �rwanents APR 1 �� "i:;�,i c7)
: �: I�roverents -. Line (6) plus (7) equals (8) (8)
� ^ 1 .° and lete.
� i�� certify the abo�,.�i���v.t. � ��
. P ��TOR
Assessed
Valuation
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•
�������/�����/
�����//O/��
, ,U.-
_qnature of Assessor ��
fir�nestead
Valuation
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' - ACTION BY pUDITl1R -
�,i,o Gti,w,,�.,� - -- -- �_, 8- 8 �