Homestead_Ziegler MATE FORM•a!m1R/AR Ft TREASURER FORM i$IA
MFRrWEIF BY aVL BOARD OF EMARIM.AIR PRI--TAMM BY IDE BFPARTMCEN TOF LOCAL CA@RNMFNT FINANCE 1cHLt"-kl
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 e'er for homestead fraud.Homestead fraud causes higher lac bills for all:therefore.
• HEA l344--2079 requires taxpayers who receive the hanestead standard deduction to verily that they are eligible to teethe the
benefit and to panicle additional identifying information necessary to allow county government to better monitor homestead
tiling:.This information will be kept confidential and can only be accessed by authorized county officials.The Ikpanment 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
Ziegler, Terry A/Sherrie R
1012 W Gibson
_. - -_ __Haubsladt IN:47639-5169 - _— __
7277
Terry A/Sherrie R Ziegler
1012 W Gibson State Parcel Number Legal Description
Haubstadt IN 47639-8169
III I I I I I I I I t I I I I I I III I I 26-18-36-401-000.628-009 013-00628-00 WEST HGTS 4TH ADD 12
o
t item nn r l ei .t nu ii r nor ti t t n
t
PART 2: TAXPAYER INFORMATION
Owner IJ First Middle L Last
lorry A 71e91er
nu.Address(number end street,city,state,and ZIP code) _ � sass property address -- ._ -- - —
0 Or G� bcsovy SI- •
Spouse First Middle Last
5herr\C— 12• /Z ee
i1er
Mailing Address(Number and street,city,state,and ZIP code) 1 m.1'Same as property address
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 taxei hnd substantial financial penalties.
Owner I Signature / Dale
�a a'x3
da CLAIM FOR HOMESTEAD PROPERTY TAX
s� CREDIT /STANDARD DEDUCTION
State Form 5473 (R2 / 5 -92)
Hsu
INSTRUCTIONS: See reverse side for riling instructions.
FORM YEAR
HC10
- CERTIFCATION STATEMENT APR 'd
.1 (We �k' - cePif- that on the 1 st day of March, 19
occupied as our in al place of. residence the following described r I p perty dwhich esteatl Propredit is hereby claimed:
�-
I (We) owned ❑ Are buying under contract a
❑ 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
7 - PROPERTY DESCRIPTION - -
Counry^
Township
T ing qislnct (citWown, tow hip)
Township
Oeby certify the above statements are true, correct and complete.
Signatur
Parcel number
Address (number and street city, stater ZlPCOdeI
� 7. 1
Legal description
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
Township
Oeby certify the above statements are true, correct and complete.
Signatur
claimant
Address (number and street city, stater ZlPCOdeI
� 7. 1
S+. Hc, to n.l
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE,
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Otherland
(2)
Total land (line I plus line 2)
(3)
Residential improvements
Dwelling
(4)
..
Garage
(g)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 phis line 7)
(g)
1 hereby certify the above is true, correct. and
complete.
Signature of Assessor
Date signed
V =�fying action - Signature of Auditor
Date signed
19 Pay 19_
Lesser of 1/2 Homestead
Valuation or $2,000
S
Slg`r,4lure of Auditor _ I Date