Homestead_Dewig (11)CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
CREDIT /STANDARD DEDUCTION SH tD
_. State Form 5473 (R215 -92)
Feu
INSTRUCTIONS: See reverse side for tiling instructions.
I (We) -[-_ ��� certify that on the 1st day of March, 19_
Poccupied our principal place f residence the following scribed real property for which a Homestead 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 under a contract.
CONTRACT RECORDED
II buying on contract, Fee Simple owners name
Recorders office where contract is recorded Record number Page
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
PROPERTY DESCRIPTION
County
Township
Taxing �distt t (city. town, t wnship)
Address (number and street. city, state. ZIP code)
T,rL i doy ilVel A u 6 r i. c(l I
(1)
; Cr 14 10
Parcel number
Legal scri lion
%
o -
If 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 COUNTIES
County
Township County
Township '
eby certify the above statements are true, correct and complete. S° na; a of claimant
�T.
Address (number and street. city, state. ZIP code)
T,rL i doy ilVel A u 6 r i. c(l I
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL.
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements. .
(1)
-
Signature of Auditor
Otherland
(2)
-
Total land (line I 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)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_Pay 19_
Lesser of 112 Homestead
$
Valuation or $2,000
Signature of Auditor
Date signed
r, .
MAIL I ORM!I!M12!"+'1 IAFASURIA FORM TS-IA
NPROCED BY STATE NWOOFAmRPTc.a M IRE9WBm BY TM OEPARn eerew LOGAL GOVZICalrIcf FINANCE IC N.t-rat
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 eter for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
el HEA 1344-20M requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kepi contidential and can only M.accessed by authorized county officials.The nepanntent of
Local Government Finance will use this information to create awls that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Dewig, Gary J/Kathryn L
too N Weber DR
Ilaubstadt IN 47639-8129
7291
Gary J/Kathryn L Dewig
100 N Weber Dr State Parcel Number Lesal Description
Haubstadt IN 47639-8129
11111111111111111111111111111111111111111111111111111 1 1 1 26-18-36-402-000.089-009 013-00089-00 PT SE 36-3-11 .244 AC
is'
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
GQQQyyy q �
���
a1 t W
Address(number and sage!,city,state,and ZIP/code)/— / — �-Same as pmpertyTidaitts
(Cl/V Wc1�r !4 C5,Li fn '{ 7s39
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) / El Same as property address
(CC (t/ Cv/-rare- fiaer6 rITc ( ( CrPc 39
PART 3:CERTIFICATION
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
0