Homestead_Schmittler STATE FORM.3M.IR_11W) TIVASU4fl MORN 11A
.APPROVED BY STATE bNRDOF a(YYYN'T t.!TB PREYRInm BY TEE DEPARTKEIT(a'LOCAL roveLNMEN,FINANCE IC VI.I.L'-r.I
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.Homesread fraud causes higher tax bills for all:therefore.
Ili' HEA 1344-21100 requires taspa)ers who receive the homestead standard deduction to verify That they are eligible To receise the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
tiling,.This information will be Lryw confidential and can only he accessed by authorized county officials.The Depann,ent 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
Schmittler, Walter L/Shirley A -
116 First AVE
Princeton IN 47670
1322
Walter L/Shirley A Schmittler
116 First AVE State Parcel Number Legal Description
Princeton IN 47670-1002
26-11-12-104-003.399-028 019-03399-00 TOWER HGTS 22 PT/23 PT
-- - - I T I !! e I e II I n1 III. IIII r II r I t I r II.II t II I __`
PART 2:TAXPAYER INFORMATION
Owner I First Middle ��J Last
�)ri.f itp.,i ? --Ar1i(2M
b Address(number and street,city,state,and ZIP code) - e as propene uddr ss ' -— - - -- --
0
Spouse First Middle /DDDt��I , -j'�jn- Last
7441 AIY /- /YVfM JM
Mailing Address(Number• d street,city,state,and ZIP code) Same as property address
'
Each undersigned certifies.under pen. •- • perjury.that the above and foregoing information is true . . orrect and that he or she is eligible to
receive the homestead standa • .eduction on this property. Each undersigned also understands that,by claiming e.itional homestead deductions
unlawfully,he or she .• •- liable for back taxes and substantial financial penalties.
Owner I Signature Date
•
wan� Hc ia is�s
NescriEeE By SUte BwrO of Tax Commissioners
CLAIM FOR HOMESTEAD PHOPERTY TAX CHEDIT FOH YEAR 19 �9
To & FileE in Wplicate
�
SEE BACK FOR FILING INSTRUCTIONS O��%-D�3 �q- ��
�(We) ��� ��%, Q-�-�-�• °� �� Q-• certify that on the 1st day of
�narch, 19� I, (We) occupied as our principal place of residenc the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We),�owned
❑ are buying under contract
❑ have a beneficial intergst in the taxpayer
(U
Property Description in ���-� -�-a--M Coun
�� �
Taxing District (City, own Township):
�� Township
Parcel Number or legal description shown on tax statement:
�"�_ ,U� z � � * 1
,� ., � 3 �r 1
If buying Ofl contract: Owners name ��� simoie owne�l
Contract recorded in Recorders Office - Record No
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:
�hereby certify the above statement is true, correct and complete.
County Township
�s.0 ,,, .� ,r,�,...,n.� //(, f-;,,,;� n.�rc �n.,,.,��,�,, �..,.� �7G7o
'Signamre Street AOGreu Ciry, State an0 Zip CoCe
' 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 -
Land not exceeding 1(one) acre immediately
surrounding resi ntia imp vem
Other Land � � � �
Total Land
Residential Improvem�,ht�y 2 9 1979
� i /�����
Other Improvements� AUDITOR
Dwelling
Garage
Total
Tq�lmprovemenis - Line (6) plus (7) equals (8)
I'�y certify the above is true. correct, and complete.
$iglldtu/P O1 ASSP5501
Approve
True Cash
Value
�,� a��
(2)
(3) oZ S2o
Assessed
Valuation �
-�i1
�
�a� z z �����
(5) —
0
(g) gz�;�o \,� a.
(7) �\ _
(8) � zIZ �' a�y
��
Dale
ACTION BY AUDITOR -
Date:
Homestead
Valuation
0
�r��
G —a�-�9�