Homestead_Weber (11) SLATE IORM!3.-I2'r v,PI TREASU LR CORMiAUA
APPIan'WA AY'TATE 110VtDOCNTSAL1S.bx PRL9lnBm BY n2 DEPARTMENT OF LCA:AL GOVERNMENT FINANCE IC 6-1.1-224.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standanJ deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the honestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kepi confidential and can only be accessed by authorized county officials.The IXpartnTent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpaver Name Property Address
Weber, Stephen R
1001 W hlm St
Haubstadt IN 47639
1589
Stephen R Weber
1001 W Elm ST State Parcel Number Legal Description
Haubstadt IN 47639-8168
I I III I I I I I I I I I I I III III 11 26-18-36-401-000.653-009 013-00653-00 WEST HGTS 4TH ADD 21
t o nt I nu t t n n tot t o u t ua
PART 2:TAXPAYER INFOR\1ATION
Owner I First Middle Last
STe °WIN SAL/I)? vitgek
ig Address(number and street.city,state,and ZIP code) JSe as property address- - -'
Spouse Firstl Middle Last
•
Mailing Address(Number and steel city,state,and ZIP code) Same as property address
Social Security Number(last 5 digits) Drivels License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)_ _ _ _ _ _ _ _ _ _
see
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 4 Date
PART 4:ADDITIONAL INFORMATION
CLAWFOR HOMESTEAD PROPERTY TAX
CREDIUSTANDARD DEDUCTION
State Form 5473 (R614.03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
HC10
F&
rli:L. fro±.•? r ''- 7''` -$-;��CERTIFICAMON STATEMENT-,-.�',�,;! -'." -IMAy
I (We) --� h
A�A certify that on the 1 st day of March, 20
I (We) occupied as our —principa-Iplake of residence the following described real property for which a Homestead �fwwtealclo� is hereby claimed:
C/
;6zF4e) owned ❑ Are buying under contract GIBSON COUNTY AUDITOR
aHave 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`.
If buying on contract. Fee Simple owners name
Recorder's office where contract is recorded Record number Page
T'yj DESCR I
PROPER PTION
County
Township
Township
Ta+dn goistriSt (city, town, township)
YAnt, It—
Parcel number
Legal description
Is the propqrty
t,53
Signature of Auditor
Real property ❑ Mobile Home (I.C. 6-1.1-7)
If any portion of the residential structure or the land not exceeding we (1) am that tn ictura is used to produce income, describe the use and portico
of the property udlized to produce income.
USE :ONLV-,�
County Township
County
Township
1 hereby certify the above statements are true, correct and complete.
ASSESSOR -104X IN'
U'aN'-'- -7T-'7-"
PX;_4
iW(number and street, cily, state, ZIP code)
`J�j TTV
��90 OlFt
USE :ONLV-,�
TRUE
ASSESSED.VALUE
�HOMESTEAD,,�
NON
ASSESSOR -104X IN'
U'aN'-'- -7T-'7-"
PX;_4
r-i, %VAL 0 E P�F'
`J�j TTV
��90 OlFt
VALUM�.
Signature of Auditor
-
-
e
Land not exceeding I (one) acre immediately
surrounding residential improvements.
(1)
Other land
(2)
Total land (line I plus line 2)
(3)
Residential improvements or Annually
Dwelling
(4)
Assessed Mobile I Manufactured Horne
%
Garage
(5)
'�Ier improvements
(6)
Total improvisments (line 4 through line 6)
(7)
Tdal value (Me 3 plus line 7)
(8)
I hereby certify the above is true, correct and
Signature of Assessor
Date signed
complete'.
Verifying action - Signature of Auditor
Date signed
j
. . . . . . LOWANCEZb,-:�
STANDARMIDEDUCTIONAL �"u 7
20 _ Pay 20
Lesser of 112 Homestead
Valuation or 535,000
Signature of Auditor
Date signed