Homestead_Will (3) amAitrnRM'!l OC/>.nl TREASUars PORN ASIA
APPRm'ED BY L5TE BMRDOI A(TYRANTS.'on PUSOUBtD BY flu DEPARLNEYT(W LOCAL GOVERNMENT FINANCE IC 6-1.1-2:4,1
(`ai County Auditor
101 1 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
N
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 ncr for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only he accessed by authorized county officials.The Depanment of
Local Gmcrnncnt Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY LNFORMATION
Taxpayer Name Property Address
Will, Maury/Christina R
1 15 5 Eileen
Hauhstadt IN 47639-8114
2744
Maury Will
115 S Eileen State Parcel Number Legal Description
Haubstadt IN 47639-8114
�f11tll11flfl1111f1111f�trltfltllflllltllfltf�ttfllfl11t1trlll 26-18-36-404-000.463-009 013-00463-00 PT SE 36311 LOT 115
X _.__ — --
— — — — — — -- — —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
Owne I First Middle Last
•tg Address(number and street,city,state,and ZIP code) vj Same as property address
Spouse First Middle Last
C )r ls�InQ C1n LC LA3 DLL
Mailing Address(Number and street,city,stale,and ZIP code) re as property address
•
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 properly. 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
4
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
'•I State Form 5473 (R2 15-92)
INSTRUCTIONS: See reverse side for riling instructions.
FORM YEAR
H 0
NOV 21 2000
CE IF TION STATEMENT
(We) h, 19_
I (We) occupied as our principal pl ce o residence the following described real property for which a Homest'AAM a raeTCredY 194b claimed:
❑ 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 property or is buying under a contract.
CONTRACT RECORDED
It buying on contract, Fee Simple owners name
Recorders office where contract is recorded
Record number
Page
PROPERTY DESCRIPTION
county
Township -
Taxing district (city, town, township)
number er
0/
Legal scri do
If any pardon of the residential structure or the land not exceeding one (t) 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 COUNTRIES
County
Township
County
Township
Sig fclaimant
Sereby certify the above statements are true, correct and complete.
Address (number and street, city, state, ZIP code)
ASSESSOR USE ONLY
TRUE TAX
ASSESSED
HOMESTEAD
NON - RESIDENTIAL
VALUE
VALUE
VALUE
VALUE
land not exceeding 1 (one) acre immediately
(1)
surrounding residential improvements.
Other land
(2)
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
Residential improvements
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
I hereby certify the above is true, correct, and
Signature of Assesor
Date signed
complete.
Verifying action - Signature of Auditor Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19
Lesser of 1/2 Homestead $
Valuation or 52,000
Signature of Auditor
Date signed
w
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