Homestead_Huelsman SIVErnlS M4 tCt'•n TREASURES FORM YIA
AnrVWEW BY sr.lc MUM)OF MTTR:\TS.a.w PUSCRIBW BY THE DEPARtSa:`IT OF LOCAL rovrt'mn.T FINANCE eVl.l-L'4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead sundani deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than net for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-22009 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to receive the
benefit and to provide:uktitionul identifying information necessary to allow county government to better monitor homestead
filing-This information will he kept confidential and ran only he aece:snl by authoriiel county officials.The Department of
Local Govcmnent Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
. Huelsman, Bradley J/Jennifer A
Olen
Fort Branch IN 47648 -
7639 I V I
Bradley J/Jennifer A Huelsman v
311 E Ulen State Parcel Number Legal Description I px
Fort Branch IN 47646-9703 / V
ItlnllnritlIutlulln1t1r1u1ru111 Ilnn11r lr1111lul .26-19-18-301-000.022-026/011-00022-OO HILLCREST 64
PART 2:TAXPAYER INFORMATION
Owner 1 • First Middle Last
rOC CDhin 1,1,ei nlor}
•ling del (number and street,city state,and ZIP c e) —- - — ---- f❑ Some ns Wepcit address- - — -
If e4 Ltiegz (7. -I-Dr--1--- -Fr&vd1 Lii-fh.. 4-7 C2 49.
Spou `/ID 1N^� First //nXI •�_) ��n/yn Middle �/ �/^1 Last
Mailing'Address(Number street,cif a le.and ZIP code -furl-�' ❑ Same as property
,address /� Q
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 i nature / Date
v
•. .
�,...,,� , _
� °k CLAIM FOR HOMESTEAD PROPERTY TAX
;��'� CREDIT/STANDARD DEDUCTION •
,�,,;� State Form 5473 (R2 / 5-92)
�eie -
INSTRUCTIONS: See �everse side 7or liling insbuctions.
�FORM� - YEAR
a��� � _ .
APR 2 31995
e) _ I certify thai on ttie iSYday of March, 79_
e) occupied as our principal place ot resiiience ihe following de i �r aL roperty tor wh h a Homestead Property Tax Credit is hereby claimed:
I(We) owned ❑ Arebuying under comract , ,� .
Have a beneficial inierest in the eniity thai is liable for the property taxes on the property and thai owns the property or is buying under a coniract.
� CONTRACTRECORDED �
I( buying on contraa, Fee Simple owner's name . . , . . � . •
Recortler's oHice where contract is recortled Record number Paqe
� ' PROPERTY DESCRIPTION
County . . ' TownShip - � . Taxing dislricl (city,. town, fownship) . .
Parcel number Legal description
ab - . -
It any ponion of the residential structure or Ne land noi exceeding one (7) acre that immediatety surmunds that strutture is usetl ro praduce income, describe the use and portion
o( the property utilized to produce income. �
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land noi exceeding 7 �one) acre immediately
surroundingresidentialimprovements. (�) "
Otheriand (p)
Total land Qine 1 plus line 2� ' (3)
Dwelling (4) . . .
fiesidential improvements
Garage (5)
Other improvements (6)
Total impmvements (line 4 through line � (7)
Total value (line 3 p�s line 7� (g)
I hereby certify ihe above i5 irue, correct, and Signature of Assessor Date signed
wmplete.
� "�., g action - Signawre of Autlitor Date signed �
�
� STANDARD DEDUCTION ALLOWANCE -
19_Payt9_
Lesser of 7/2 Homesiead
Valuation or $2.000 S
SignaWre of Audimr Dare signetl Q I