Homestead_Schafer STATE FORM 53569(8315-10) TREASUREI•IORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE ICs:.l-2222-8.I
IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS '
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 ever for homestead fraud. Homestead fraud
"'causes higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive the homestead
standard deduction to verify that they are eligible to receive the benefit and to provide additional identifying
information necessary to allow county government to better monitor homestead filings. This information
will be 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.
PARTt PROPERTY.INFORMATION , -. . . .. - 5 ,,,?
Trimmer Name Prover-Pi Address State Parcel Number Leeal Description:
Amanda N Schafer 906 W OLD U S HWY 41 26-11-01-403-001.577-028 PT SE 1-2-11 .50 AC
PRINCETON IN 47670
Complete and return to: 'Nll'tl11111111gI11ID'110,1111111E tR9ftn1!p17g11iI111r;Innulllt� _ -_
ease utnu.'Ueul LLBa u ILdvIia ILBtIa IHW WIIWUBIIIWI
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
PART 2: TAXPAYER INFORMATION ,. , , Jrkl.
Owner t r 1 First Middle &haler Last
Malang Address(camber and eel a state and ZIP code)
5YP W DID I I�Same asp mw address
Spouse Fnst Midtlle Last
i
Mading Address(camber and street.city,state and ZIP code) 11j/Srame as popeny 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 taxes and substantial financial penalties.
Owner 1 Signature Date
FILED _
• NOV 8-202
GIBSON COUNTY AUDITOR
�
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
ti sr�a wm, sna Rt� i sus�
Presv3ed by iha Depertrtient af Local GovertunerM1 Fvance
INSTRUCTIONS: See ieverse side (w filing instruc6ons.
� I•, I �
' r i �,:
�(�'�e) certity that on the 1 st da . of March, 20_
I(We) ocwpied as our prind pWce i residence ihe folbwirg desaibed real property for which a Hamestead Pro Tmc Qe�t"t�
� ���:
�(we) mvnea ❑ ore buyu,g under crntract G�BSON COUNTY qUDITOR
riave a benefidal inmrest in Me entiry that is liade tor the property mzes on the property and that v.ms the property w is buying under a cantract
tt Giy"e�a on cmtrecl Fee Simqe owrefa rame
Rewrde�§ o16m whaa mM�sG ia recuded
S„j'�3i?"� ° _,:. �„ °',/�, i:1iF -;e::} ��� x.o-�s:.. �
�. $��'-. Y�. .Rlf..4'r:7�•i�..,.:;��'$Y.'.Yi..?;�i.'.�i"rv
Camty TanslYp
Parral rurnbm
s�v��rr
Legal descriptim
n arry partion af Iha resideNial s�Nxrirte a ihe lard nal m�ceedirg ona (1) aae
d Ne PWeM Ni�d tc pioduce'vimna.
Recard number � Pege
Is U�e question:
�Rml pioperty ❑ MoEile Fiome (I.C. Gf.f-7)
unme6ately surtounds Ihal strumna is u�d b Produce uwoma. describe the use and P�n
20_PayZp_
Lesser of 12 Homestead
Valuatim or 535.000
Si�ttvadNditar '�1 U�,-� h� � I��^ls��.