Homestead_Schulten STATE FORM 53929(113 t 8-10) TREASURER FORM TS-IA
I APPROVED BY STATE RMRD OF ACCOUVFS 2009 PRESCRIBED BY ME OEPARTME\T OF WCAL GOVERNMENT FINANCE IC(-1.1-224.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
:{,-f 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,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all,iherefore.
_ • HEA 13442009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
• benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department 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 Location Address
' Schulten, Gregory C/Lora A •
— 4077 S 850 E
OAKLAND CITY IN 47660
1584
Gregory CSchulten II01.11I hill�111� Illl�ll��ll1111110IIIh1.11111_III�I.II�IICII��II0IFIL11111
. 4077 S 850 E
OAKLAND CITY IN 47660-8522
ll'ill'll'I1I1Iilllll'll'lll'll'1II'III"iiiiiiI1Illl'11I'1I'I'1l State Parcel Number Legal Description
26-13-33,-400-000.665-004 /PT SE 33 2 913.37' AC C-1 '
I/
FILED
APR 11 2011 �•
c .
This form MUST A ;�j std to County Auditor's office.
• GI SON C
Please do NOT send this form back with your tax payment to-the county treasurer.
PART 2: TAXPAYER INFORMATION
Owuv I 1 First Middle Last
Mailing Address(number and street:city,state,and ZIP code) ❑ Same as property address - '
41 -1 3 r 0 .L P, .iIl) Li 7( a o
Spouse First Middle Last
lvia, r SC i- _
— niaiiing4adress( unmdscetict.y,=sta[c; naTtFude} — �.---__ .- —c ."c- Samc`as property addn3s -----------
, lef5r '
eaCtink, IlIS
. 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
.
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Form 5473 (RG 14-03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for riling insfrix6ons.
FORM ,vtj YEAR
(W I — OLD' - - certify that on the 1st day of March, 20_
(we ied a ur cipal place o residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
l(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 under a cxintract.
T!RECORDED
It buying on contract, I" Simple owners name
Recorders office where contract is recorded Record number Page
FRO -
f+ f,!O ... PROPERTY._DESCRIIRTI ON rt 4:. ,
County
Twmship
Taxing district (cil town. town
6 L 4
Legal
Is the prolper�y_m 2ueoi
Rea1 property ❑ Mobile Home (I.C. &I. 1-7)
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.
- 3- - -nO -
W0,9.40,5h�WN folici
County
ASSESSED VALUE
2$j%j00/'OF TrV
r HOMESTEAD ,,
ITmnshiD
Land not exceeding I (one) acre immediately
I hereby certify the above statements are true, correct and complete.
Si Fnre of claim
Address (number [I P and street, city, state, ZIP code)
SI;LL U
f�-�W§SE�R USE &NLY,i,1�
JRLE-T AXI —_
AN T
ASSESSED VALUE
2$j%j00/'OF TrV
r HOMESTEAD ,,
! —M7'1
Wj
W:W
Land not exceeding I (one) acre immediately
Lesser of 112 Homestead
surrounding residential improvements.
valuation or 535.000
Other land
(2)
'AK-
Total land (line I plus line 2)
(3)
Dwelling
(4)
_06
Residential improvements or Annually
--
Assessed Mobile I Manufac;ttmad Home
Garage
(5)
Other improvements
(6>
-W
�za�UEWTR
Total improvements (line 4 through line 6)
(7)
Total value (fine 3 plus line 7)
(8)
I hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
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D A R D: D E D U C T 10 N ' A L L 0 WA N C E
qW
20 _ Pay 20
Lesser of 112 Homestead
valuation or 535.000
$
Signature of Auditor
Date si
f/ c� - - klz