Homestead_Wassmer SIAM FORM,SM.IB_/ton TREASURER FORVStA
APrEIT'ED BY SIRE MAGGIUD OF.VTTRNTS.9x PLF341nm BY flu DFPAMGMEN!Of LOCAL GOV:RVMFAT FM:ANCE M Gat-rat
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 eser for homestead fraud.Ilomestead fraud causes higher In bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to mceise the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.'Ibis information will be kept cnnfdential and con only be accessed by authorized county officials.The Derynnrnt of
Luca!Government Finance will use this infumation to create tools that will help county officials eliminate humrstrad fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Wassmer, Diane V
PO Box 84
Ilaubstadt IN 47639
8267
Diane V Wassmer
P O Box 84 State Parcel Number Legal Description
Haubstadt IN 47639-0084
IIIIIIIIItIIIIIItIIIIIII IIIIItt II II,IIIIIIII ill Stitt IIIIIItt II 26-19-31-304-000.331-009 013-00331-00 PT S SW 31310.14 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle \ Last
g Address(number and street.city,state,and ZIP code) Sarre ns m prope addles-- — " —"— — --
1'.0, go X 84- 100 l4 a A4 Aka. -& la%4w639
Spouse First Middle Last
tiA
Mailing Address(Number and street,thy,state,and ZIP code) ❑ Same as property address
41 4
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
stue
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
•
FILE
CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
}aE CREDIT /STANDARD DEDUCTION FHB 2 3 1994 HC7o
J State Form 5473 (R2 15-92) /� y
INSTRUCTIONS: See reverse side for filing instructions. W!/ AU pITOR U
I • . CERTIFICATION STATEMENT - I
16e)GC.- (/ . Z,a{ %sLd�- i-✓�e�✓ certify that on the 1st day of March, 19Y2�
e) occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
9 1 (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 property or is buying under a contract.
CONTRACT RECORDED -
It buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
_ PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
PROPERTY DESCRIPTION
County
Township
Taxing distri t (city, town, Township)
Parcel number
0 /3.- 0 o331 -o,;�
Legal description
Pr- S —ei,J 3/- 3 -io 91 /J-.'
It any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
_ PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
NON- RESIDENTIAL.
VALUE
Township
s reby certify the above statements are true, correct and complete.
Signat a claimant
ss (u/m�ber amend street. city, state. ZIP code)
50.0
Other land
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON- RESIDENTIAL.
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Other land
(2)
Total land (line 1 plus line 2)
(3)
Residential improvements
Dwelling
(4)
_
Garage
(5)
Other improvements
(6)
a
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(g)
hereby certify the above is true, Correct, and
complete.
Signature of Assessor
Date signed
Vying action - Signature of Auditor
Date signed
19_Pay 19_
Lesser of 1/2 Homestead
Valuation or $2,000 - $