Homestead_Weber (4) ttntE fort!MY.nristire IRFASUEER RSM:11A
APPROVED BY STATE BOARD OF MflLNTS.1nm nrs,Bm BY 1111 DrrAan Yr(FL(R'AL CAvaNMrrT fa:,l\CE M41.1-r'-!.1
Gibson County Auditor Main
101 IV IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRYNCETON IN 47670 Individuals and married couple.are limited to one homestead sundant deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than nee for homestead fraud.Ilonlestead fraud causes higher tat bills for all:therefore.
• HEA 1344--2009 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to incise the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he Lep confidential and can only be accessed by authorized county officials.'11w Department of
Local Government Finance will Inc this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Weber, Samuel P
4043 S 675 E
Francisco IN 47649-9706
4842
Samuel P Weber
4043 S 675E State Parcel Number Legal Description
FRANCISCO IN 47649-9167
�t lttlltttlr�ltttlt t11t 1111111,11 tIlt�lttltttit�tt�11111111111 26-13-32-300-000.330-004 002-00330-00 PT SW 32293.37 AC
X
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
3 Am u e� P0._Ul. 1 \k/e,Io f I .:
ilkg Address(number and street,city,state,and ZIP code) Same ns property address-
D L 3 S. le-15 E FcCA,N,C 5CD I ) 14 49
First Middle Last
anel A' rRose V)ebe ✓Z_
Mailing Address(Number and street,city,state,and ZIP code) Same as properly address
yoy3 S. LQ ? 5 F Pre nc' scD IN 41 (e y
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 elieible 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 721 ie....6 Dale
Illp
CLAIM FOR HOMESTEAD PROPERTY TAX
a CREDIT /STANDARD DEDUCTION
.,� State Form 5473 (R2 / 5 -92)
rs8
INSTRUCTIONS: See reverse side for filing instructions.
- - EkAG
QOT 18 1993
/ /lit�l YK — f ,C /, z_,kJV (, - certify that on thS'
as our principal place of residence the following described real property for which a Homestead Property Tax
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 contract.
CONTRACT RECORDED
If buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
PROPERTY DESCRIPTION
County
County
Townsh�
Taxing district (city town, township) r.
Parcel number
o2- ao33o -zx�
Legal description
f S LL) 3272-5 3.3-7
It 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.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
by certify the above statements are true, correct and complete.
(1)
lure
s (number and slreel. city slate. ZlPOOde)
/ /� 3 ✓c�a ca
i� !� S<
m
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Valuation or $2,000
Signature of Auditor
Other land
(2)
Total land (line I plus line 2)
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pUs line 7)
(g)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
King action - Signature of Auditor
®
Date signed
- STANDARD DEDUCTION ALLOWANCE
19 —Pay 19_
Lesser of 1/2 Homestead
S
Valuation or $2,000
Signature of Auditor
Date sign