HomeMy WebLinkAboutHomestead_Scheller (2) SlAIE RMSI!)to RN vJ l TREASUAEA Po0.w YIA
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10nty Auditor
1 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 _ Individual._and.married couples arc limited Io Dne'homestead standard deduction.As the'reeciprof this-deduction becomes _ .
_ - =° more beneficial.there is more incentive than ever for homestead fraud.Ilomesteml fraud causes higher tax bills for all;therefore.
'EA 1341-2019 requires tarpapers who receise the homestead standard deduction to verify that they are eligible to recent The
benefit and to provide additional identifying information Ieces ty to allow county government to better monitor homestead
filings.This information will be kepi confidential and can only he accessed by authorized county officials.'The Depart ent of
Local Government Finance will me this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Scheller, Kenneth J
408 W Elm
llaubstadt IN 47639-8105
7421
Kenneth J Scheller
408 W Elm State Parcel Number Legal Description
HAUBSTADT IN 47639-8105
i.itiIiu.iIuII..ttll.1.1p,it,i1.1 ell hart Ii.iiilrrtliii,iiliiI 26-18-36-404-000.563-009 013-00563-00 PT SE 36311 .289 AC
PART 2:TAXPAYER INFORMATION
Owner I First — Middle Last
rATA/ 11- f 6 3-1E-14'� 2
-— 'g Address(number and street,city,state,and ZIP code) — u in as pmperN nddres - — --- - -- ----
F!(
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)
sax
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
PART 4:ADDITIONAL INFORMATION
•
e CLAIM FOR HOMESTEAD PROPERTY TAX FORM
i: CREDIT /STANDARD DEDUCTION HCto
State Form 5473 (R2 15-92)
INSTRUCTIONS: See reverse side for filing instructions.
YEAR
.' . - -, CERTIFfCAT10N STATEMENT:
Epp (�I 'ppp .
I (We) _ certify t6ra1 bh A Ist UA & March, 19
I (We) occu ied a our principal place of res a ce the following described real property for which a Homes ead Property Tex crE it is hereby imed:
/ (r
r] I (We) owned ❑ Are buying un Pr contracti.,rJ•1;';.;
GIB �, � i�BhToa ntract.
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the p oWs I
.... CONTFIACT-RSCORDED..
If buying on contract. Fee Simple owner's name
Recorders office where contract is recorded Record number Page
-
PROPERTY DESCRIPTION
County Township
County
Taxing district (dry, town, township)
0 P ceI number Legal description
ignature of claimant
It any portion of the residential structure or the land not exceeding one (1) are that immediately surrounds that structure is used to produce income, describe t e use and portion
of the property utilized to produce income.
- PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES -
County
Township
County
Township
I hereby certify the above statements are true, correct and complete.
ignature of claimant
®cress (numbe arW )et s ate. Z )
r
ASSESSOR USE ONLY
TRUE TAX
ASSESSED
HOMESTEAD
NON - RESIDENTIAL,
-
VALUE
VALUE
VALUE
VALUE
Land not exceeding 1 (one) acre immediately
- -
surroundingresidentialimprovements.
(1)
�¢ -
Other land
(2)
Total land (line I plus line 2)
(3)
Dwelling
(4)
_
Residential improvements
,
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 jobs line 7)
(6)
I hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
19_Pay 19_
Lesser of 1/2 Homestead
Valuation or $2,000 $