Homestead_Schmits STATEt010.191'1R/4M1 MANREA PoR43IA
.\PPnry EnnYCtxrLDMADOr'MA Nit enM PREAAIarny PIE UEPMMEVr14 LOCAL GOVERNSIIVT FINANCE IC 61.1-L'..I
Gibson County Auditor
1G1 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple.are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentne than ester for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344--2009 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to reecho the
5 benefit and to provide additional identifying information necessary to allow county gocemment to better monitor homestead
filings.This information will he kept confidential and can only he accessed by authoriral county officials.The Depanmmnt of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
�.- ti�\O mils, Ken Name Prnpetri Address
Schmits, Kent A/Cori L l/
PQ� c) �@Q� R 2 Box 149 l•
�r+' '�'v0 Princeton IN 47670
4069 �„y)b #
J ` GG
Kent A Schmits c0a
3560E 250 S e.w State Parcel Number Legal Description
PRINCETON IN 47670-8807
Itlu llutltllnl utlll ntln 111 nitllutl utlt1lnllutlutil 26-12-23-300-000.030-004 002-00030-00 PT SW 23-2-104.660 AC
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PART 2: TAXPAYER INFORMATION
Owner I 11 First Middle Last'
Ke-)1 T lL . &inner '6S
.__40g Address(number and street,city,state,and ZIP code)— -- - - D-frame as property titdrecc -- ' ——_
35 Leo £45+• 2S D Sot,C-Ir Pr ttce;fim 1 I 0 Lilt/in
.
Spouse First Middle Last
(.,0 f 1 L- Sail ys, , Ls
Mailing Address(Number and street,city,stale,and ZIP code) R! -Same as property address
35Lo LA S+- Ot5tSbLu-fin Pri),c4 fb1. 1 I *) LI-1La7D
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
0
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R6 / 4-03)
Prescribed by the Department of Local Government Finance
INQTRI ICTInMQ- Quu m,,,. - e;A- r... ra.... ;....r...�,:,.....
FORM YEAR
HC10 D
I (we) certify that on,Sppur t day of March, 20
I (we) occupied as ou prindpal place of residence the following described real property for which a Homtgad Prbpert /��ac relit is hereby claimed:
❑ I (We) owned ❑ Are buying under contract //,� n /)
Have a beneficial interest in the entity that is liable for the property taxes on the property and ttt�at owns the p / e 6cu•bu /�/ -u)F/der a contract.
NTRACTRECORDED? .ti§e��X+s` -=o�i - ,h`5';', ;','i�� ,''�'-,'?.,;•''
If buying on contract. Fee Simple ownees name
Recorder's office where contract is moorded n Record number Page
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--*- -� ._.•. ._�- �:P,ROP,ERT,Y,UESCRIPTIbNy' sus, ?r.,?::. ���m?'` S`,'- p� '�.r_:r.+',x¢7�'�+``is�,.'.:.r
County
Township
Taring district (city, tow( f nship)
Pa O Q �3O -
Lega des detiory- - r � �O Is the property question: 7)
�J W eaI property ❑ Mobile Homo (I. C. 6-1.1-
If any portion of the residential structure or the Land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
Of the property utilized to produce income.
-a �i'i uY
ASSESSOR'USE �i•-
Yom"
TRUE TAX �
County Township
County
Township
I hereby certify the above statements are true, correct and complete.
Sign t
e of a"anant
Iy
Mdress (nu r a ,city, stare, ZIP code)
-�'
�VALUE,y
-a �i'i uY
ASSESSOR'USE �i•-
Yom"
TRUE TAX �
ASSESSEII VALUE
�4'-
=HOMESTEADrS
NON- RESIDENTIAL
W N
'
ATx100 %O V�`VALUEy�VALUE
-�'
�VALUE,y
0
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Other land
(2)
Total land (line I plus line 2)
(3)
Dwelling
(4)
.,,yA€�Wfµ�rY
Residential Improvements or Annually
Assessed Mobile / Manufactured Home
Garage
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
I hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
20_Pay 20_
Lesser of 112 Homestead
Signature