Homestead_Bittner (4)CLAIM FOR HOMESTEAD PROPERTY TAX ' FORM YEAR
3� CREDIT /STANDARD DEDUCTION HC10
IL
State Form 5473 (R2/1-90)
INSTRUCTIONS: See reverse side for filing instructions.
CFRTIFICATN)N STOTFMFNT '
HrR b i IJJI
li (We)ti certify that on the 1 day of arch , 19 91
I (We) occupied as our principal place of residence the owing described real pr��Restead
Property Tax Credit is hereby claimed: L�" ,l (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 a contract.
CONTRACT RECORDED
If buying on contract. Fee Simple Owner's Name
Recorder's office where contract is recorded Record Number Page
PROPERTY DESCRIPTION
County To hip Taxing District (City, town, township)
Parcel Number Legal Desc ipti n {/
013 -6 0 oa /rte- 3
If any portion of the residential structure or the land not exce ing one (1) acre th t immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
CU CT
certify the above statements are*true, correct and
IVINN 1 IN U 1 nrm I.UUN 1 ICJ
Cnnnfii -
�a,e
Address (Street. number. city, state and ZIP code) e e "e'l/ 5�6eea
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL
VALUE
Land not exceeding t (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)
-
Signature of Auditor Date Signed
(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
u
STATE FORM SIX9(Rt/S-10) TRFASIIFA FORAM-IA
.APPROVED BY STATE BOARD OF ACCOUNTS.X09 PRELAIBm BY THE DEPARTMENT OF LOCAL COVtz MES!FINANCE IC 61.1-3311
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS:.
101 N.Main Street Individuals and married couples are limited to one homestead standard deduction.As the receipt of iris deduction becomes
Princeton, IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore, .
HEA 1344-2009 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 he 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.
. PART I: PROPERTY INFOR\IATIoN
NOV 142011
Taxpayer Name Location Address
C. .n Bittner, Michael P
103 Ben ST
GIBSON COUNTY AUDITOR
liaubstadt IN 47639-8120
7445 - �pj
Michael P Bittner III(ID IJ I�DIII11IIIfiiii _II_11IIQIIuoonIB DIIlhi_II-IiI0l 1111tIIIHIIIall1ll-IIIIII
103 Ben St
•
Haubstadt IN 47639-8120
1I1'IIIIIIIIIIIIIIIIl !itlIt 111IIII IIIIIItlllllllllllltluItll State Parcel Number Legal Description
26-18-36-402-000.026-009 WEST HGTS 13 PT
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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.
- ,,-_ , , --_eAR."L2;xsXPAY I NFQ1pLAT1ON 4'
0. I{��o F rst J - Middle Last
Mailing Address(number and street.city,state,and ZIP code) aSame as property address
/v3 /3dL Stir?et eta btark& 37 13
•
Spouse First Middle Last
Ali/A 0.-- 66, 3,--661.2er .
Mailing Address(Number and street,city,slate,and ZIP code) .1i-Same as property address
103 .� /1- 5rret death sf4Lklt .l 9996 St
I PART 3: CER" IFICATION
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.
I Signature — Date •
I PART 4: ADDITION L INFORMATION
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