Homestead_Dewig (3) SIAM HAMIIt_'r t nl nmssmiEA MOEM'f-IA
UIMw'ED BY tlAIE WORD OF.YYVAIT,..pv Ilr`YIIDIm AV Olt Drr,ane4TOF LOCAL CAVEILVMR.T FtascEM VI.Ir4.1
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
_ mom beneficial.there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verily that they am eligible to receive the
benefit and to provide additional identifyine information nemaary to allow county government to better monitor homestead
tiling.This information will be kept confidential and can only be accessed by authorized county nflicials.The lepannlent of
Local Government Finance will use this information to create rods that will help county officials eliminate homcscad fraud.
. j PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Dewig, Robert J/Constance C
201 E Vine
Fort mmnch IN 47678
6869
Robert J/Constance C Dewig
201 E Vine State Parcel Number Legal Description
Fort Branch IN 47648-1117
26-18-13-404-000.543-02 / 011-00543-OOGENUNG 8 WALTERS
lIlu��ul�r��u l�u��n�nn��nt��nl���nl��� 11111111
167PT
PART 2:TAXPAYER INFORMATION
Owner 1 7 First Middle y / /� Last
�g Address(number end itrec[,city,stale,and ZlP code) - — rme asproperty address
. ���� -/�.
/ L✓ V/pc F;- 7--. �R V c --b r -�
Spouse First ``�/�� Middle ,,ll �y Last
e0 nS1Q'J _ &arV/t-r'Ine, N �rclfa
Mailing Address(Number and street,city.stale,and ZIP code) Ef.aime as property address
-
Each undersiimed 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 this property. Each undersigned also understands that,by claiming additional homestead deductions
unlawful e . e may ., '• le for ac xes and substantial financial penalties.
Oven. s-: at . / Date /
PART 4:ADDITIONAL INFORMATION
•
a� 3 a CLAIM FOR HOMESTEAD PROPERTY TAX.
z��i; CREDIT/STANDARD DEDUCTION
� State Form Sa73 (R2 / 5-92)
� '
INSTRUCTIONS: See ieverse side lor filin9 insUUCtions.
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i'we) _��.(J'C.J"c.l� 1 ` 7. ' certify.that on ihe isi day of March, 79_
�) occupied as our principal e of residence the following described real property for which� esiead Property Tax Credit is hereby daimed:
❑ I(We) owned ;❑ Are buying under contract �- - �-
❑ Have a beneficial interest in the entity ihat is liable tor the propeAy taxes on ihe property and thai owns the property or is buying.under a contraci.
� - � � ' � . CONTRACT RECORDED .� - - � ` . � .
If buying on contraa, Fee Simple owner's name • . . . -
Fecortler's office where contraa is recorded � Record number Page
If any
of the
Legal
:itlential strucwre or the Wntl
to protluce income.
PROPERTY
rown,
���� �� ��
one (1) acre tha m ediatey surrounds that siructure is used to produce income, desc
and portion
PROPERTV OWNED BY CLAIMANT IN OTHER COUNTIES �
County Township Counry Township
�eby certify the above statements are true, correci and complete. Sign + re of ciaimam
Address (num6er arMsbeet ciry, state. ZIP code)
Q '
ASSESSOR USE ONLY � TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VAIUE VALUE VALUE � -
Land no� exceeding 1(one) acre immediately
surrounding residential improvements. (�) "
Oiherland (p) .
Total land (line 7 plus line Z� (3)
Dwelling (4)
Residential improvements � .
Garage (5) .
Other improvemenis (6)
Total improvements (line 4 through line � (7)
Total value Qine 3 pbs line � . (g) �
I hereby certify ihe above is irue, correct, and � Signature of Assessor Date signed
complete.
-�'^^Ning action - Signature of Audimr Date signed