Homestead_Schmitt (3) STATE FORM 9509(53/&10) TRFASCRA FORM TS-IA
APPROVED BY STATE BOARD OF&CC0tMS.YW PRESCRIBI])BY THE DEPARTMENT OF LOCAL LOYf1 MEYTFMA'C IC 61.1124.1
•• Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS '
101 N. Main Street Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes
Princeton, IN 47670 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
• FILED benefit and to provide additional identifying information necessary to allow county government better to ber monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county to 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
— MAY 4 2011 Taxpayer Name Location Address
Schmitt, Donald B/ Elizabeth A
_
C (\ \ 804 E State
GIBSON COUNTY AUDITOR Princeton IN 47670
255
Donald 6,Elizabeth A Schmitt 11011100111111111 I liii ll[III 01100��Ill]IllII.ILII111 I_0Emmm01111111111111
804 E State
Princeton IN 47670-1914
— - — — , State Parcel Number Legal Description
lIulln,lrllltt,llii;ilp„III,II,IIiu16r1Lil„FIIPIIIIIa,I- - - — — Number —_
26-12-08-103-002.503-028,/PT NW 8-2-10.172 AC — - —°
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.
illOA First Middle Last
POitl � .gCKAMP-p 5&/717-Y2_C77-
Mailing Address(number and street,city,state,and ZIP code) I2,Same as property address
FOL/ Gt 5f7 577 - 6Cnve-5ro4, yr • r76 70
Spouse First Middle Last
/E7/ 2Q. A f El 76/1/61 '\SO-A R Itt-
Mailing Address(Number and street,ci ,state,and ZiP code) I�I Same as property address
PO C. cS�`-�2 ��I UG'/WC e4o�/ -�■NK�L/ 7670
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 I Signature Date
FOBM HC 10 1979 �
P�euri0¢0 By State Bw�O at ia. Commissioners
CLAIM FOR HOMESTEAO PROPERTY TAX CREUIT FOR YEAR 19 �%
SEE BACK FOR FILING INSTRI
�we � S�i��� � o-n�-2_k— ,Q . �'.�.,..
arch, 19 �`� I, (We) occupied as our principal place of r�aidern
which a'Homestead Property Tax Credit is hereby being claimed:
I, (We) L�owned
�7 are buying under contract
To Be Filetl in Duplica�e
�
O/9 - O� Sa3- o a
�� certify that on the 1st day of
e the following described real property for
❑ have a benefiaal interest m the taxpayer
Property Description in w� County O��—�'-- Township
�� -
Taxing District (City, ownyTownship): �`-'^-t-��"�
Parcel Number or legal description shown on tax statement:
�y�. i(/LcJ �f B-Z-io�/7Z/i>
If buying on contract: Owners name ��ee ��mme o.�en
Contract recorded in Recorders Office - Record No. Page
If 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
Any other counties in which individual owns or is buying real property:
i hereby certify the above statement is true, correct and complete
� r� � �` n � i _ ,
County Township
' Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY
True Cash
Value
Land not exceeding 1(one) acre immediately
surrounding residential improvements (�) ��SO
oohal Land � � � � � (3) _/350
Residential Improvements � : i'�welling �4�
.iU� �
Garage �5)
� T tal �6�
Other Improvements � AUDITOR ���
To'�' Improvements - Line (6) plus (7) equals (8) (s)
I,�by certify the above is true. correct. and complete.
Signa;ure a1 Assessor
Assessed Homesiead
Valuation Valuation
-`ACTION BY AUDITOf
�-zi-�y
Dare
Approved: �`�' • ,�e=�6�� Date: _ -��--