HomeMy WebLinkAboutHomestead_EllerbruckCLAIM FOR HOMESTEAD PROPERTY TAX FORIA
CREDIT /STANDARD DEDUCTION
Stela Form 5473 (11715m 20CI�7
Prescrited by Om Department of Local Government l'inance -q
INSTRUCTIONS: See reverse side for ffimg instructions.
I (We)—To�s Q P k- F - z'- Ile, L , & 0- k ce" that on the I stolay of March, 20_
1 (We) occupied as o6 principal place of residence the following described real property for which a Hornesbead Property T= Credit is hereby claimed:
❑ Are buying under contract
I (We) owned 0
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.
CONTMCTRECOFt0ED�1jLV- Wf�O j"
If buying on ..tract. Fee Simple owneft name
Pacardeesofka -ho rnrbact is remded Record number Page
"„
_r,7RUEtTAX'Y`,1,2
i�7
County
Taxnship
Tang disitrid (cify, Imm. tawnsldp
1
Township
L
Valuation or 535.000
(flies VALUE
61'ese (number and strout city sfift Z(Pcode)
Parcel number
Lao description
Is the property in question:
ha 0 - 6:> - �4%5 -060p,-3
- 0 0 -.-�
I ❑ Red property
❑ Mobile Home (I.C. 6.1.1-7)
ff any portion of the residenbalstructurearthe land noilexceeding one (1) acre that ernmedialely amour4sttud structure is used to produce irxxare, describe the use and portion
of the properly W&md ID PM&" MCOMS.
Other land
(2)
PROPERW cLArmAmt Oi O*EFt COLINVIES
_r,7RUEtTAX'Y`,1,2
i�7
County
Township
County
Township
I hereby certify the above statements are true. coned and complete-
Valuation or 535.000
(flies VALUE
61'ese (number and strout city sfift Z(Pcode)
Land not exceeding I (one) am iffinnediately
USE ONLY ":�'
_r,7RUEtTAX'Y`,1,2
i�7
ASSESSED
Lesser of 112 Homestead
K!-
�4,
MA N
Valuation or 535.000
(flies VALUE
'Fu rftW;VALUE;j-' Z-14V
Land not exceeding I (one) am iffinnediately
wzmmdkV residential irrpovernents.
Other land
(2)
4.
Total land (Im I pkm &79 2)
(3)
Dwelling
(4)
Residentialimprovet.-mdsorAnnually
Oil?
Garage
Assessed Mobile / Manufachmed Horne
(5)
Other onprovernants
(6)
Tdal irnprovernents (fine 4 through fine
00
Tidal value (Ikle 3 pkis One 7)
(8)
1 hereby certify the above is true, coned, and
complete.
Signature of Assessor
Date Signed
VOT" ac"on - Soviturs of Axgtxr
Date sip
i��STANDARD DEDUCTION' ALLOWANCE";
20 Pay 20
Lesser of 112 Homestead
$
Valuation or 535.000
"S912hre of A ftor
Date signed
STATE FORM 5t IR:/Seal !PLASMA EON fl-IA
.APFR'ED BY[DATE BIMRDIF MYYl,NTx.NEN PtLYRIRED BY i11r DEPARTQNTIF LOCAL rOVERNNFAT FINANCE IC LLI-22-1I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple.are limited to one homestead sandanl deduction.As the receipt of this deduction becomes
•— _ _ __ _ more beneficial.there is more incentive than ner for homestead fraud.Homestead fraud causes higher tax bills for alC therefore.
—` —HEX 1344-2G79 requires taxpayer..who receive the homestead standard deduction to verify that they are eligible to creche the
benefit and to provide additional identifying information necessary to allow county government to better munhor hdnteseau -
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.
t • PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Ellerbruck, Joseph E/Brandy N -
Box 296
Somerville IN 47633
8455
Joseph P Ellerbruck
P O Box 365 State Parcel Number Legal Description
SOMERVILLE IN 47683-0365
Itrttlltttltrltrlt tart 11tr1 Iltrr1ltt 1t1t t11tt trt1t1rttrl 26-20-02-403-000-073-003 020-00073-00 PT SE 2394.785 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
S oS eA-s E dLca r d adle vbruc.�
g Address(number and street,city,state,and ZIP code) - - -- .U Same as property address - -- - -- - -
o Px 3tb Sotrer vi 11 Iry t$ '3
Spouse First Middle Last
l>ra nd y Nicole_ File< x}l f, l C le
Mailing Address(Number and street,city,state.and ZIP code) ❑ Same as property address
• ?c' 9x 36 5 5nmes i\kkE . LIn\ N y 7 b�3
•
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 gnafure Date
PART 4:ADDITIONAL INFORMATION .
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