Homestead_Schupp (2) •
STATE FORM y!'■IR_f awl rAE1N[£n FOAM 73-IA
7 .APPROED By MALE BOARD M'MITAN7 S.New PRESCRIBMOT Till DEPARrWVr OF IOI'AE CAWEERNMFNT FINANCE R'VI.1-r4 I
Gibson6ounty Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS •PRINCETON IN 47670 Individuals and married couples are limited to one homestead raandanl deduction.As the receipt of this deduction becomes
jE_ more 1344-200.there is tax incentive wh dun Der for homestead laud.do deduction loud rife that higher tat bills
gi for all:therefore.
HEA 1141-?IX!9 requires taxpayers who revive the hwnestcad standard deduction to verify that thry are eligible to scene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
tiling..This infnrmalinn will be kepi coati—mina!and tan only be accessed by aulhnri.'ed county officials.The Depanmmnt of
Local Gen eminent Finance will me this information to create tools that will help county officials eliminate homestead fraud.
APR 7 LULU PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
7e7 4', Schupp, Cathy L 38,86-1.:500 . .
—ele,SON COUNTY AUDITOR .R_D.._•>o-c 1�I
3443 �'\
Princeton IN 47670
Cathy L Schupp
3885 E 50 N State Pared Number Legal Description
Princeton IN 47670-8907
26-12-11-100-000.639-, 04 002-00639-00 E NW 11 2 10 5.5231AC
Iii n II ut It II aeI t III ii I leI t I D II ut I 1D I I ii I D I r lr'r I rr
C-1 D-7
Spouse First Middle Last
('ATNy L• SCN4/PP
Mailing Address(Number and street,city.stale,and ZIP code) F�li'I ame as property address
3885 c 50 N
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.
III.
•
y
CLAIM FOR HOMESTEAD PROPERTY TAX FORM
CREDIT /STANDARD DEDUCTION Hc10
State Form 5473 (R2/1 -90)
° INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT
YEAR
place of rAgdence the follo ing described real property for which a Homestead
Tax Credit is hereby claimed: I (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
EJ 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
town
Parce umbbeerr Legal Des�tio(1 LL/ f ' /
/ 2 -16 q-3/ma
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.
/�roD:G3
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTI
County
Township
County
Z �._ _
Valuation or $2,500
(2)
Valuation or $1,500
Y 9 ]990
reby certify the above statements are true, correct and
Si at e
plete. • -
NT
'-L
Address (Street. number, city. state and ZIP code) A OR
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements
Other land
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
Lesser of 1/2 Homestead
19 — Pay 19-
Lesser of 1/2 Homestead
Valuation or $2,500
(2)
Valuation or $1,500
Valuation or $1,500
(3)
Signature of Auditor
(4)
_
(5)
(6)
(7)
(8)
I hereby certify the above is true,
correct, and complete
Signature of Assesor
Date Signed
Verifying Action - Signature of Auditor
Date Signed
STANDARD DEDUCTION ALLOWANCE
% 1989 Pay 1990
sser of 1/2 Homestead
1990 Pay 1991
Lesser of 1/2 Homestead
1991 Pay 1992
Lesser of 1/2 Homestead
19 — Pay 19-
Lesser of 1/2 Homestead
Valuation or $2,500
Valuation or $2,000
Valuation or $1,500
Valuation or $1,500
Signature of Auditor
Dag Si ed
J