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Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N Main IN 47670 Individuals and married couples are limited to ore homestead standard deduction.As the receipt of this deduction become,
more beneficial,there is more incentive than on for homestead fraud.Ilomestead fraud causes higher tax bills for all;therefore.
HEA lil4-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene the
benefit and to provide additional idenufyine information necessary to allow county government to better monitor homestead
filing,This information will he kept confidential and can only he accessed by authorized county officials.The Depanntenl 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
_ - Heldt, Lloyd
122 Box?xi-J
Elberfeld IN 47613
8800
Lloyd Heldt
8406E 900 S State Parcel Number Legal Description
ELBERFELD IN 47613-8427
1r1t r11rr t1r11 Ill llltllrll llttlttllllltlll ltd tl'Ittttlt ll 26-20-28-200-000.046-001 001-00046-00 PT NE NE 28-3-9.33 AC
`X/ D-19
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PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
IL --.0 yd //b7-/-Dr-
-
fig Address(number and street,city,state,and ZIP code) 1 Same as property address — _-
•
8 y06 E. goo S . EL3ERPEt-9 'iu. 1776 /3
Spouse Fitt Middle Last
7 /-/vAlE- D. //5L1) i
Mailing Address(Number and street,city,state,and ZIP code) pc! Same as property address
8S/06 G_ 9oO S e:C&,e,e,ccio, -nI. 9-7 6 /3
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 bete liable for back taxes and substantial financial penalties.
Owner I Sign° /0y /�d/dJ/// Date
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R614-03)
Prescribed by the Department of Loral Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
FORM
HC10
LED
YEAR
I (We) certi at on the Ist day of March, 20
I (We) occupied as our principal lace of residence 1he following described real property for which a Homestead `Property Tax 5tedit' is hereby claimed:
e) owned ❑ Are buying under contract ° G (/ AUp)TOR
Have a beneficial interest in the entity that is liable for the property taxes on the property and that cwnsuYje�foyeAy`>or Is buying under a contract.
a- s- rc:•rtr� ;�' ._ - --,. s`�� ONTRACT'RECORDEO
If buying on contras, Fee Simple owners name
Recorders office where contract is recorded Record number Page
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�a4, E -'�' ?r. __.:. unr e: ��•pt- i��,.: P,ROP.ERT.Y: DESCRIPTION.:•: K' �rs3... �a,. zr,�-°'.�.- r'`�:.`— ��r�°�� =..r
County
Township
Taxing d c ty, town, forrpship)
Parcel number /
000
L description Q
Is the property in ques
'-
:2 — J
eal property ❑ Mobile Homo (I.C. 6.1.1 -7)
H any portion of the residential structure or thelandlKot exceeding one (1) acre Nat immediately wmounds Ih slNcture E used b Produce income. describe the use and portion
of the property utilized to produce income.
CM-0e7 a/
�.�.._'rF��nxz�° '�'..rr,`�axPROP.ERTY:OWNED:BY CL'AIMAN7.IN! OTHER" COUNTIES '�'t-
_w•'i�'�i'„`�_.�,�"z�,�i. �?b.�i �'a
County
TxxvnshiP
County
Township
I hereby certify the above statements are true, correct and complete.
Sigpghrrepf claimant
® ress u ber not s0 t, city, sfare (0 �e)„
ASSESSOR EONLY
;> v c �. > '-0.[ e�
1C� _ _ i'4`a- °'°'.:{`:. _ s%r° +.ti
RUE TAXI r *�s
VALUE o _-
OR r,
ASSESSED'VALUEHOMESTEADaY
AT t00Ye OFiTTV
...1
x VALUE
NON- RESIDENTIAL'R' 4
�'as' VALUEI'}C
Land-ar
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
5
Signature of Auditor
Date signed
� .x
Other land
Total land (line I plus line 2)
(3)
Dwelling
(4)
_ EMU
Residential improvements or Annually
Assessed Mobile I Manufactured Home
Garage
(5)
i< gt �.- r =gip. --•
Other improvements
(5)
r.3 ' MI
Total improvements (line 4 through line 5)
(7)
Total value (line 3 plus linen
(6)
hereby certify the above is We, correct, and
Signature of Assessor
Date signed
complete.
Von" action - Signature of Auditor
Date signed
SMWAQ_U44. .Yr'5. 7'.`- '.iiSTANDARD. DEDUCTION{1LLOWANCE
20_Pay 20_
Lesser of 112 Homestead
Valuation or 535.000
5
Signature of Auditor
Date signed