Homestead_Foster (5) •Ltrt FORY 5354,0.1.-Lei nUASLAlU!ORM ts.IA
AMOVtDBV'.T E NIwr.nf 4.t,6\'tt.]•N Bnn'AptD nT 1111.1MAxi.MtioI LItALCOVnbsDSt I INAMI KF1.t-4.1
Gibson County Auditor IMPORTANT.NOTICE TO HOMESTEAD PROPERTY OWNERS,
101 N.Main Street Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
Princeton. IN 47670 more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud cau:c5 higher tax bills Dr all:therefore.
-as® FILED benefit amt to plsiJc aJditinnal idcmifrinL ;r.lbrmauon m:cssan to allow connre g,namrtnm to beau monitor homestead
filings.This information will be kept confidential and can only he accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
APR I O 2012 PART l: PROPERTY INFORMATION .
— Taxpayer Name Location Address
C.'J.n Foster, Steven W
704 E VINE ST
GIBSON COUNTY AUDITOR
FT BRANCH IN 47648
2494
Steven W Foster I 1111-VIII I I I i 11 1 ii ivcviimII I I 1 1 1 IIli 1ii v viii iiiciioIII
704 E Vine
FORT BRANCH IN 47648-1228
III"II"'ll"IlII'It 1111"II"111111II1I'I1tlllllllltrlllllllt State Parcel Number Legal Description
26-19-18-304-000.541-026 HILLCREST 67 PT GREG N LORI L
HALBIG
n
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
.I • I .
8
er First Middle Last
Q. ev\ W ayvl e IoSf-er
Mailing Address(number and street city.state.and ZIP code) ® Same as property address
70Y-/ E. V rte St. , Fes P+ ararek , t /c �l7 L/
Spouse / / First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) [] Same as properly address
Social Security Number(last 5 digits) Driver's License/State ID Number (las:5 digits) Other(please specify in Pan 4 below)
11 I I I Sole
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
( )
- PART 4:ADDITIONAL INFORMATION w
CLAIM FOR HOMESTEAD PROPERTY TAX
-� ' CREDIT/STANDARD DEDUCTION
t y� � Sfata Form 5473 (RS / 10-01)
Prescribed by ihe Department of Local Gwemment Finance
INSTRUCTIONS: See 2verse side /or (ling insVUCtions.
FORM YEAR
� �'�
I(We) �L-��('/tX/.0 \/ f'/f,(��.�1/U (�bertify t o the �i�Sl 'day o Mar�r},�. 20_
I(We) oaupied as our prindpal place of residence the following descnbed real pmperty for which a Ho�G aSON CO�hT A DI�Rby daimed:
�1 (VJe) owned ❑ Are buying under contrect
� Have a benefidal interest in ihe entity ihat is liable for the property taxes on the property and ihat ovms the property or is buying under a contrad.
I( byMg on conVact, Fee SimDle owners name
Remiders ofice whare contraq is recorde0
County
Tamship
�//�-�UO �/- d� I � � 7
N any portion of Me residentlal sWCWre w the land not exceeding one (1) aae that
ot Ue proPerry util¢e0 to produce irrcome.
Counry
Twvnship
I hereby certiry the above statements are We, corred and complete.
(numberar�d street, ciry, sfate, ZlPCOde)
Jy ��c�- V�..�_ Sk. �or+ Qfq"c
Record number . � Page
Is the
�Real properry ❑ Mobile Homo (LC. &f. f-� .
wrrounds that W cWra is used b produce income, desaibe Na use and portion
County
Sign tu e ol daimant
W
.T�V Y76y�
`�;� � .�����`�,`�. ,�.��STIWDARD,'DEDUCTION'ALL'OMIAIJCEti:�'�„�",-�,:'.'��`�.q��,.a-'�^�"r':.1?��,�_��?�`fi?e:-1�'
20 _ Pay 20 _
Lesser of 12 Homestead
$
Valuation or $6,000
SignaWreo(Auditor � Datesignetl