Homestead_Schurter STATE FORM!Men it_r S..o TRISSURG PORN(SIA
.APPROVED BY STATE BOARD OF An[RPTS.`nn PRFXAIBID BY Till DEPMnoeT(f LOCAL COVERNMr1.7 F ANCE ICH.Ir-FI
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 ester for homestead fraud.Homestead fraud causes higher tax hills for all:therefore.
• HE.\ 1544-3009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recent the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
flings.This information will he kepi confidential and ran only he accessed by authorized county officials.The Depanntent 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
Schurter, Michael D/ Daniel
311 N 1050 E
_ Oakland City IN 47660
1663
Michael D/ Schurter
311 N 1050E State Parcel Number Legal Description
Oakland City IN 47660-8620
ltltrlltttltlltttllttlltttlttlttllttttltlll IDPttllltlle! 26-13-11-200-000.965-006 03-00965-00 PT NE NE 11-2-91.205 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 First Middle Last
Tg Address(number and street.city,state,and ZIP code) Tame as property address
?/l // /050 di/#',r/ C/71. ., / G/, j'
•
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 Date
Si)E
a� CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (132 / 5-92)
INSTRUCTIONS: See reverse side for filing instructions.
FORM
HC10
YEAR
property for which a Homestead Property, Crs t i er I i
l(We)owned ❑ Are buying under contract
�f11
E] Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or 0lCjn ju6ejg *tract.
r
CONTRACT RECORDED
'/�/_�!
It buying on contract, Fee Simple owners name GfBSON t.Uiifv Y AUDITOR
Recorders office where contract is recorded
Record number
Page
PROPERTY DESCRIPTIO
county Township
Taxing distri (d , to , t wnship) '
Patcel ben � � 4eq tlescdpiion
any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, demribe the use and portion of
the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County Township lCounty Township
Signature of clai nt
.�I hereby certify the above statements are true, correct and complete.
^ddress (number and street, city, state, ZIP code) Cr f). '
0
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON- RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1 (one) acre immediately
(1)
surrounding residential improvements.
Otherland
(2)
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
-
Residential improvements
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, correct, and
Signature of Assesor
Date signed
complete.
-
verifying action - Signature of Auditor
Date signed _
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19
Lesser of 1/2 Homestead
S
Valuation or $2,000
Signature of Auditor
Date signed