Homestead_Wassmer (2)•
•
SINE FORM!YN I R_/tN) MEASURER FORM 75.IA
ArPRnEOnT StmTE&ssao or.V-crnms.arw PRE_%WBmny Mt DEPART?E4T OF LOCAL CAyatNMrKrrD:ASCE IC 4-1.1-2:4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever for homestead fraud.Ilonestead fraud causes higher tax bills for all:therefore.
lir BEA 1344-2009 requires taxpayers who Receive the homestead standard deduction to verify that they are eligible to reecho the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only he accessed by authorized county officials.The Department of
Local Gorenunem Finance will use this information to cream tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Wassmer, Jon R/Elaine A
429 Bradley DR
Ilaubstadt IN 47639
3427
Jon R Wassmer
429 Bradley Dr State Parcel Number Legal Description
HAUBSTADT IN 47639-8157
26-23-06-300-000.669-009 013-00669-00 SUNRISE ACRES 11/12
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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
J 0 v (Lct/rnionJQ 0 was5ni
40„Add ress(number and street.city,state,and ZIP code) ® Same as property address
q xci grad ley D r; ue
Spouse First ^ Middle Last
14tne Ari vi W Q ssratet-
Mailing Address(Number and street,city,state,and ZIP code) Ei Same as property address
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury,that the above and foregoing infonnation 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 Signor Date
PART 4:ADDITIONAL INFORMATION
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CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Facrn 5473 (W / 5.M
Prescribed by the Departnent of Local Coveffrnerd Finance
INSTRUCTIONS., See reverse side for filing Instructions.
:'-' "�' % - , " n- 2
TEAR
I (We) \ a2c) k X j U-J-� Im-,"Qj-'l, certify that on the 1st day of March, 20_
I (We) occupied as our prinapal I of residence the following described real property for which a Homestead Property Ter Credit is hereby claimed:
❑ Are uyingundercontract
I (We) owned . 7'm
i 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 contracL
NT
C IM 41 '-1
0
tf buying on contract. Fee SirrqAe owner's name
Pteconclees office where contract m recorded Pjmmrd number Page
mopmymscktvnow-:
County
Courtly
Township
Taxing di i (oily.
I hereby certify the above staternents are true. correct and cornpleta-
Parcel rarnber
-ptmn
Is the property in question:
S
Valuation or 5215,000
F ❑ mobile H.. v.c. 61.1 -7
If arty portion of the raaderdiat structiro or lhe tand not exceadirg one (1) acre got suffourmis Mat
shu-I&W-
y m used to proclucexxxxim,clescribethe use and potion
of Ow wopefty uti!®d to prod" mccrne. I k
Date signed
cR �, - c;� 3-6 6-3(oo -coo. Lo to d9
—cr:) �
FiROPEFMOlf*Ed BYCL.AtNANT thl OTHER COUNtESIW
County
Township
County
Township
I hereby certify the above staternents are true. correct and cornpleta-
Signature of daunard
oress (nuumber and sleet. city staft ZIP code)
TRUE TAX,,
20 Pay 20
I'H0111ESTEAO
r NONaRESIDENIIAL
ASSESSOR USE ONLY
-AT'l
S
Valuation or 5215,000
signatrra at Ammar
Land not exceeding 1 (one) acre innnnediately
Date signed
Z'k Z; -yi'
surrounding residential imprcn a ents.
-S3
Other land
(2)
Total land (Im I Plus line 2)
(3)
Dwe lling
(4)
Residential ffriprovements orAnnually
Assessed Mobile I Manufactured Home
Garage
(5)
Other unprovements
(6)
Tdad wnpmvmmft (firms 4 through Em 6)
(7)
Total value (Ikm 3 phs fine 7)
(8)
I hereby certify the above is true, correct, and
convViale-
SWusture of Assataor
Data waned
vardwQ acfim - signature of humor
Date signed
STANDARD. DEDUCTION ALLOWANCE
20 Pay 20
Lesser at 112 Homestead
S
Valuation or 5215,000
signatrra at Ammar
Date signed