Homestead_Caldemeyer •
•
STATE FORM!JAE/4R/ IYLAS i&FA FORM 111A MAIL WARD ACTAIIN1S.Nis PlIrtIBED BY no.DETARTACENT FE LOCAL COVEREEMENT FINANCE nir
Gibson County Auditor
101 N Main
I17•1
101 NOTICE TO HOMESTEAD PROPERTY OWNERS r A
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 eser for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344--2000 requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to receise the
benefit anti to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only he acre:sed by authorized comity officials.The Department of
Local Govermnent Finance mill use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name ^_Property-Address---- - —
r — --- - —' — - — Caldemeyer, Leo P/Camille
507\V CHERRY TREE LANE
PRINCETON IN 47670
2838
Leo P Caldemeyer
507 W Cherry Tree Lane State Parcel Number Legal Description
PRINCETON IN 47670-2313
iiiiiiI I IIrtI IlltrDr It lrr lltttt lllr llr llttt ltrt lllttl I )(26-12-07-301-004.311-028 RICHLAND FOREST 2
PART 2:TAXPAYER INFORMATION
•
('—' First Middle Last
Leo Paul Galoievheyer
...g:.ddt ess(number and;trxr,riry.sa:c;and ZlP code)—_ _ __. — _ __ _ . Same as property addre^_v__—
507 W cherry Tee lane_ ffi,ce:/-on , :-A/ +'71070
Spouse First Middle Last
C/om //e ea/c%s/eye in
Mailing Address(Number and street,city.state,and ZIP code) ®'Sane as property address
5l/ 7 Pt/ C/iet/iv Wee gage ti,14caton e, 77(/ 4L-71070
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.
Ownerattuc Date
CLAIM FOR HOMESTEAD PROPERTY TAX
> t CREDIT/STANDARD DEDUCTION
y �� suce Forrri sa73 (RS r 7-07)
Prescnbed by Ihe DepartmeM ot Laal Govemment finance
INSTRUCTIONS: See ievarse side )or filing instiuctions.
� FORM Y�R
� �
r
I(VJe) certity that on a���+�y��ch, 20_
I(We) occupied as our prindpal place of residence Uie following described real pro for which a Homestead Pro erty Tac it is h�Yeby daimed:
GI�SON COUNTY AUDITOR
,� i(4Ve) owned ❑ Me buying under contract
Have a benefitiai interest in the entity Uat is IiaWe fw the property taxes on the property and that owns the property or is buying under a contract.
If buying om m�Uact, Fee Simpe wmers name
Racardere office where con7racl is
Cou / _ Twmship
C�
Parcel number L al esc �p �
If any rUon of the residenGal sirucWre or the land not �ceeding orre (1) acre
of (R� p�ty uGGzed to produce inmme.
Record number
kny, ro�.
Is Iha property
Page
� � Real property ❑ Mobile Home (IC 6-7.7-n
surtounds Ihal sW ure is used to produce inwrtre, descnbe Ihe use aM poNon
�_ � � • •� • �
�i.•
Land not exceedirg t(one) aae immediately ' `�" '' ��. �
surtoundingresidentialimprovements. (�) "� '�'_''-�' - - '
OMer Wnd �y) " -
�;} \
Tdal land (line 1 p/usline 2) �3�
Residential improvements a Mnualty �'Qliing (4) _ � .,.. -
Assessed Mobile 1 Manufadured Home - �T r. -
Ga2ge �5� .�1.E Tt
u' > 5 , _�
Other improvements (6) � � � � -
Tdal imprrnements Qine 4 through line 6) (7�
Tcfai value (line 3 pl�s line � �g�
I hereby certify the above is We, correct, and Signature ofAssessw Dale signed (monffi, day. yea�
complete.
Vai!yirg adion - SignaWre of Fwtlitor Dale signed (monlA, day, yea�
� ' � . - � � � • •
—�Y 20 — 45.000 for 2007 pay 2008 42.000 for 2010 pay 2017
Lesser of i l2 qq.000 for 2008 pay 2009 41.000 for 2017 pay 2012
Homestead Valuation S
w 43,000 for 2009 pay 2010 40,000 payable after 2012
SignaWra oflwdibr pyle signed (monN, day, yee�