Homestead_Glaser MATE FORM 43'•1R_/••••1 -tU'ASUant FORM gla
.AMOY'En BY AeTL WISROOF'ruck-MtS•M R.£%Wnm BY TIr DEPART•4Yr OF LOCAL r,ovsrsMIATIXANCE tCH.I r4.1
• 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 emcr for homestead fraud.Homestead fraud causes higher tar bills for all;therefore.
® HEA 1341-2009 requires taxpayers who receive the homestead standard deduction to verity that they are eligible to recene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing.This information will be kepi confidential and ran only be accessed by authorized county officials.The Ikpanmem of
Local Government Finance will toe this information to create awls that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Glaser, James A/Catherine L
RI Box 377
I laubstadt IN 47639
7324
James A/Catherine L Glaser
1002 W Elm St State Parcel Number Legal Description
HaubstadtIN 47639-8176
I I I I I I I nI nI nn III nIII a I I I1113111 26-18-36-403-000.057-009 013-00057-00 PT SE 36-3-11 .34 AC
o
t ntF me t tFF
PART 2:TAXPAYER INFORMATION
Owner I First Middle Las)
Stunts A GLnsck
—�ig Address(number and street.city,state,and ZIP code) _ - 1g Some as property address — - - - -
/00Q ELI•h ST. fLoLJA5979AT . nJ y763y- SS'/74
Spu se First' Middle p Last
n ER JNC �. Cs�fi Ste'
Mailing Address(Number and street,city.state.and ZIP code) (DI Same as property address
10007 lb ELN1 ST HMvBsTAD i L AJ V7p9 - 8/ 76
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
PART 4:ADDITIONAL INFORMATION
•
I
CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
iCREDIT /STANDARD DEDUCTION
l• State Form 5473 (R2 / 5.92)
c
r! 6
INSTRUCTIONS: See reverse side for filing instructions.
JAN 13 2000
CERTIFICA ON STATEMENT - /J
I (We)� 'rtifyahal t ,y of March, 19_
ru i 'tit?Y F
I (We) occupied as our principal place of resid a the following described real property for which a H&4f WWaitl'Pioperty Tax Credit is hereby claimed:
❑ I (We) owned ❑ Are buying and 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
If buying on contrett Fee Simple Donets name
Recorders office where contract is recorded
Record number
Page
PROPERTY DESCRIPTION
County _
Township
Taxing =X:00)
parcel 6 number
Legal des ripC ^E — — //
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 COUNTRIES
County
Township
County
Township
Wereby certify the above statements are true, correct and complete.
Si re of claimant
Address (number and street, city, state, ZIP code)
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
sunrounding.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)
(8)
1 hereby certity the above is true, correct, and
complete.
Signature of Assesor
Date signed
Ventying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19
Lesser of 1/2 Homestead S
Valuation or 52,000
Signature of Auditor
Date signed