Homestead_Schmits (3) R.v[FORM.S;wuf h-lo, MLA- !OM IS-IA
,vnlT[n n\TaE 3osIm or.v:l u•NrS.an ?Ft4'r11JED Ell n¢mPARTMfT OF FOC.LL COVERN bast t LANCE IC f.: -r-Et
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS • o
fp 101 N.Main Street
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes
Princeton, IN 47670 more beneficial.here is more ins-entity than ever for homestead fraud Homestead fraud causes higher tax bills for all:therefore.
HEA 1344 2009 requires taxpayers who receive the homestead standard deduction to serify that they are eligible to eceive the
III FILED benefit and to provide additional e1x c fring till nlauon necessary ny'be m allow county government to better monitor homestead
YNp..�, 1 filings.This information will be kept confidential and can only be ace:sed by authorized county officials.The Depanmert of
Local Government Finance will use this information to crate tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION- '
MAY 10 2012 Taxpayer Name Location Address
Schmits, Robert M
C.J.r+.$may
6627E 250 5
GIBSON COUNTY AUDITOR FRANCISCO IN 47649
1073
Robert M Schmits 11/11111 III [III_ IIIOil 80111 OI 1111118 UIoILIIIO .111
6627E 250 S
FRANCISCO IN 47649-9059
State Parcel Number Legal Description
26-13-29-100-000.484-004 PT NW NW 29 2 9 10.37 AC
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.
er I First Middle Last
Robert m , cheo-1 .5 chrncc5
Mailing Address(number and street,city.state,and ZIP code) ii Same as property address
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (las:5 digits) Other(please specify in Part 4 below)
I I I 11 I I Stun
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 fmancial penalties.
Owner 'i na re / Date
a <, CLAIM FOR HOMESTEAD PROPERTY TAXr
CREDIT /STANDARD DEDUCTION.
State Form 5473 (R2/1 -90) `
INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT
FORM YEAR
Ir
APR 2 8 199
I (We) certify that on the 1 st �� p�D�
I (We) occupied as our principal a ohe -hence the following described real propert y for which a Homestead
- Property Tax Credit is' hereby claimed: (We) owned ❑ Are buying under contract
Have a beneficial interest in the entity that .is liable for the property taxes on the property and that owns the
property or is buying it under a contract.
CONTRACT RECORDED
If buying on contract, Fee Simple Owner's Name
Recorder's office where contract is recorded Record Number Page
PROPERTY DESCRIPTION
County Towns Taxi Dis ict (City, town, township)
Parcel Number Legal Descriptio
N(AJ NQ -9
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements
Otherland
Total land - line (1) plus line (2)
Residential improvements Dwelling
Garage
Other improvements
Total improvements - line (4) through line (6)
Total value - line (3) plus line (7)
(1)
1991 Pay 1992
19 —Pay 19 —
Lesser of 112 Homestead
(2)
Lesser of 1/2 Homestead
Lesser of 112 Homestead
Valuation or $2,500
(3)
Valuation or $1,500
Valuation or $1,500
-(4) -
-
-
- -
(5)
(6)
(7)
(8)
1 hereby certify the above is true,
correct, and complete
Signature of Assesor
Date Signed
Verifying Action - Signature of Auditor
Date Signed
1
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990
1990 Pay 1991
1991 Pay 1992
19 —Pay 19 —
Lesser of 112 Homestead
Lesser of 112 Homestead
Lesser of 1/2 Homestead
Lesser of 112 Homestead
Valuation or $2,500
Valuation or $2,000
Valuation or $1,500
Valuation or $1,500
Signature of Auditor
Date Si ned
IN