Homestead_Schneider STATE FORM!'!MIR_I MNI 1REASURIA FORM 3-IA.
APPROVED BY STATE MARI OFACCOUNTS._PM rRr_AlBa)BY nit DEPARTMENTOF l0l'AL GOER.YMEhT FINANCE MLI.•Zr-1.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N Main '
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this dNodion becomes
than more beneficial.there is more incentive an eser for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
', HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verily 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 he kept confidential and can only he accessed by amhonied county officials.The De anment 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
Schneider, Douglas A/Jennifer L
1901 Cottonwood DR
Princeton IN 47670
2207
Douglas A Schneider
1901 Cottonwood Dr State Parcel Number Legal Description
PRINCETON IN 47670-3336
II I II i III II II II II II Null FaI 26-12-05-204-003.902-0 006-03902-00 NORTHBROOK HILLS
a as sat a at aft tetaa tat tax to rr r PHASE IV A 151
• PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
Mou CIA S ALAN ca++nIFIDU.
-•:g Add: ' m::S—ad smxt,city,^-tte.and Z!P code) me as property oddness __._
Iqo I COTTON WOOD 172. 1Z-IN�ctronJ, TN 47407 O
Spouse T First Middle Last
�1 �ININIFEA L`INN1 CC-NNEIDEP
Mailing Address(Number and street,city,state,and ZIP code) L.fQ a as prapeny address
( 901 Corromw000-12M21NCETON , =NJ 47(o70
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 Y�� Date / /
•
d
`���n`s, CLAIM FOR HOMESTEAD PROPERTY TAX
''*-`" � CREDIT/STANDARD DEDUCTION
`e j State Form 5473 (RS / 70-07)
�O� Prescribed by lhe Department of Local Govemment Finance
INSTRUCTIONS: See reveise side (or /iling inst/uctions.
FORM � YEAR �
HC10
/, , :._ � . . ..
I(We) �! n t e y of M c�h. 2�
I occupied as our "ncipal place of residence th Ilowing des ed real property for which a Homestead Prop t�� re is he�bdda e
■ �
❑ I(VJe) owned ❑ Are buying under conlract � �pq
�ave a bene5cial interest in the entity ihat is liable for ihe property taxes on the property and Ihal owns the property or is qpp� uiid� �Cttlfract.
P�
I( huying on contract. Fee Simple owners name
Remrders office where contrad is recordeE
�� GIBSON ���"• , .
Record number Page
'�-s'-� '� '=� "� �' ^` � �� �� 'w'.� ' TRUE TAX . �ASSESSED VALUE HOMESTEAD � � ' y' NON-RESIDENTIAL3> � �'
����ASSESSOR USE ONLY �� s s.�e �-y� '.'S - VALUE� c- �-� AT 100% OF�.TTV - VAI.UEf'�s�- .�.'>' 'U's+ q r'.'., VALUE���..��„�'
x �= • i':� . , c��. !s :sJ. . ,r .: �. ti.,..
Landnote9ceeding 1 (oneP acreimmediatety (�) y� �`�ry4 ; � } r� ,Y�_.�:
surroundin residentlal im rovements. �,�-
l�G ; ,
Other land
(Z) ����1'r'•• � �`
. r•.�..` i?
Tofal land (line 7 plus line 2) (3�
Dwelling (4) r�.-,, } y�:� ���.s�;T'�a'yc,�;
Residenlial improvements .-` "�" �r � �°��� -'
:lt+ SH x i a; Y+'+J'r�
Gara e ( � ,°µ �L-� w� ^4��`s.�,x�`*'-
9 5 � �� ��_.�;���:21"e:-
= :` T:�6`�a=v=._
` v,py^_�'•:'ti -:.
Other improvements (6) - `„� `�;.
:'�� � � �
Tdal improvements (line 4 fhrough line 6) (7�
Tctal value (line 3 pl�s line � (g)
I hereby certify ihe above is We, cortecl, and Signature olasseswr Date signe0
complete.
Verityirg actbn - Signawre o!lwditor Date sgned
20_Pay20_
Lesser of 1f2 Homestead
ValuaGon or 56,000
3
SgnaWre of Auditor I Date signed
� �