Homestead_Maurer (2)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R614-03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
HC10
I (We) I IWAZNX94 I I I (.L.t.L LX^--b ceidfy ihal'on the 1st day of March, 20
(We) occupied as our principal pla of residence the following described real property for which a Homestead Property LT* Credit•is hereby claimed.
❑ I (We) owned ❑ Are buying under contract. 1^0`I'1C/
& Have a beneficial interest in the entity hat is liable for the roe taxes on the roe n,j r^
ty property rty property rty and that ovmsthe property or is buying under a contract.
C0_NTRAC_T.RECORDE
_D' s_. -a;i .. x.5y«?�::�?-7t �'1-" a_•,.a -''� �"'r : r>
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded Record number Page
.- ��- ,.�.'ti `�,s•
'37ti. -��
P. ERTY: DESCRIP. TIONor "`__.'.I.`h°- '"-`.w- '"'it-. ':fisr'i'4'`".'✓�,�s?'f'd':
County
Township
d (number and street, city, state, ZIP code)
-5-1. ZAl. Y762
Taring district (city, town, township)
P I nu ber
Legal de
Is the property in question:
❑ Real property ❑ Mobile Homo (I.C. 61.1 -7)
H any portion of the residential strucWre or Ne lantl not exceed g one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property util"ued to produce income. 3/
__. STANDARDIDEDUCTIONALLOWANCE v; r irk'
20 _ Pay 20
Lesser of 112 Homestead
5
Valuation or 535.000
Signature of Auditor D ign
County Township
County Township
hereby certi a above statements are We, correct and complete.
S" net of claimant
d (number and street, city, state, ZIP code)
-5-1. ZAl. Y762
�" �"�'�`
' ASSESSDR�USE ONLY g '�+� -t�Y�.
af_ .d`ttr�a'. =
TRUE TAX -ff
,pvVA_L_UE�
ASSESSED VALUE
AT�100%OFT.Wi
..s
�+ HOMESTEAD
O, „`'VALUEf
e., ....:�.1
NONRESIDENTIAL
2 r e: VALUE'4* ? fi
•r n_afrikz.
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
(2)
zr %*
te_ �SLti>FE'S
Total land (line 1 plus line 2)
(3)
Residential improvements or Annually'"Lt''r,
Assessed Motile I Manufactured Homa
Dwelling
Garage
(4)
(5)
r , �
xat
Other improvements
(6)
rY.M�= s'''"�'
�., a
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pits line 7)
(8)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
__. STANDARDIDEDUCTIONALLOWANCE v; r irk'
20 _ Pay 20
Lesser of 112 Homestead
5
Valuation or 535.000
Signature of Auditor D ign
SLATE EmtN!!!H IR tNYI TREAStitIA JOIN TS-IA
AflWWED BY STATE 135VtDOE AM1TtL.Tv.Zino PtI %1aDBY DIE DEPARTMENT OF LOCAL CASLRYNEAT r1NA•eE to 4-1.1-2:4.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 becomes
more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud causes higher ray bills for all:therefore.
• HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receise the
benefit and to provide additional identifying information rececsary to allow county government to better monitor homestead
fume,.This information will he kept confidential and can only he acres.ed by authorized county officials.Thr Depannent of
Local Government Finance%vill use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Maurer, Rodney A
403 E Church
I laubstadt IN 47639
3059 •
Rodney A Maurer
403E Church State Parcel Number Legal Description
HAUBSTADT IN 47639-8211
11111111111.1111111111111111111111111111 1 1 o 1 1 1 1 Iltrllrrl 26-19-31-101-000.021-009 013-00021-00 ELPERS NEUMAN 5
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
Rod/lest A . M qulrev-
6,g Address(number and street.city,state,and ZIP code) Ei Same as property address
2103 L Chard., 5} . , 1--1aubsk-adi- , IN) `f (39- 8CJI
—
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
- - _—_ Svne _ ____ _
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
•