Homestead_Freuenberg 51AME rout anerffiet rwl fl ASIIRIA FORM 75-IA
APPROVE!)K zI Of.BOARD OF N r`"•IVR.by PArrttnmtY flit.UEPARTNErr OF LOCAL CAARLYMLM FINANCE IC64.I17-II
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 eser for homestead fraud.I Iontesteal fraud causes higher tax bills for all:therefore.
HEA I3,44-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing-.This information will be kept confidential and can only Fn accessed by authorized county officials.The Dcpanmett of
Luca!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
_ Freudenberg, Lisa K
406 Lincoln ST
•
Somerville IN 47683
8440
Lisa K Freudenberg
406 Lincoln St State Parcel Number Legal Description
Somerville IN 47683
26-20-02-401-000.287-003 020-00287-00 BARRETTS ADD 14115
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
L15c Ka Fe_ uitAher
(Ding.Address(number and street,city,stare,and ZIP�code) y-- — - — —44-Same as property addle — - -- — - -
P U . v 1 c)1 / s,J UY(4qtr ' /2-- 2 N C476 k3
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) [] Same as property address
Social Security Number(last 5 digits) Drivels License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sear
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
Spouse Simature Date Telephone
l
PART 4:ADDITIONAL INFORMATION•
�a nap
e� CLAIM FOR HOMESTEAD PROPERTY
71LED CREDIT /STANDARD DEDUCTION .
State Form 5473 (R215 -92)
INSTRUCTIONS: See reverse side for filing instructions. � � \ .2 7 1997 -
e) \•- -�L �J% .L/ ,�:�13 r �.: � r_fiD!T(]H I ce alg e.: ..
R „J,h„ r , p
ie) occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed
I (We) owned ❑ Are buying under. contract
Have a beneficial interest in the entity thatlis liable for the property taxes on the property and that owns the property or is buying under a contract.
CONTRACT RECORDED?,
If buying on contract, Fee Simple owner's name - -
Recorder's office where contract is recorded Record number Page
' . '1 - PROPERTY DESCRIPTION
County -
Township '
Taxing distri - town, township
P I umber
Legal descriptio
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is us96 to produce income, describe the use and portion
of the property utilized to produce income. - - -
- PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
HOMESTEAD'
VALUE
County
Township
®'eby certify the above statements are true, correct and complete.
Signature of Auditor
signature of aimant
Addr s ( number and street, city state,
TV
Other land
ASSESSOR USE ONLY
TRUE TAX -
VALUE
.. ASSESSED
VALUE
HOMESTEAD'
VALUE
NON- RESIDENTIAL.
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Signature of Auditor
Date signed o) q ^ ��
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 pLs line 7)
(g)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
I Date signed
- - STANDARD DEDUCTION ALLOWANCE -
19_ Pay 19_
Lesser of 112 Homestead
Valuation or $2,000
S
Signature of Auditor
Date signed o) q ^ ��