Homestead_Goedde (3) •
suit MMASI!)K IR:/YNI i-EAWILER TORN 71IA
.ArrBltED BY STATE BOARD OFMYVBM%_bN PltYRIB(9 BY PIE Dynan .YrcF LOCAL GAmLYMD:I MPA\'CE IC 4-1.1-214.1
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 or this deduction becomes
more beneficial,there is more incentive than exer for homestead fraud.homestead fraud causes higher tax bills for all;therefore.
• HEA 1343-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reecene the
benefit and to provide additional identifying information necesstry to allow county government to better monitor homestead
filings.This infarnatinn will he kept confidential and can only ho accessed by aulhnriied county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Goedde, Sharon M
107 N 3rd
Hauhstadt IN 47639
8127
Sharon M Goedde
do Sharon Home
107 N Third Ave State Parcel Number Legal Description
HAUBSTADT IN 47639-8217
ItinllntitllunlltltluiuiutiIiutilltnllintltnitllul 26-19-31-101-000279-009 013-00279-00 ELPERS NEUMAN 3
2(..---PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
.) ieo� in o f
�g Address(number and srroet,city,state,and ZIP code) g Same as property address - -`-"
/6 7 Nonnf %a,2o 4 Ve-A1uc 274-Dr /A1 41-7437
Spouse First Middle Last
ONE S IloRgc
Mailing Address(Number and street,city,state.and ZIP code) g Same as property address
I o Z I)LW /SL) 4vouue - jsiD; /iJ 7635'
— •
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 1 Signature Date
PART 4:ADDITIONAL INFORMATION
•
CLAIM FOR HOMESTEAD PROPERTY TAX FORM
CREDIT /STANDARD DEDUCTION
State Fam 5473 (R7 / &M
Prescrited by ft Deparonerd of Local Govenvnerd Finance
INSTRUCTIONS: See reverse side for fling instructions.
7 m
==71
— " : , . "." * ' CERTM CAMON STATEMENT.::' �
I (We) L,5_�_e _AA cerfrfy that on the 1st day of March, 20_
1 (We) occupied as our principal place of residence the following described real property for which a Homestead Property Tar Credit is hereby claimed:
I (We) owned ❑ Are buying under omtract
Have a beneficial interest in the entily, Mat is liable for the property taxes on the property and that owns the 4r 14JIED
C
ONTRACT;FtEC01ME3)irr," s ''
tf buyM on contact. Fee Simple owners nonIS
Rocco dens office where contract 0 recorded Record number 6/ CAPage
I COUNTY AqDITOR
STANDARD DEDUCTION ALLOWANCE'., z;
County
PROPERTY OESCPJPTIOhl:,'
County
County
ToNnskup
Signature cd clamant
wass (nmber and sheaf, otK stab. ZIP code) 4LA �A 1'�) la'TfAu
,
p 4�,VALUE4
Parcel number
Legal
in on:
ta the prop" quest
roon
-0_ _3
1 ❑ Real property
❑ M.W. Flo. (LC. 61.1 -7)
If any portion of the residential structure m the land noi
rq one (1) acre dud On"mclatety surrounds that structure is used to produce ircorre, describe the useand portion
of the property ubkmd to produce ircornre_
Msupundnresidential A
Od'o-\q -0 1 -lo
I
STANDARD DEDUCTION ALLOWANCE'., z;
County
Township
County
Township
I hereby certify the above staternemls are true, correct and complete.
Signature cd clamant
wass (nmber and sheaf, otK stab. ZIP code) 4LA �A 1'�) la'TfAu
STANDARD DEDUCTION ALLOWANCE'., z;
TRUE TAX r t i
ASSESSED VALUE
'
Ex nA,L
Valuation or MODO
(VALUE "
Amte.Jvi
�?AT 100%bF TTV
,
p 4�,VALUE4
.4�WS
N, , VALUE
Land not exceeding I (cm) acre i mmediately
J 11�(14W'lt
Msupundnresidential A
Other land
(2)
Tctd land (1m I Pius firm 2)
(3)
1 .1.- - lg'
Dwelli ng
(4)
Residential ffnproveffents or Annually
Garage
Assessed Mobile I Mamdactured Horne
(5)
Other mWovernents
(6)
1AA
Tdal ffnpmvwmnts (fine 4 through Ene 6)
(7)
Tdal value (fine 3 phs Ene 7)
(8)
I hereby oe" the above is true, correct. and
Sig mWm ofAssasaer
Date signed
cornplete.
Vadying action - Sgrature of ALKRW
Dab signed
STANDARD DEDUCTION ALLOWANCE'., z;
20 Pay 20
Lesser of 112 Homestead
Valuation or MODO
Signao Auditor
tLu
I of
Date sUrmd
I