Homestead_Leffler (3) 5151E FOI.1535a1R_/wnt IAE SUIfl PoAV 11A
Atfll EO BY 515TE WARD OFM<OC%T5.5.W PIEY111Bm BY 11W WARMEST Clw2Re/51EAT FINANCE W4-1.1--r-s1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standani&eduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ner for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
0 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 confide vial and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Leffler, Marvin Dale/ Priscilla Sue
CR 950 E
Oakland City IN 47660
MMarvin /
Marvin DLeffler
R 1 Box 241 State Parcel Number Legal Description
OAKLAND CITY IN 47660-844,
�t1n11us1t11tu11n11ut1u1u t�n1r1u1u11t1tu11ttt11 26-13-22-200-000.502-006 003-00502-00 SE NE NE 22-2-910 AC
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 t First Middle '(�/ Last
/ ✓ 10.2,01 AJ �. Le_ Le -941TE./C.
- sg Address(number and street.city,state,and ZIP code) W Same as property address
/7 37 S ?SO r (Qag 16„...c1 C, (e 7t 6d
First Middle Last
/ R-tSct / /a a.e 4Q cV ieit-
Mailing Address(Number and street,city,slate.and ZIP code) IA Same as property address
/7'37 S 9g t Oa&/a,,,e1 e i_r] .z----ti v- o
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.
Owner I Signature Date
•
•
t
Ems' °g CLAIM FOR HOMESTEAD PROPERTY TAX
�• CREDIT /STANDARD DEDUCTION
State Form 5473 (R2/5-92)
INSTRUCTIONS: See reverse side for filing instructions.
FORM - YEAR
HC70
CERTIFICA ON STATE NT - H ARM
I (We q certificitapteoM 1a1 gy of March, 19
�) occupi as our principal place of residence the folfowi g descri deal property for a Homestea a ax r It is hereby claimed:
V 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 o /�7je pSOp`.9rr, .yLtir contract.
c re: ' crtDITOR
CONTRACT RECORDED
If buying on contract. Fee Simple owner's name -
Recorder's office where contract is recorded Record number Page
'
- PROPERTY DESCRIPTION - -
County
County
Township
Taxing disc' city. n, township
P el number
UZ23 �osad -ate
Legal description
S F - !fl
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income. -
d�G - 3 - - oo -�• .tea -�� •
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES -
County
Township
County
Township '
�eby certify the above statements are true, correct and complete.
Sign ure of claimant
A dress (number and street, cut, state, ZlP wde)
/�� �
Z� �'7GCo
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE.
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
g cure of A tli,or
13a'; ji O
Other land
(2)
Total land (line I plus line 2)
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
_
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(g)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
- - STANDARD DEDUCTION ALLOWANCE '
' 19 _Pay 19_
Lesser of 1/2 Homestead
Valuation or $2,000
S
g cure of A tli,or
13a'; ji O