Homestead_Halbig (2)�a vxp
eE °„ CLAIM FOR HOMESTEAD PROPERTY TAX.
� CREDIT /STANDARD DEDUCTION
`.•.„ State Form 5473 (132 / 5 -92)
INSTRUCTIONS: See reverse side for filing instructions.
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'CERTIFICATION TATEMENT i
I (We) certify that on the 1st day of March, 19
�_) occupied as our principal place of residence the following des d real property for wh h Homestead Property Tax Credit is hereby claimed:
L3 l(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
It buying on contract. Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
"I PROPERTY DESCRIPTION
County ••
Township
Taxing district (city, town, township)
Par I nu r
Legal description
I(
If any portion of the residential structure or the land not exceedi g 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.
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PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Gounty Township
County Township
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
�eby certify the above statements are true, correct and complete. -
Signa re of claimanI I
i(k/
Ad ss (number and sheer, ary, state, ZlP mde)
i
I
ASSESSOR USE ONLY
TRUE TAX
.VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding I (one) acre immediately
surrounding residential improvements.
(1)
Signature of Auditor
Da sign
--
Other land
(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 plrs 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
S
Signature of Auditor
Da sign
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51 Art FORM Olio ir,,FYI MISURFR FORM TS-IA
AFPRM ED BYSTOEBn1RDOE Alrr*AFIS.ZuN FREXAInmavTUE°EPARTMENT(w LOCAL GMRRNNEFT FINANCE IC6-1.1-'-8 I
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 bcronln
more beneficial.there is more incentive than eser for homestead fraud.Homestead fraud causes higher las bills tur all:therefore.'
• HEA 1344-2009 requires tacpayers 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
61ingo.This information will he kept confidential and can only be accessed by awhnrited county officials.The Depannteot 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
Halbig, Robert A/Shirley L
R?Box
Ilauhstadt IN 47639
2732
Robert A/Shirley L Halbig Ed D
D7 a,.e a�Z ..5 q id. 3-/Q--/2 Ep� AB State Parcel Number Legal Description
Haubstadt IN 47639
6-18-36-404-000.147-009 013-00147-00 PT SE 36 311 .471 AC
•
This form MUST be returned to/County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
•tg Address(number and street,city,state,and ZIP code) / Same as property address
So ? ( S44 Rd/
Spouse First Middle Oa(
Last
S�l i r '2(4 b i
Mailing Address(Number and seat,city,state,and ZIP code) p Same as property address
So`7 CL) C -L6LI(Z & bg
Each undersigned certifies,under penalty of perjuy.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
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