Homestead_Specht iliTE FntM!lt IR1 NNI rnnASUarA FOAM T}IA
APPROVED BY AtAIEBOiBOOr.AM1Ta..'I.11i, PLr.R,UamnT THE DEPARTMENT fi LOCAL rMitMMR.T FIANCE IC 4-1.1--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 tax bills for all:therefore.
HEA 1344--3009 requires tarpapers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying informnton necesmry to allow county government to better monitor homestead
filings.This information will he kept conedemial and can only he accessed by authorbed county officials.The Depanm ent of
Local Government Finance Mill me this information to create touts that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Specht, Keith A/Leonna
1532 S Madison
Princeton IN 47670
3945
Keith A/Leonna Specht
1532 S Madison State Parcel Number Legal Description
Princeton IN 47670-2928
It lttllttrlt llrrlrt tlll $ 26-12-18-302-003.997-028 019-03997-00 PT SW 18210.378 AC
PART 2:TAXPAYER INFORMATION
Owner I it r First Middle Last
tg Address(number and soar,city,state.and ZIP code) — _ - Same as property addi¢s -`-
/532- S. /l ,instil 7infeeJ i -ZV /176 70
Spouse First Middle C Last
Lc0 �l ✓l � env Jpec11/4_ �
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
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 Si..attire Date
�yf��Tf
a�/ "°„ CLAIM FOR HOMESTEAD PROPERTY TAX
���� CREDIT/STANDARD DEDUCTION
:,,�'�'�� State Form 5473 (R2 / 5-92)
..,.
INSTRUCTIONS: See �everse side lorliling instructions.
G
' ,. . . . " �. . . ' �C�.RifPICATI
I (We) /r �O—�.�--,� [L r�f�y ��
�q) occupied as our principal place of residence the following describ real property for �
�'I�(We) owned ❑ Are buying under contract � ,�n 4
❑ Have a beneticial interest in the entity that is Iiabie� N+�,Qr erty 1��5 onlF(PIDro rty
\� l.l�. �a��
FORM YEAR
C o� „
il � �i / �� 0 � (o.'t
FF8 9 F i938
Certi}y
and ihat owns the property or is buying under a contract.
" - - - - � CONTRACT RECORDED �- � � . . " -�
If buying on contract, Fee Simple owner's name - � -
Recortlefs oflite where contract is recorded ReCOrd number Page
� � - � � � PROPERTY DESCRIPTION - � � ��
Counry � Townshi Tacinq dstric mwq mwnship) '��. '
"; 6 � A-, o � �- �u..c e �
Parcel mber Legal description .
�/I�"-03497- o o ' � �
It any portion of the residential strucwre or t�e lantl not exceeding one (7) acre that immediatety surtounds that sWCiure is used to produce income, describe the use aM portion
ot ihe property utilized to protluce income.
ASSESSOR USE ONLY . TRUE TAX ASSESSED HOMESTEAD NON-RESI�ENTIAL '
VALUE VALUE VALUE VALUE �
Land not exceeding 1(one) acre immediately
surroundin9 residential improvements. (�) �
Otherland (Z)
ITotal land (line 1 plus line 2� (3)
Dwelling (4) � �
Residential improvements ,
Garage (5)
Other improvements (6)
Total improvements (line 4 through lina � (7)
Total value (line 3 p�s line � (g)
I hereby ceRify the above i5 We, correCt, and Signature of Assessor Date signetl
complete.
Verityirg action - SgnaNre of Auditor � Date signed
u�
19_Pay�9_
Lesser of 1/2 Homestead
� Valu� or 52.000
STANDARD DEDUCTION ALIOWANCE
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