HomeMy WebLinkAboutHomestead_Goldbach STALE IORM!3N4lief I+vr TREASURER FORM'S,1/,
APPROVED BY MATE YNRD OF Art tt'�\FS.2ws PRFAAIsET BY TIE DFPARl MT OF UE,sL 00V2OLNSIMT FD:nsCElt'41.1-224.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc 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 lax bills for all:therefore.
® HET 134-I-20M requires taxpayers who receive the homestead standard deduction to verify that they are clicible to receve the
benefit and to provide additional identifying infomunuon necessary to allow county government to better monitor homestead
filing.This information will be Lept confidential and can only be accessed by authorized county officials.The Ikpanment 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
Goldbach, Charles V/Jo Ann
arr 2002 Keystone DR
Princeton IN 47670
1511
Charles V/Jo Ann Goldbach
2002 Keystone Dr State Parcel Number Leal Description
Princeton IN 47670-1053
ItltLlltt lltIlrrlrt t111 Illltttl�t�t It'll��trrrr�t�t�r�r� 26-11-12-103-002.460-028 019-02460-00 TOWER HGTS 185 PT
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
(✓ hartes9 'Lb ( cL,o601cH
I g Addic ( mber Street.city,state and ZIP c c) - - -- '�-r$ame n;propem•address- -- - -- -- -
� a �s 'bQ R, R /PjvCe�6t )_TNr 4LZ67O.
Spouse First Middle Last
Mailing Address(Number and street city,state,and ZIP code) leas property address
4 o'"6 _ k Q vs N e Q , -PR, '1VCe ,zl
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 hack taxes and substantial financial penalties. �} / /
Owner I Signature / Date ` /o
S
eE �� � CLAIM FOR HOMESTEAD PROPERTY TAX
i��: CREDIT/STANDARD DEDUCTION
.�;,;� State Form 5473 (R2 / 5-92)
ui•
INSTRUCTIONS: See reverse side for tiling inst�uc(ions.
�� occupied as our principal place of residence the following described real property for whi� H��
U I(We) owned ❑ Are buying under coniract , 11Q
❑ Have a beneticial interest in the entity that is liable for the property taxes on the property and th�W�s
. - � . CONTRACT RECORDED / . .,,,
If buying on contract. Fee Simple owner's name
Recorder's oHice where coniract is recorded
Coumy / !
l� /
Parcel number
U/�-c
tl any portion of
o( the property i
FORM VEAR
HC10
� �At i 7 st day of MarCh, 19
:�p au Credit is hereby claimed:
1991 �
rooertv or is buvinq under a contract.
Record number I Page
� PROPERTY DESCRIPTION
iownship Taxing districi (ciry n, fQwnsDip) �
a a�/C � � � n1 � � Jvv
Leqal descnption
,- o-ov
ential swcmre or the land not exceeding one (i) acre that immediatey surmunds Ihat structure is used to produce income, tlescnbe Ne use and portion
produce income. � �
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
• � VALUE .VALUE VALUE VALUE
Land not exceeding t(one) acre immediatety
surrounding residential improvemenis. (�)
Otherland (p)
Total land (line 7 plus line 2� (3)
� Dwelling (4)
Residential improvements
Garage (5)
Oiher improvements (6)
Total improvements (line 4 through line � (7)
Total value (line 3 pk�s line � (g)
I hereby cenify the above is true, correct, and Sgnamre of Assessor Dare signed
complete.
ving action - Signature ot Autliror Date signed
�