Homestead_Baehl (4) MATE rnRM J)HC I l-.r TREASURER MIN Stn
.VPRIUEO DVST&TEBOARD Or.AMOUNTS.bra PRLYTJBRIoy DM DEPAaneff(W LOCAL oovressirm FINAsCEICH.I-r4.t
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY-OWNERS
PRINCETON IN 47670 Individuals and married couplemt are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than mer for homestead fraud homestead fraud causes higher lax bills for all;therefore.
• HEA 1344-2009 requires Iaspasers who receive the homestead standard deduction to verify that they arc eligible to incise the
benefit and to provide additional identifying information nectzsary to allow county government to better monitor homestead
filing,'.'Ibis information will he kept confidential and can only be accessed by authorised county officials.The Depanntent of
Local Government Finance will u'e this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY L\FORMATION
Taxpayer Name Property Address
Baehl, Randall A/Connie M
401 S Race
Ilaubstadt IN 47639
10800
_ Randall.A/ -Connie-M Baehl-- -- — - — —
401 S Race State Parcel Number Legal Description
Haubstadt IN 47639-8144
IIII IIIt 111,11,11,��r�r�rr�Il�r 11111111111�Ir��� 11111114 26-23-06-101-000.713-009 013-00713-00 PT W 6410.1.265 AC
PART 2:TAXPAYER INFORMATION
Owner I to. First Middle Last
g Address(number and strcel,city,state,and ZIP cod . — JLJ Mme as property oadmis. — -
(/o/ Se 1Fr9cr S'r IAEA 8 sTAfl�
Spouse First Middle Last
eOIVNIE �2/C g 6-)/L
Mailing Address(Number and sweet,city,state.and ZIP code) Same as property address
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 Date
•
Si�rF
CLAIM FOR HOMESTEAD
o CREDITIS ANDARD DEDUCTION RTY TAX
State Form 5473 (R2 / 5-92)
e'
INSTRUCTIONS: See reverse side for filing instructions.
s /�%
FORM YEAR
HC10
CER71fl NSTATE E T °•f'
�p1p
I (We) certify thatlbh tde is0daJOCCarch, 19_
I (We) occupied as our principal place of residence the following described real property for which a Homestead perty Tax Credit� hereby claimed:
❑ I (We) owned ❑ Are buying under contract J
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the%progp{tyhgr 1s!b�yl ?.UUITOft ct
CONTRACT RECORDED
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded
Record number
Page
PROPERTY DESCRIPTI N
Ceunry 'Township
ist ct (city, t m, rowrf�hipJ
T
Par I numher
lLegaildescrip
X / %t
39 e
It 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.
- PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County Township
.lereby certify the above statements are true, correct and complete.
County Township
Signatur laimant
Address (number and street, city, state, ZIP Cade) _
-If0/ S- Za o
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Other land
(2)
Total land (line 1 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)
(6)
I hereby certify the above is true, correct, and
complete.
Signature of Assesor
Date signed
Vedtying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19
Lesser of 1/2 Homestead
Valu lion or $2,000
$
ate /Signat