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 ^ ��