Homestead_Alstatt (2) •
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• AFFR(A'EDBTSU1E WARD OF NYTRnNS.a/N PVYWREUaY 11W OFPARTMENT orL Al CUS2RNMrpr MM:ANCEuc H.I-r-r.l
Gibson County Auditor
11101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple. are limited to one homestead standard deduction.As the receipt of this deduction become_
more beneficial,there is more incentive than e'er for homestead fraud.Homestead fraud causes higher lax bills for all:therefore.
J HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the
benefit and to provide additional identifying information nece.sary to allow county government to better monitor homestead
filings. This information will he kept confdrnlial and can only he accessed by authorized county officials.The Depanment of
Local Government Finance will use this information to create tools that will help county officials eliminate homeacad fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Alstatt, Michael L/Janice C
R2 Box 278
Buckskin IN 476-47
8798
■ �
il [ 14d�r g`f(I £ . 9D0S .
Michael L/Janice C Alstatt u tics k- in Td
8461E 900 S State Parcel Number Legal Description 474 47 •
Buckskin IN 47647-9001
11111111111111111111111111111111111111 26-20-28-200-000.005-001 001-00009 PT SE NE 2&39.n3 AC
D-1
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
L o o rs-l-c
Address(number and Area city,state,and code) - -
Area - - U Some as property address - -- —--
?4lit E . goo S . 13ujksk; n -►- 47(tic-7
Spouse First Middle Last
'ante , Ca re i ►a I
Mailing.Address(Number and street.city,state,and LIP code)) I� ❑ Same as property address
L4 lD t E E . 9 L)c S • I.J i-.l LIV ICI Vl i- Yt - 7(P cf.7 - x
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
CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
CREDIT /STANDARD DEDUCTION v
State Form 5473 (R2/5 -92) ' _y PA
INSTRUCTIONS: See reverse side for tiling instructions. DEC 2 9 1992
•' /CERTIFICATION STATEMENT
I (We) L(;Y (A�{� • °� `fpJix -utX_, � - l..'`,1C,U.r0..CT - certify that on the ls94T 9—
jQi�j�
1 (We) occupied as our principal place Wesidence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
_ 1
'W_) owned ❑ Are buying under contract -
nave 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 owner's name
Recorders office where contract is recorded Record number Page
-
e
PROPERTY DESCRIPTION -
County
-
Township
-
Taxing district (city, town, township)_
Parcel number
Legal description
'!(number andsheet, city, state, ZIP ,f
K '
i - 00005 -ao
P f 5e
NE
If 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.
Total land (line I plus line Z)
_ O,
/{/5 �f
OD. WS —Q6/
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County 1
Township
I hereby certify the above statements are true, correct and complete.
at re of claimant r
'!(number andsheet, city, state, ZIP ,f
K '
R a at 7,, c/z s /rte -, V2'4 u
.
I
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 I plus line Z)
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 jobs line 7)
(6)
I hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION
19_Pay 19_
Lesser of 112 Homestead
Valuation or $2,000 1 $
Signature of Auditor i \ I Date signed /� 2