Homestead_Goedde (4)r
CLAIM FOR HOMESTEAD PROPERTY TAX FORM
"CREDIT /STANDARD DEDUCTION HC10
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT'
n
(We) certify that on the 1 st day of March , 19 9L
* I We) occupied as our principal place of residence the following described real property for which a Homestead
rdperty Tax Credit is hereby claimed:
UIAM
e) owned ❑ Are buying under contract
El Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
3RWr ffF5LNF it under a contract..
CONTRACT RECORDED
If buying iTrP&njract11P& • Simple Owner's Name
Re c er's fiic�,w�c i�act is recorded Record Number Page
eIfiw o
County
PROPERTY DESCRIPTION
Taxing District (City, town, township)
6a c I Number () l O� Legal Description
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that struc-
ture 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 wnship County. Township
certify the above statements are true. correct and I Sign tUr
, state and ZIP code) r'
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements
Otherland
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 .
Lesser of 1/2 Homestead
19 — Pay 19
Lesser of 1/2 Homestead
Valuation or $2,500
(2)
Valuation or $1,500
Valuation or $1,500
(3)
Signature of Auditor
(4) _
(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
W1989 Pay 1990
esser of 1/2 Homestead
1990 Pay 1991
Lesser of 1/2 Homestead
1991 Pay 1992 .
Lesser of 1/2 Homestead
19 — Pay 19
Lesser of 1/2 Homestead
Valuation or $2,500
Valuation or $2,000
Valuation or $1,500
Valuation or $1,500
Signature of Auditor
i Signed
6 — IJ —.�
:1UE MRM`).W,R'/rWt Lk Sttn.rOKM TS-IA
\rrMwEo BYASIL 11ntO OFx[ra'a1S 3,w RrdNBEm BY nil OEPARTIER F LOCAL ror4YS•,rrt FINANCE K I.1-22-r.t
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuate and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than exer for homestead fraud.Homestead fraud causes higher in bills for all:therefore.
HET 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene the
benefit and to provide additional identifrmc information necessary to allow county government to better monitor homestead
filings. Ibis information will be kepi confidential and can only be accessed by authorized county offhci.ds.The Depannent of
Local Goscrmnent 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, Tom A/Julie
211 S3rd AVE
Hauhstadt IN 47639
8251
Tom A Goedde
211 S 3rd Ave
Haubstadt IN 47639 State Parcel Number Legal Description
26-19-31-304-000.141-009 013-00141-00 E PARK ADD 403/402
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
/ on) gmd2..c�., > goc1Df
--
_—�tg Address(number and street,city,state.and ZIP code) - - --- -- a d d r e s s as s - -- -'
Spouse First Middle Last
hA W / goEAh
Mailing Address(Number and stree4 city,state.and ZIP code) Same as property address
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 eliuible 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