HomeMy WebLinkAboutHomestead_Sermersheim (3) SIM I FORM!3v+,2(•aMl TRFASUISA FORM T5-IA
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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 incentne than ner for homesead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA i344-2CAN requires axpaycrs who receive the homestead standard deduction to verify that they are eligible to recene the
benefit and to provide additional identifying information necessary to allow county goverment to beuer monitor homestead
tiling..This information will be kept confidential and can only be accessed by authorized county officials.The De anntent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Sermersheim, Gerald E/Esther L
Trust
302 S Stout ST
Princeton IN 47670
3061
Gerard E Sermersheim
302 S Stout State Parcel Number Legal Description
PRINCETON IN 47670-2234
�,lu.!l.u.�,lltaiuiall�ttrrt�iliiltl t,llutl.,ll� lilui lltl —
__ 26-12-07-402-001.466-028 Ots-01466-oo FT SE 7210 .402 AC
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PART 2:TAXPAYER INFORMATION
, r First Middle Last[[ '� . 0 G eloMrifM n _,
tg Address(number wtd stract,city,-sr:c,and.ZlP--cod:)aA'4+{ -r- mac as pmpenv address
) dam gfy .. 1' ,- --I.N 47le )7 b
Spouse / M First Middle Last
Mailing Address(Numbeerland street,city,state.and ZIP code) ❑ 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)
sex
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.
Own r 1 Signature - - Date
•
�� CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Slate Fortn 5473 (R6 / 403)
PrescriEed by Ihe Departmenl ot local Govemmeni Finance
INSTRUCTIONS: See revcrse side /or liling ms(ructions.
FORM
HC10
YEAR
�(we) .�JX.�.0�J11�J �� C�04.AQ�l.. O( �/J4.1/%riFJ��� �,� certiry u,et o�n e��1st,day ofjMa�h, zo_
I(We) occupied as our principal place ot residence lhe followin described real ro e for which a Homestead Pro e ����6
9 P p nY p a�7t Cr�dit is4iere daimed:
❑ I(We) owned ❑!ve buying under contract / //(�� �
, Have a benefidal interest in ihe entity that is Iiable (or the property taxes on the propeAy and that owns the �erty or'�yin �dera-e'pnt�a�t.
If buyinq on oonVad, Fee Simple owners name
Remrdels olfice where conVacl
Counry
Tavnship
Tating aistrict (ciry, town,
Record number � Page
rmarcei+ n cer teg e$L�+�puo )� Is ^the apmperty in quesUon:
l J 1 -D I 4 bb-� V �� I� • y p( �]LO Real propeM ❑�bile Homo Q.C. G7.1-7)
If any pwtion ol Ne resitlential sW cture w Me land not exceetling ane (1) aae Nat immetliatey wrtounds ihat swcwre is used to praduce income, des�rihe the use and poNOn
of the property utiized tn praduce itroome.