Homestead_Pflug (4) •
SIAM FORM!MIA OL"/Lei TREAS;IQ PoM 75-IA
.VYWw'EO BY RITE BUVm OF MTTM:srx.9n nIstBmaY 11n DEPARTMENT OF LOCAL GMalLAI Wr FINANCE Ms'ti4.1
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:therefor .
HEA 13-14-3009 requires taxpayers who receive the homestead standard deduction to verify that they me eligible to receive the
benefit and to provide additional identifying information nece'sary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance ss ill use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Pflug, Larry W/Rebecca K
WELL a#03-002 003-01489-00
OAKLAND CITY IN 47660
2804
Larry W Pflug
3043 S 1150E State Parcel Number Legal Description
OAKLAND CITY IN 47660-7632
26-13-25-200-001.249-006 003-01249-00 PT NE 25 2 9 114.74 AC
r ta tat Ir II r I I I I nr I tat Ir II I I t Ir Ir I u I u I I nr Ir II
D-6-C-1
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
�
j
t. 0. i' w' 7.11 a n-L /9 4 I u
'!b i g (number andstreeCcity,state,and ZIP coder - - - _ ❑ Same as property address. - — - - - -
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) 0 Same as property address
4 e L i a o c . II o € ® Gk\ 0..,c Q I'4 6
Z�✓ t7ca
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 'gnanhe Date
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
Stele Form 5473 (871540
Prescrilmd by the Departinard of Lo®I Govamrmit Firtarias
INSTRUCTIONS: See remiss side for Nmg Instructions.
OCT 1 2 20ol
CONTRACT,, RECORDEVX „
If buyvig on ..trod Fee SmVle owners nariie
Rimomileft dke where caritrad is racerded Pecord number Page
- PROPERLY bEscmP1iot&
CERWC$TVN
STATEMU,_,
co"”" /V
I (We)
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Tachig district
certify thaReW
2D
I (We) o cou as our
pa place ii�hisidence the following dolibed
real &Per", for which a Homestead Property Tax Credit is
99LL
I (We) owned
Are buying under contract
L Pb—
Is the
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 under a contract.
CONTRACT,, RECORDEVX „
If buyvig on ..trod Fee SmVle owners nariie
Rimomileft dke where caritrad is racerded Pecord number Page
- PROPERLY bEscmP1iot&
Tki& �fAi
- IN
co"”" /V
Tomah
Tachig district
0—%hp)
Township
(0
stz" of daunard
ZZZZL
Pared number
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Is the
n
4
Jr
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surmiunding residential linprovernerils.
—
❑ WWI. H. (LC. &1.1 -n
m
Harty e Land chat irrinisdately mirrourids that
XE m umd to pro&m �, describe the use and portion
=*Ktk. -
it Z tD Prod[".
dthe 111,M)fTle.
(2)
PROPER OWNED BYXILAMLANT MOTHER COUNTIES i",
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- IN
HOAGES-TFAD
County
Township
County
Township
I hereby certify the above stalarnents are true, coned and complete.
stz" of daunard
(nurnber aW jifniet QnV gate, Z(Pcodo)
.7
Rov Id X- oaklo.'-p C4 Am'cn
Signature of AAW
Tki& �fAi
miiiuig
HOAGES-TFAD
l4;ASSESSOR USE ONLY
!�ITI OF -T TV
I VALM.�
Valuation or MODO
Signature of AAW
Land not exceeding 1 (orms) sore, iffirnedialely
Date signed
surmiunding residential linprovernerils.
Other land
(2)
Tdal land (Ice I plus &?a 2)
(3)
Dwelling
(4)
Residential irriprommi, orAnnualty
Assessed Mobile I Manufaclured Homo
G
Garage
(5)
"'Fi" MAMMA
ASSR.W
Other mriprovements
(6)
Tictal riprovernerits (roe 4 dirough Eno 6)
(7)
Tidal value (Arm 3 phis krie 7)
(8)
1 hereby om* the above is hue, corni'd. and
SignsiureofAssessor
Date signed
I
complete.
%iin" acum - &Wmb" ampator
I Dats signed
STANDAW OEDUCTM ALLCWMCE
20_ Pay 2O_
Less" of 12 Homestead
Valuation or MODO
Signature of AAW
Date signed