Homestead_Alstatt MATE FORM!"MIR-r,-.Nt ntudtREa rORM!a-IA
APPROVED BY SrAm BOARD 01-MrvaN'1 S.tan rAFAWBM BY 11W OEPARMMEST OFlOL:1L GOVPRNMENT FINANCE MH.I-2N.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 standard 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.
®
fEA 1344-2009 requires taxpayers who receive the hanestead standard deduction to verify that they are eligible to retch,'the
benefit and to preside additional idennfvtne information necessaty to allow county novenunenl to better monitor homestead
filings:.This information will he kepi confidential and can only be accessed by authorized county officials.The Depannlml 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
•
Alstatt, Robert/Elisha
7565 S 1050 W
OWENSVII.LE IN 47665
6344
Alstatt Robert/Elisha
7565 S 1050 W State Parcel Number Legal Description
OWENSVILLE IN 47665-9340
1t1u1�tn1lllntlltultitltinit11n1u111nll11ullllllllll) 26-17-20-200-0 0004.267-021 005-04267-00 Cedar Ridge 4/5
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
ROBERT L EE RLST' TT
®ng Address(number and street,city,state,and ZIP code) - _ - —ciaStnils pmperry oder`ess "- -- - -
'756S Sa loS0 U . O wffnrsv/LLr, 1—N -1/4/7e6r
Spouse First Middle Last
-EL /St-Ia ye-&- /94s-777-T
Mailing Address(Number and street,city,state,and ZIP code) ,e-Frame as pmpeny address
--7 6S
S. l oso ■-•-) . OLuet4svf cc , .ItJ y7665—
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is eliuible 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 t Date
CLAIM FOR HOMESTEAD PROPERTY TAX
j CREDIT /STANDARD DEDUCTION
r State Form 5473 (R215-92)
INSTRUCTIONS: See reverse side for ding instructions.
YEAR
JAN 23 1200, HC10
r /a 17 a
CERTIFICATION STATEME GIBSON COUNTY AUDITOR
'
nn
1 (We) a %"'b Q A certify that on the 1 st day of March, 19_
I (We) occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby 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
If buying on contract, Fee Simple owners name '
Recorders office where contract is recorded
Record number
Page
PROPERTY DESCRIPTION
County
Township
ng district (city, town, township)
Parcel number
Q
Legal description f , (( 3-7
--3 I I
If any portion of the residential structure or the land not exceeding one (1) acre that immeldiately 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
ereby certify the above statements are true, correct and complete.
S nat a of cl
Address (number and street, city, state, ZIP code)
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
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct, and
complete.
Signature of Assesor
Date signed
Verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19
Lesser of 1/2 Homestead
Valuation or $2,000
$
Signature of Auditor
Date signed