Homestead_Schmitt •
•
ttATE FORM:WS I R'/YW I TREASURER FORM 11.1
Al./ROVED fly'TOE Wa)OF AM-4"T%.9m MAIMED BY Till DEPMEMEVTOF LOCAL GOVERNS,fltaNCE MH.r-r4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead sandard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than elcr for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 13-14--2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recebe the
benefit and to provide additional identifying information necessary to allow county eo rrnnent to better monitor homestead
filings.Ibis information will be kept confidential and can only he accessed by authorized county officials.The Depannsent of
Local 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
Schmitt, Cynthia A
205 N Main
Haubstadl IN 47639
3080
Cynthia A Schmitt
205 N Main St State Parcel Number Leval Description
HAUBSTADT IN 47639-8138
�t�tt��ttt�t��tttt��t�t�tt�t t�tttt��tt��t�tt�tliii 111111111111 26-19-31-301-000.246-009 013-00246-00 ORIGINAL PLAN 12 PT/13
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 1 Last
a-ti 11` tiI� A JC,v1 4\
mg Address(number and street,city,state,and ZIP code) r'�Same as property address
2o5(\\t MQL-1 n 61--fc , /14. 7439
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
Social Security Number(last 5 digit Driver's Il icensr/SE�lmber (last 5 digits) Other(please specify in Pan 4 below)
- - __ se - _
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 elieible 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 t �` ' �p Date Telephone
Spouse Signature Date Telephone ( l
PART 4:ADDITIONAL INFORMATION
CLAIM FOR HOMESTEAD PROPERTY TAX FORAM
CREDIT /STANDARD DEDUCTION HC10
Slate Form 5473 (R71 5-M
Presabad by the Depemlaa of Loml Goverivrrert Fnarce
INSTRUCTIONS: See reverse side for filing insbuciions.
;. -.. . _ ..- .... .: :. r•:,:. _ ' CERMCATION STATEMENT,., /: ,,• ;,, r , :'rz , '.tr` i.':
I (We) certify.that on the 15t day of Match, 20_
1 (We) occupied as our pmta place of residence the following described real popeny, for which a Hantestead Property Tax CBdn - hereby claimed:
I (We) owned ❑ Are buying under contract F +�'' 1
Have a beneficial interest m the entity that is liable is the properly taxes on the property and that .(72 `43r" U s huybtg under a contract-
( CONTRACT;RECORDE :`G /eg I,grn,a '�' ,' 4�� ; 5 , ":bfrla,+dt) {.'I
d buyig rn aordracl, Fee Single owners name
Record number I Page
<• .., r, ,., '.. .. ,... •; ... .� • :
PROPF_RTY DESCRIPTION • .
County
Canty
Thm strip
USE
4
t
Toting (dy . t ,)
I hereby certify the above statements are true, cared and corplete.
Parcel nnd"
L plan
weas (nurnber and sheet sly, state. ZIP code)
Is the property in question:
•: +, tI,'�f''t;le�ii.:rsi f •`y�??
Y`I :f Jft PN
'
properly
❑ Mobile Horne (I.C. 6 -1.1 -7
ff any portion of the residential structure or the lad not 'ng
one (1) acre Wal i nrn; tly sunwnda thalAructure is used to produce b., desabe tha use and portion
of the pmpedy ub5md to pmdree �.
1�- c3-1-30( -coo.
aLA to -CX��
Other land
'Al PROPERTY OWNm'.BY CLADIAIJTd'OTHHt COUNTffSf. T....
_• Nk(:),..'';.'l� +l, r. : :�+ti,'.3e 4.Yan�I�:
County
Township
County
USE
4
t
Township
I hereby certify the above statements are true, cared and corplete.
n�'re of cimnad
; syrh r VAS L IJE
weas (nurnber and sheet sly, state. ZIP code)
1
O x.45.r
�E t
','NON £
USE
4
t
VALUE r .
AT OF
TTV
t .. ki VALI A
; syrh r VAS L IJE
Land not exceeding 1 (one) acre immediately
•: +, tI,'�f''t;le�ii.:rsi f •`y�??
Y`I :f Jft PN
SlaleWdQg residential Improvenrtetbl.
(1)
Y }]IiP
}se
Other land
a,
TUal (and (Iola 1 plus Ire 2)
(3)
+YZe
vrproveents or Annually
Rewdential' m
Dmg
4
()
'z , s')' ,+ „` .,�+ ?�1 J'.,. ^„ ' Yiily�
Assessed Motile I Manufactured Home
Garage
(5)
Otine improvements
(6)
Taal brprovemeds (One 4 through fine 6)
(T)
Tclal value (fine 3 phs One 7)
(6)
I hereby certify the above is true, corned, and
complete.
swuture at ft
Date ogled
Vaily'ug adiun - signature of Auddcr
Date sVmd
: STANDARD.DEDIICTION ALLOWANCE r .r r; qi. , d;t" ;.y ; ...{. r'.... — £i
20 _ Pay 20
Lesser of 12 Homestead
Valuation or 535.000
S
Swat" of &4wr
Dale signed