Homestead_Burkhart SuTE FORM:1324.1,R_ WI TPFASUlrl P01017:5-1A
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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 deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than e'er for homestead fraud.homestead fraud causes higher tat bills for all:therefore.
• HEA 1344-7009 requires tatpayers who receive the homestead standard deduction to verify that they are eligible to remise the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only he accessed by authorized county officials.The Ikpanntcm 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
_ Burkhart, Burl M/
409 E Oak
Princeton IN 47670
2633
Burl M/ Burkhart
409 E Oak State Parcel Number Legal Description
Princeton IN 47670-1613
ltit tlittrlt�itt�ttt lll IItIItRtttllttlltlltttltltttIIttI 7, 26-12-07-201-001.292-028 019-01292-00 NS LOT 6 PT R1
PART 2:TAXPAYER 1NFORN1ATION
Owner I First Middle \ Last
BURL/ Iii. 5 u R K H A\ft
•higAddress(number raid'srrav;city;mac;end ZIP code) —— — — -- Same as pmpem oddness _
if—0 9 E. OAK ST FRI A/ccTa l l 114 17670
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 — z Date
•
�� R`�R
ea '°, CLAIM FOR HOMESTEAD PROPERTY TAX FORM NEAR
;���'= CREDIT/STANDARD DEDUCTION HCio
.�:,��� State Form 5473 (R2 / 5-92)
u��
INSTRUCTIONS: See reverse side 7or /iling instructions.
CERTIFICATION
Ne) '� )�(__ ��� ��,Q,� certify Ihat on the lst day of March, 19_
�,) occupied as our principal oliowing described reat property for which a Homestead P�a�r��daimed:
I(We) owned ❑ Are buying under contract JL� Jl,eG
❑ Have a beneticial interesi in ihe entity that is liable for the property taxes on Ihe property and that owns the properjy�j� bt{ying y�er a coniract.
� CONTRACTRECORDED
If buying on contracL Fee Simple owner's name - � AU ��T�R
Recorder's oHice where comract is recorded Fiecord number Page
PROPERTV DESCRIP'fl0
County Township Ta�cing di5lr �('. tOw lownship)
Pa:Gel ny�pero �a9� o� Legal descriptio � /
it � �_,r
\:.J 1
If any portion of the residential siruaure or ihe land not exceeding one (7) acre that immediatety surmunds that struciure is used m protluce income, desaibe the use and
of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township Counry Township
cenify the above siatements are irue, correci and complete. �'9na,� o� daima�
Adtlress (numberandstreet ciry, stare, ZlPcotle) �
ASSESSOR USE ONLY . TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE` VALUE. VALUE VALUE
Land nm exceeding 7(one) acre immediatey
surrounding residential improvemenis. (�)
Other land (p) -
Totai land (line 7 plus line 2� (3)
Dwelling (4) . ..
Resideniial improvements
Garage (5)
Oiher improvements (6)
Total improvements (line 4 through line � (7)
Total value (line 3 pVs line 7� (g)
I hereby certify lhe above is true, corretL and Signature ot Assessor Date signed
complete.
�tying action - Signature ot Autlimr Date signed
STANDARD DEDUCTION ALLOWANCE
79_ Pay 79_
Lesser of 7/2 Homesiead
Valuation or 52,000 S
Si9namre ot Autlitor Date signed
_ _ _.. . �