Homestead_Heichelbech alATE tORM!1!MltitS-a0 TREAAIUA FORM iitA
r APPROVED 11V ATsT E BOARD IN nerOCNtl.9v rEFXAJBW BY THE DFPARTNEYT{ftXAE GOVERNMENT FINANCE M 6-I.t-2Z-1.1
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
Ake, more beneficial.there is more incentive than ever for homestead fraud I lomestead fraud causes higher tax bills for all:therefore.
HEA 1344--2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive a the
benefit and to provide additional identifying infomatwn necessary to allow county government to better monitor homestead
Ii lint,. lids information will be kept confidential and can only he accessed by authorized county officials.The Depanmem of
local Government Finance will use this information to create tools that will help county officials eliminate hmnennd fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Heichelbech, Steven L/Holly L
= � RI Box 234 C
Oakland City IN 47660
4780
Steven L Heichelbech
2979 S 950 E State Parcel Number - Legal Description
OAKLAND CITY IN 47660 —
26-13-27-200-001.511-006 003-01511-00 PT NE 27-2-9 2.01 AC
D-6 C-1
.r
X
•
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Lee f e ciL El ee�
-— •ng Address(number and street.city,state,and ZIP code) - - 0 Same as property address — — -- -
9797 S R50 b ()aKk0 A CNA-1 -1)1 g.7lol06
Spouse First Middle Last
40 - Lem E ; CIA e1 bec)k
Mailing Address(Number street,city,state,and ZIP code) ❑ Same as properly address
p7(77 S 9 5 O C OaK lati■d C 4-Y E N V 7b 6 6
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
CLAIM FOR HOMESTEAD PROPERTY TAX FORM
} CREDIT /STANDARD DEDUCTION Hc�o
State Form 5473 (8817 -07)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instntc6ons.
"Nowl,
I (We) v v
rtity that on the 1st day of March, 20_
1 (We) occupied as our principal place of residence the follo described real property for which a Homestead Property Tax Credit is hereby claimed,
�� I (We) owned ❑ Are buying under contract
a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract-
CONTRACT RECORDED
If buying on oontract, Fee Simple owners name
Recorders office where contract is recorded Record number Page
ASSESSOR ONLY
:PROPERTYDESCRIPTION'
PROPERTY
County Township
County Township "
County
Tormship 7st' (city, town,Youmship) 'I
Parcel number
Legal descnpton
Is the property in question:
VALUE
Land not exceeding 1 (one) acre immediately
eel property ❑ Mobile Home (IC 6-1.1 -7)
If arty portion of the residential structure or the
d Iha property ugfized to produce inwme.
land not exceeding one (1) acre that immediately surrounds that re is used m produce inwme, describe the use and portion
" -`• -_' -` "- - '
aoC� -cx� 1.� 1 -cc
ASSESSOR ONLY
TRUE TAX VALUE
PROPERTY
County Township
County Township "
I hereby certify the above statements are true, correct and complete.
Signature of daiment
Ws (number and street city, state, and LP code)
ASSESSOR ONLY
TRUE TAX VALUE
I ASSESiSili VALUEF
HOMESTEAD
S
or 43,000 for 2009 pay 2010 40,000 payable after 2012
AT 100% OF TTV
I VALUE
VALUE
Land not exceeding 1 (one) acre immediately
" -`• -_' -` "- - '
surrounding residential improvements.
(1)
Other land
(2)
Total land (line 1 plus line 2)
(3)
Residential improvements or Annually
Dwelling
(4)
"
Assessed Mobile I Manufactured Home
- +.; - - -
Garage
(8)
Other improvements
(6)
A-4
w
Trial improvements (rme 4 through Ane 6)
(7)
Total value (line 3 plus line 7)
(8)
I hereby certify the above is true, correct, and
Signature of Assessor
Date signed (month, day, year)
complete.
Verifying action - Signature of Auditor
Date signed (month, day, year)
STANDARD DEDUCTION ALLOWANCE-
2u _ pay 20 _ 46,000 for 2007 pay 2008 42,000 for 2010 pay 2011
Lesser of 12 44,000 for 2008 pay 2009 41,000 for 2011 pay 2012
Homestead Valuation
S
or 43,000 for 2009 pay 2010 40,000 payable after 2012
Signature of Audilor
Date signed (month, day, year)