HomeMy WebLinkAboutHomestead_ToepferI CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION
State Form 5473 (R614 -03)
Prescribed by the Department of Local Government Financ_
INSTRUCTIONS: See reverse side for filing
I (We) Y
ZtAZ'4 JC�' certify tha� s Pgjrttparch, 20
I (We) occupied as our principal place of residence thi6jollowing describe ifM property for which a Homestetqgg6W6&k"it&T& claimed:
❑ l(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" '
If buying on contract. Fee Simple owners name
Recorders office where contract is recorded Record number Page
P. koptiiTybWNEDBY CLAIMANT INOTHEW60UNTIES-
:PROPERTYDESCR IRTION
County
Township
Township
Taxing district (city, to", township)
ber
a�7
Mp
V?
Is the property in question:
I
Land not exceeding I (one) acre immediately
/—zo yy
Real property ❑ Mobile Homo (LC. 61.1-7)
If any portion of the residential structure or the land not exceeding one
(1) acre that immedi unds that structure is used to produce income, describe the use and portion
�P�o
Of the property utilized to produce income.
P. koptiiTybWNEDBY CLAIMANT INOTHEW60UNTIES-
County
Township
County
Township
I hereby certify the above statements are true, correct and complete.
Signatu
IFdress (numb" and street, city, stare, ZIP code)
)i f?0X 17OF tfAi7t97-0A). -7-,u 'V;76 YO
VALUE'
Wa!-;��-0-1'—�ASSESSOR USE ONLY
TRUE TAX
ASSESSED
-':kOMESTE4D.
NON - RESIDENTIAL
VALUE
AT 9F
0�
I 0*/6-OF.TTV-
VALUE'
AL
UlEt� •
Land not exceeding I (one) acre immediately
surrounding residential improvements.
(1)
Other land
(2)
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
t
Residential improvements or Annually
Assessed Mobile I Manufa=red Home
Garage
(5)
Other improvements
(6)
Total improvements (fine 4 through line 6)
(7)
Total value (fine 3 plus line 7)
(8)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
STANDARD. DEDUCTION ALLOWANCE
20 Pay 20
Lesser of 112 Homestead
valuation or $35.000
Signature of Auditor Dale signetl
nail FORM!Me. C/+wt TRFAsCLER way:}M
nrrKtn'En by'1511Y5WRnOEMU5J TS.!uh PREANBED By nia DEPMiN.1E4T Or LOCAL cOvrtMMrTT FP'.AtUE inI.I-r-lt
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 die receipt of this deduction becomes
more beneficial.there is more incentive than eta for homestead fraud Homestead fraud causes higher tat bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they arc 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 contidemial and cm only be accessed by authorized county officials.The Ikpannmt of
Local Government Finance will use this infomlation to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Toepfer, Brian D/Cheryl A
RI Rib
Hazleton IN 47640 1` v \
722 \�Y
Brian D Toepfer
6693 N SR 65 State Parcel Number Legal Description
HAZLETON IN 47640
26-05-01-400-003.236-017 009-03236-00 PT S FR 1 1 10 2.994 AC
1
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
BR I RN DoUGLA-S 7 EPFER
e Aaaress(number end meet:city:state;and ZiP code)—' _. _ _ __ _ _ . .r�+v. Same as properly address -6613 N. SR 65 - I,42LETonu7 Pk) 476LFo t�
Spouse First Middle Last
CHERYL AMU E 77,Eta FER
Mailing Address(Number and street.city,state,and ZIP code) Same as property address
6'693 N. 52 65 4142L&Ta#J, TN y76410
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 1 Date
PART 4:ADDITIONAL INFORMATION
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