Homestead_Schwomeyer STATE FORM 53569(R2/5-09) TREASURER FORM TS-IAI
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-I.1-22-8.1
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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
•auses higher tax bills for all; therefore, HEA 1344-2099 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 kept confidential 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.
• PARS I: 'ROPERtTl INFORM TION ' . ' . .
Taxpayer Name Property Address State Parcel Number Leaal Description: ,,
Pat M Schwomever i 1 3 35 a� S
26-13-24-400-000.745-006 003-00745-00 PT SE 24-2-9 8.00 AC
Oakland City IN 47660 D-6 C-I
Complete and return to:
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670 5
gaiialcatigal INFORMATION
Owner I Fist Middle Last
Pad- 1v\ . Bchwolm.eiov .
Mating Address(number and street,ctty.state and ZIP rode)
l Same as property address
1 1 335 t ZOO S 0ak.4a11o1 G 4-y t % 41610,6
•_ -
First Middle • Last
Em► �1 Arn n , Sd wove er
Mating Address(number and street,cry,state and ZIP code) 'Same as property address
11335 E `too s Oakland C.;ct-c{ 1 47/6606
- !, .'
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 1 Signature Data
: ART EI3ADDITIONAL INFORM AU2 • -
•
p.
J
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
Slate Form 5473 (R614 -03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
Ni J F1W
JAN 12 2005
I (we) at- `{" Z m% Y C it W o vv t- h a("11 may of H
s ay of March, 20
II [We) occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
0"I (We) owned ❑ Are buying under contract
iHave 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.
c:rr t , " .sa'K � Gw-; i � --• r eY.- x rxx . ' -
NTRACTiRECORDED .f•�'�S°e�`;y"'y�,�'+��" ,�T.r"N��a�?- �f. -'"�' -e ` ..
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded Record number Page
.. == s'�.•s,ry ._.:- '�Y. _•.�.fid '.?Rx Y;� PERTY DESCRIPT(ON;1
County
Township
T g district (dry, town, township)
Parcel number
Legal description
Is the property in question:
TAT700Ya.OF�TTV�.VALUE,�
C1 Real property ❑ Mobile Homo (LC. 6-1.1 -7)
H 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.
- _
?�,,K : �ri„- i-` LL,,,:"-!; t5'.+" uP, ROP, ERTY, OWNED16YC1JAIMANTIN :OTFIER'000NTIES
County
Timmship
County Township
I hereby certify the above statements are true, correct and complete.
Signature f claimant
dress (number and street, city, state, ZIP code)
-WJWF
' yA'SESSOR'USE ONLY
"' RUETAX� c
ASSESSED VF UE
HOIdESTEAD
_NON S OENTULL
.'_ VALUE
TAT700Ya.OF�TTV�.VALUE,�
;�pVALUE''�"'•'
Land not exceeding 1 (one) acre immediately'f
surrounding residential improvements.
Other land
(2)
3�-
Trial land (line 1 plus line 2)
(3)
Dwelling
(4)
#- ,F
RUN
Residential improvements or Annually
Assessed Mobile I Manufactured Home
Garage
5
_
Other improvements
(6)
®R,"-, -
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
hereby certify the above is We, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
,• .'�'#P?# =- :_i -. `.'4;errT 3ei A i = Y;S.' -s STANDARD DEDUCTIONAL'LOWANCE. ..i'r `;`t .q�; +��ro'>z"�i•'�'ec'"k^3`e9 _F;i„p. ;3ff ^
20_Pay 20_
Lesser of 112 Homestead
5
valuation or $35.000 -
Signature of Auditor Date signed