HomeMy WebLinkAboutHomestead_Staat STAME I ORM:Wto01:t'M'1 • TREASU UR m1%:3-IA
AtrRIWEO BY 514TE BROW OFMtYR.:'t1Otto fREMMtBID BY THE DEPARTMENT OF LOCAL GMERVMEAT FINANCE IC4-1.1 r-l.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 baud.Homestead fraud causes higher tax bills for all:therefore.
ill
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify 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 be kepi confidential and can only be accessed by authorized county officials_The Department of
Local Government Finance will we this information to create tools that will help county officials eliminate homestcad fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Staat, Eric R .
1925 S Main
Princeton IN 47670
1602
Eric R Staat
1925 S Main State Parcel Number Legal Description
PRINCETON IN 47670-3407
ltlttlltttltllrtlttllll lltrlttlll tttltttl rrltltltlttltltl X 26-12-18-304-002.850-028 019-02850-00 BROADLEIGH PARK 24/43
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.
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
ERIC �14t' STMT
doag Address(number and street,city,state,and ZIP code) y I Same as property address
1902 5 SOtA{lx 01bil,•t, S+. P;t1ro.Fon I,o Li-167p
�
Spouse First Middle last
4 0g.-A-- A Af,A STAAi
Mailing Address(Number and street,city.state,and ZIP code) pi Same as property address
itas- t,c11, 6/104w Sr Prtoec e.., r N 47(D 70
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
--
i
•
Q.; '
tea.
� - CCAIM'FOR HOMESTEAD PROFER.T.Y,=iAX:: .�., _
' -CREDIT/STANDARD DEDUCTION `- = - --- = - - - -
/ Sla�e Form 5473 (Rfi / 1-03) ?..'i �' � -t ...
- PresCri6ed by the DeparvnenCOl Lacal Govemment Finance� ` � ' ' ' ' ' - ' '
INSTRUCTIONS: See revcrse srde Ior /iling ins(roc(io�isJ "-' ��' �
. . . . . . , - . . _ ,. . , ,
FORM � YEAR
t
DEC 17 2004
I (We) i��i� ) �/C -. •,, ;'. /� �[�i� � . _, . , . cer�j�� C Yn� �� !1a
.41
�I (We) occupied as our principal place of residence lhe follovring descnbed real property for which a Homestead Property ac r� i is h�F�'dai ed
❑ I (We) owned � ���'Are buying under contract � _ ' � � � � � � � �
�Have a benefidal interest in. ihe entity ihat is,liable (or,ihe property taxes on the property and that owns the pmperty or is buying under a conVact.
If huying on contrad, Fee Simpie owner's name
Remrdefs ofice where conuaa is recoraeE _, .,,
�Counry • . - � . •• � � Tdwnship � . . . -
� � �.:. . . , . , �
Parcel w r 'n, Le al descripf
Ol � � �Uv
If any portion of the resiAential struclura w Ne IanE not exi ding o a
of Ihe property uUlized to produce inwme. ,
- _ : . �?� �{3 ,
'ROFERTY UE51
�
�`�` v
acre th�mediate
�� i' .
Recard number � Paqe
I Is the property in question:
q� Real pmpeM ❑ M11�bile Homo (I.C. 67.7-7)
surrounds that sWC[ure Ls used to produce income. describe the use antl poribn
i_. .. .,, .. - i
.�.s������+:�-°� n:..�»:?`Yri� i�'.�..�-��.'.�,`.,��=�STANDARU`.OEDUCTION�AL•COWANCE:.;^_�.,K.�e�`Z,:d'3`X�a'"�v„v ;yz x#e�.�"."�:,�i�3, .�v'�a -�
20_Pay20_
Lesser of 1Y2 Homestead
vauauon or E35.W0
S
SignatureoFAuditor " Datesignetl
�i1 T lT T9 R"� _ _ _ _