Homestead_Schaefer MATE FORM!3t Ire• r•I TREASLIEn FORM SI.Y
ArFYT'Ef BY STAB.BOARD OF ACM'S1S SIN PIISRJBID BY nit DEPARMIWT OF LLCM_GOSER.YMFAT FINANCE K4-it-_3.1
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:therefore.
HEA I114-2009 requires taxpayers aho 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
filing.This information will be kept confidential and can only he accessed by authorized county officials.'the Ikpanntent of
Local Government Finance will toe this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Schaefer, Mark/Darlene Robinson C-8aSe
Oakland City IN 47660
4261
Mark Schaefer/Darlene Robinson
C( Oakland City N 47660-8464 State Parcel Number Legal Description
t�r��rrr��rr��arrltt�t t�at�t��tt t�t t��rt�rtlt�arr�t�� 26-13-11-300-000.826-006 003-00826-00 PT NE SW 11-2-e 1.27 AC
Cefil 1r1rr11tt
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Mare S �t � efe�
Is Address(number and street.city,state,and ZIP code) ---— --Same as pioperty address -- . - -
9s �� &se. 41 (/ 0'��- G 4---5-0 LI71e,(aa
Spouse First Middle /� Last
At �n e C. Ko 10, 5 On-
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
£ &u se "di oojtia,01 C ` Zti tf7o.a
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
y CREDIT /STANDARD DEDUCTION n�� Hc10
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT
YEAR
(We) p4C OQ�DL�- /IrX�� certify that on the 1 st day of March , 19
I (We) occupied as our princip place of residence_ ,d t-h -e (following described real property for which a Homestead
Lt
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 contract-
IiVIV I MAt I MrL Ursvru
If bu50jLr a imple Owner's Name
Rec is office where�ontract is recorded Record Number Page
, • M
.t PHOPEHTY DE51UHIPIIVN'
-WW I Count yq ((DR Town,5,hip Taxing District (City, town, township)
Parcel Number Gt Legal Description � 11 _ _� 7
If any portion of the 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
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements
Other land
Total land - line (1) plus line (2)
Residential improvements Dwelling-
Garage
Other improvements
Total improvements - line (4) through line (6)
Total value - line (3) plus line (7)
'
(1)
1991 Pay 1992
19— Pay 19—
Lesser of 1/2 Homestead
(2)
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Valuation or $2,500
(3)
Valuation or $1,500
Valuation or $1,500
(4)
-
-
-
(5)
(6)
(7)
(8)
1 hereby certify the above is true,
correct, and complete
Signature of Assesor
Date Signed
Verifying Action - Signature of Auditor
Date Signed
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990
1990 Pay 1991
1991 Pay 1992
19— Pay 19—
Lesser of 1/2 Homestead
Lesser of 112 Homestead
Lesser of 1/2 Homestead
Lesser of 1/2 Homestead
Valuation or $2,500
Valuation or $2,000
Valuation or $1,500
Valuation or $1,500
Signature of Auditor
Date Signed}