Homestead_Burkhardt surf FCIRNI: e.BC'r P0" • TBFASULER FUCAi-1A
APPROVED BY SUTE BnSPD Of MYYa:Ans.a,n PtFARInmD BY TM DEPARTMENTlfLOCAL CAVttNMrT'r FP:ASCE IC 6-1.1224 I
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 J ii lion.As the receipt of thix deduetiowbeconies
more beneficial,there is more incentive than eser for homestead fraud Ilomesteal fraud causes higher tax bills for all:therefore. - •
Ill HEA l344-3009 requires taxpayers who receive the homestead standard deduction to verity that they are eligible to recrixe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept ennthlential and can only be accessed by authorized county nficials 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 Property Address
_ Burkhardt, Harry A
1031 S Prince ST
Princeton IN 47670
3676
Harry A Burkhardt
1031 S Prince St State Parcel Number Leila! Description
PRINCETON IN 47670-2629
�t� u�n t�t�u nt�t�t�I �t��t�u n��u u��u��t� k 26-12-18-102-000.290-028 019-00290-OO SS ADD 31
nllntltll
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
fa i r! r L r,//`'�l - 7 I. /Iv"a2
'Dg Address(number and street • state,and ZIP code --- - - - - - .me as property address - - -- - - - -
/ 3/ gl(Ce 57, bides -6a/,�7�
Spouse First' Middle Last •
..-_______.
Mailing Address(Number and street,city,state,and ZIP code) CI es
Same as property address
- ,...----_
Social Security Number(last 5 digits) Driver's License/State ID Num r (last 5 digits) Other(please specify in Part 4 below)
-- - — -- --- , sX —=-1772.7 / ' —.
- 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 eliuible to
receive the homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions
unlaufitlyy,he or she may be liable for b to taxes and substantial financial penalties.
��tgnamre Date
i• .
1 ii
I\
pa �*_�•�
a� "°Y CLAIM FOR HOMESTEAD PROPERTY TAX
���!� CREDITISTANDARD DEDUCTION
`.,.,�,';� State Porm 5473 (R2/ 5-92)
�S7
INSTRUCTIONS: See reveise side 1orliling instruc(ions.
3 n � { �
.-
� �_ �: II'�
:� a •.;
S'e) � f(�,QA��(���,yj��,�,(L� .( certify that or��[1�f�f8lPAarch, 79_
I� We) occupied as u rincipal place of residence ihe tollowing described real property for which a Homestead Property Tax Credit is hereby daimed:
� I(We) owned ❑ Are buying under coniract �, .
❑ Have a beneficial interest in the entiry ihat is liable for ihe property taxes on the property and ihat owns the property or is buying under a contract.
� . ,CONTRACTRECORDED -
If buying on comract, Fee Simple owner's name - � ,
Recorder'S oRice where Contrac� is recorded Retord number Page
" PROPERTY DESCRIPTION
Township
Legal
It any ponion of the residential sirucWre or the land not exceeding one (7 � acre that immetliately surmunds thai strucWre is
o( ihe property utilized to produce inwme.
'" �
to produce income, deunbe the use antl portion
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE,: VALUE VALUE
Land noi exceeding 1(one) acre immediately �
surrounding resideniial improvemenis. ��)
_ Oiherland (2)
Total land (line 7 plus line � (3) I
Dwelling (4) .
Residential improvements .
Garage (5) �
� Other improvements (6)
Total improvements (line 4 through line � (7)
Total value (line 3 p�s line � (g)
I hereby ceRify ihe abOVe is [rue. Correti, and Syna.ure ot Assessor Date signetl
�plete.
c
�ing action - Signature ol Auditor Date signed
19_Pay19_
Lesser of 1l2 Homesiead
Valuation or 52.000
STANDARD DEDUCTION ALIOWANCE
3
�