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Gibson County Auditor D PROPERTY OWNERS 1 IMPORTANT NOTICE TO HOMESTEAD 101 N Main
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 asset for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEr\ 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to pnwide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept conadential and can only be accessed by authorized county officials.The Depanment 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
Speicher, William E/Rose M
104 N Weber DR
Ilauhstadt IN 47639-8129
7314
William E/Rose M Speicher
104 N Weber Dr State Parcel Number Legal Description
Haubstadt IN 47639-8129
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PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
601 Oil E e ,,,Pzl c -2
ip tg Address(number and street.city,state,and ZIP code).—--
ode)-- - - - —V property ddres ---
I
Spouse First Middle Last
host m - Sf'n( cttF2
Mailing Address(Number and sweet,city,state.and ZIP code) aalpe as property address
` PART 3:CERTIFICATION
Each undersigned certifies,under pen. of pe 'ury.that the above and foregoing information is true and correct and that he or she is eligible to
receive the homestead standa 1 ded Lion on th s property. Each undersigned also understands that,by claiming additional homestead deductions
Y
unto Ilia,he he may - liable, or back to•es.and substantial financial penalties.
ntt I iGnat w .I ,�� Date
PART 4:ADDITIONAL INFORMATION ;
eA a CLAIM FOR HOMESTEAD PROPERTY TAX
y = CREDIT /STANDARD DEDUCTION
State Form 5473 (R2/1 -90)
° • INSTRUCTIONS: See reverse side for filing instructions.
I (We)
CERTIFICATION STATEMENT
FORM
HC10
YEAR
�0
rtify that on the 1st day of March , 19 9i�
occupied as our principal place of residence the following described real property for which a Homestead
rty Tax Credit is hereby claimed: L � I (We) owned ❑ Are buying under contract
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
EJ property or is buying it under a contract.
CONTRACT RECORDED
If buying on contract. Fee Simple Owner's Name
Recorder's office where contract is recorded Record Number Page
PROPERTY DESCRIPTION
County Towns Taxin Mic (Cit , t w , township)
Parcel Number Le scrip
If any portion of the residential structure or the land not exceeding one (1) acre that immediately a
ture is used to produce income describe the use and portion of the property utilized to produce inc e.
1J 7
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Township I County
certify the above statements are true, correct and
Address (Street. number, city. state
ASSESSOR USE ONLY
TRUE TAX VALUE ASSESSED VALUE HOMIKEAD VALUE NON - RESIDENTIAL
I\ VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements
Other land
Total land - line (1) plus line (2)
Residential improvements Dwelling
Garage
Other improvements
Total improvements - line (4) through line (6)
Total value - line (3) plus line (7)
(1)
1991 Pay 1992
19— Pay 19—
Lesser of 112 Homestead
(2)
Lesser of 112 Homestead
Lesser of 112 Homestead
Valuation or $2,500
(3)
Valuation or $1,500
Valuation or $1,500
(4)
Signature of A or Date S' ned
�. E; -1-90
(5)
(6)
(7)
(8)
1 hereby certify the above is true,
correct, and complete
Signature of Assesor
Date Signed
Verifying Action - Signature of Auditor
Date Signed
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990
1990 Pay 1991
1991 Pay 1992
19— Pay 19—
Lesser of 112 Homestead
Lesser of 1/2 Homestead
Lesser of 112 Homestead
Lesser of 112 Homestead
Valuation or $2,500
Valuation or $2,000
Valuation or $1,500
Valuation or $1,500
Signature of A or Date S' ned
�. E; -1-90
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