Homestead_Staat (3) + MAR FORM 53%4 0:I YW I WWFANRD TORY 75-IA
MIRO:ED BY STATE BOARD nr
HOMESTEAD PROPERTY OWNERS Ira
Gibson County Auditor
101 N Main
PRINCETON IN 47670 Individuals and married couple.are limited to one homestead srandanf deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive dun e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
.� FIFA 1544-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eheible to recene the
benefit and to provide additional identifying infonnatmn necesory to allow county government to better monitor homestead
filings.This information will he kept confidential and can only he accessed by authorized county officials.The Department of
Local Government Finance sill use this information to create tools that will help county officials eliminate homestead timid.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Staat, Steven R/ Beverly J
618 S Main
Princeton IN 47670
1019
Steven R/Beverly J Staat
618 S Main State Parcel Number Leal Description
Princeton IN 47670-2448
I I I I IIII III III I I III III IIII A 26-12-07-304-002.649-028 019-02649-00 PT SW 7-2-10.17 AC
In net not Inn rtnsn unn u r r n CONTRACT SALE
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 1 First RAY Middle 5 T Last
Address(number and street.city,state,and ZIP code) g Same as property address
Spouse First Middle Last
JCANNc S4T
Mailing Address(Number and street city,state,and ZIP code) '1Ca'Same as property address
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 he may be liable for bac taxes and substantial financial penalties.
Owner I Signature D/at�c/ /y,y�
�.•_••�., CLAIM FOR HOMESTEAD PROPERTY•TAX ' Fo aR
��p� ; CREDIT/STANDARD DEDUCTION .��(� Hci �
. . -;
:� State Form 5473 (R2/1-90) `YB
•� '°�• • INSTRUCTIONS: See reverse side.for filing instructions. �.
CERTIFICATION STATEMENT F� � l �g9�
'I (W �" e i y that on the 1 st da���OF��s
I(We) occupied as our cipal place of s ence the following described real propert ich a Homestead
Property Tax Credit is hereby claimed: , ❑ I(We) owned Are buying under contract
� Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
property or is buying it under a contract.-
If buying on c act.,Fee Sir�ple Oy{nE
Recorder's
contract
Township
CONTRACT RECORDF�D
�.,,d , n n . . ..
PROPERTY
Record Number
Page
��`1 I N��(�`f`9'��I Legal Cj'e,sc`��on � �I� � _ '1 _ /O • J ^-�Li,
�/..J oC /
If any.portion of ihe residential structure or the land not exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
I hereby certify ihe above siatemenis are true. correct and
Address (Street, number. city, state
L�R' 1_ �in...:.. 1��.
ASSESSOR USE ONLY
�
TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land not exceeding 7(one) acre immediately
surrounding residential improvements (�)
Oiherland (2)
Total land - line (7) plus line (2) (3)
���Residentialimprovements Dwelling (4) -� -�' � - � '
Garage (5)
Other improvements (6)
Total improvements - line (4) through line (6) (7)
Total value - line (3) plus line (7) (8) �
I hereby certify the above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
� 1989 Pay 1990
Lesser of 1/2 Homestead
Valuation or $2,500
L�
Signa f Auditor
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991
Lesser of 1/2 Homestead
Valuation or $2.000
1991 Pay 1992 19 — Pay 19 —
Lesser of 7/2 Homestead Lesser of 1/2 Homestead
Valuation or $1,500 Valuation or �1,500
I