Homestead_Sandefer SIAR FORM.IJMIR-r1.Mt WE1nilfAPoRM5-IA
ArPRIWED 9YMIAIE M.ROOFMYn&'R.9`/ PAEAT®EnnY rm DE?ARTI NTOW LOCAL rM' tncct Fa:.ASCEM.LIA--S+I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to or 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 tan bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recent'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 be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Sandefer, Andrew W/Connie M
7135 First ST
Princeton IN 47670
969
Andrew W/Connie M Sandefer
713 S First St State Parcel Number Legal Description
Princeton IN 47670-2305
Irltr�lrrrlllittltttlllrttrtlrltrllllltttllltttrllttlltrtllil 26-12-07-303-001.091-028 019-01091-00 PRINCE PLACE 65/66
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
¶gAddress(number and street,city,state,and ZIP code) Same as property address
l3 S r /2s T 5T P/2/Na'7�� //t/ C(776 70
Spouse First Middle Last
COlkJni/Lr m (s- S/f/yi -Mailing Address(Number and street,city,state,and ZIP code) Same as properly address
—" -- --
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 tax-'- d substantial financial penalties.
Ow Si tare Date
�.t;•�o
c�"` Y CLAIM FOR HOMESTEAD PROPERTY TAX
`��':= CREDIT/STANDARD DEDUCTION
.�,;�� State Form 5473 (R2 / 5-92) � "
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INSTRUCTIONS: See reverse side for7iling instructions.
I (We)
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Nvi certify that on the ist day of March, 79�
�occupied as our principal place of residence the following described re�( properry tor which a Homesiead Property Tax Credit is hereby claimed:
i jWe) owned ❑ Are buying under contract .
Have a beneficial interesi in the entity that is liable for the property taxes on ihe property and that owns.ihe property or is buying under a contraci.
� � CONTRACTRECORDED �
If buyirg on contract, Fee Simple owner's name � , _ . -
Recorder's oflice where contract is recorded � Record number Page
� - PROPERTY DESCRIPTION
Counry ,.�1�.^/-`+-17"-' I TownshiP . I laxug tlistrici��lo�
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Pamel number Legal des � tion -
oiq-o�oq►-oo- p�,v�.e�. P.�a� c��
If any ponion of the residential stmcture or the land not exceeding one (1) aae that immetliately wrmunds that stnn
ot �he property utiiized to produce income.
is usetl ro protluce income, describe the use arM portion
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
p County
�— '\
i
�.\ ertify ihe above statements are true, correct and complete. � ure on.Gaimant
\ rrnn
(number and slreet. dty. slate. ZIP code)
-� �-. c . . r��—
Township
ASSESSOR USE ONLV � � TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VAIUE VALUE � VALUE � � -
Land not exceeding 1(one) acre immediately �
surrounding residential improvemenis. ��) "
Oiherland (p�
Total land (line 7 plus line Z� (3)
Dwelling (4) . � �
Residential improvements �
Garage (5) � �
Other improvemenis (6) �
Total improvements (line 4 Ihrough line � (7)
Total value (line 3 p�s line 7� (g)
I hereby ceRify the abOVe i5 �rue. Correct, and Signanre ot Assessor Date signetl
compiete.
� action - Signature of Auditor Dare signed
79_Pay79_
Lesser of 1l2 Homestead
Valuation or 52.000
STANDARD DEDUCTION
3
U
Signature ot Auditor ' I� I Date
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