Homestead_Schlottman •
sli1E mrM!)w ill'tw'1 TREASURIR FORM:}IA
.APPROVED BY MAIL BOVOr*MYYR•ves. xx IRISCRIam BY THE DEIMTMLYT OF LOCAL GOVERNMENT FIANCE IC 61.1-224.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
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 ever for homestead fraud Homestead fraud causes higher tat 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 on only be accessed by authorized county officials.The Deanmenl of
Local Government Finance will use this information to create was that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address I
Schlottman, Danny 5;c5 tO. e he rr\ (Yee Lie
PO BOX 633
INCETON IN 47670
991
Danny Schlottman
505 W Cherry Tree Lane State Parcel Number Legal Description
PRINCETON IN 47670-2313
26-12-07-303-004.282-028 RICHLAND FOREST 13
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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 1NFOR\1ATION
Owner I First Middle Last
Q vtvt i 8 rev,* S log—hi/fa ti
Address(number and street,city,state,and ZIP code) �7•-WSarne asp property address
505 w• Cterr1 re °t 1.c&ve. 7r�YnCc1-o
Spouse - First Middle Last
Meiling Address(Number and street,city,state,and ZIP code) El Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
_ ---— _ - Sete
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.
net I Signature Date
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Sltte Fortn 5�73 (R6l M3)
Pieau(be0 by Me DePeNnem d Locsl GovemmeM Fina�e
INSTRUCTIONS: See rew�aa afd� b fip 's�etrumont
FORM � YEAR
HC10
���� �� �j���� 1 7 2006
��we> FEB �erhfy ihat on the 1st day of March, 20_
I(We) occupied as our princip place of residence the following described real property tor which a Homes�d Property Tac Credil is hereby daimed:
❑ I(We) owned ❑ Are buying under contract �a� �
' Have a benefiaal interest in the entity that is liable for the property taxes on the {���r����SJ(isfthl{�j�rty or is buying under a contraG.
If buy'vig on contrad, Fee Simple ownefs name
Recrndefs atfica where conVacl is remrdetl
"-��-'�..�`;'�-`�£��� ��`L'�"�`�'���P�
Counry Tovnship
01 the propaAy uti¢eA W
County
�a-m'
struqura a �he
�ce inmme.
Tavnship
Record number � Page
Tacing disUict (cily, fown. �owruhiP)
��.y, I Is ihe vroperty in question:
1Lr�X ❑ R� P��M ❑�We Homo Q.C. 67.f-�
one (1 � aQe at immeAiatey wnounds Ihat swcture is useA to protluce income, describe Ne use antl portion
13
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1 hereby certify ihe above statements are W e, wrted and complete.
(numbe�aM sbeet, dty, sfata, ZlPcade)
�05� (;k�✓r� �
Land not exceeding 7(one) aue immediatety
surtounding residential improvements.
Other land
Tdal land (line 1 plus line 2)
Dwelling
�Rasidential Improvements wMnuaOy
� � � �^��� � Garege
Other improvemenls
Total improvemenfs (line 4 through line 6)
Ttial vatue (line 3 phs line n
I hereby certi(y the above is We, corred, and
complete.
verityfng aUion - Signature otlwaimr
(�1
lz)
(3)
(4)
(5)
(6)
��)
(8)
SgnaWre of Assessor
Counry
F
Torvnship
Date signed
Date signed
�'��'�'I��: .��'�� az�i*h��; �C�m �STANDARU�:OEDUCTION ALCOWANCE?,�?.,hsik ,..��'"�t="`y.,-'�.�.�.�1'��.�`�",c{�13�','�..',�,�'y,�'`�'.�.r�
20 _ Pay 20 _
Lesser of 12 Homestead
Veivaoon a 535.000 5
Signatura olAUddw � Date signeA