Homestead_Maurer0 } CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION HC10 14-03) State Form 5473 (Re 1IXi)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing inslnictions.
I (We) �T /E'.. certify that on the 1 st day of March, 20��71ifi{iffI
I (We) occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit�4lc�rebl j�imd113
Pri (We) owned ❑ Are buying under contract
r
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or ip�buying urMer con ,;t..
<CONTRACT�RECORDED" r.ya .y „-'°= 4"'a'r ' .'•+�"r'e"ya
-. _—
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded Record number Page
20 _ Pay 20 _
Lesser of 112 Homestead
Valuation or 535.000
Date signed
PROP,ERT,Y DESCRIP. ON' ''�
County
Township
T Intt (ti
own, Township)
I rturi76L�i n O I O
{I C7/t v
egal descnptio
Is the property in qua ' .
eel property ❑ Mobile Home (LC. 6f.1 -7)
H any portion of the residential structure or the Land not exceeding one (1) acre that immediately surrounds th} t structure is used to produce income, describe the use and portion
of the property utilized to produce income. / 70a / I
20 _ Pay 20 _
Lesser of 112 Homestead
Valuation or 535.000
Date signed
County
County Township
1 hereby certify the above statements are true, correct and complete.
Signature 901aimant.
Address (number and t. fe, ZIP code)
-s °.Y'xi:'ss' ''Y�'
ASSESSOR�USE ONLY
�,TRUETAX
wVALUE� s, -
ASSESSED VALUE"HOMESTEAD
-AT 300 %OFZfV
`VALUE
nNON- ;RESIDENTIAL' '
'VALUE
Land not exceeding 1 (one) acre immediatelys
surrounding residential improvements.
(1)sr
Other land
2��rs�,-
- '~!•�:ss`��'`'
Total land (line 1 plus line 2)
(3)
Residential improvements or Annually
Assessed Mobile/ Manufactured Hoare
Dwelling
Garage
(4)`-
e sz `pz r
'01 p'fl`
;,, •� '-�* • - ' + ^`: .
Other improvements
(6)
I�';
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
1 hereby certify the above is We, correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
20 _ Pay 20 _
Lesser of 112 Homestead
Valuation or 535.000
Date signed
sure11*51 YN,R:tn-rn • TIASUIUR roam it-TA
APPROVED by SI kit M'Rn INMYT 11 2P PUS1UMDBY 111E DFPARTxn,T(�F LOCAL rswetNnrNT!NA CErC Vet"-Rt
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 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
flings.this information will be kept confidential and can only be accessed by authorized county officials.The Depanmem of
Local Government Finance will toe this information to create nuts that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Properh*Address
Maurer, Lillian Trust
116 S Vonna I.N
Haubstadt IN 47639
7347
Lillian Maurer
116 Vonna Lane State Parcel Number Lesal Description
HAUBSTADT IN 47639-8131
�t�tt��trt�r��rtt r��r�r�rr�rt�tttt��tt��t tit��rtr��r��tttrr��� 26-18-36-403-000.316-009 013-00316-00 WEST HGTS 2ND ADD 702
PART 2: TAXPAYER INFORMATION
Owner I First �S Middle Last
- •
-
•
ig Address(number and street.city,state,and ZIP code) 0-Same as property address - - - --
/i /� jeLa,otiatev
Spouse First Middle Last
Mailing Address(Number and street.city,state,and ZIP code) Same as propene address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sme
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury.that the above and foregoing information is tale 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 n,, Dare
•