Homestead_SchleterI ORL; He fu lbiu
PneKnoeo By Slate Board or ias Commissioners
IV lie Inm nr O,plrr.de
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 `9
A SEE BACK FOR FILING INSTRUCTIONS INSSTnRUC�TIONS _ / p 0/— do ?75 -- ofl
)le) ey4 o��Nnl 9!/Y/17o1, certify that on the 1st day of
h, 19 I, (We) occupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description
Taxing District (City, Town, Township):
Parcel Number
If buying on contract: Owners name Oee simple owner)
Township
or legal flesc iptio shown on tax statement:
Contract recorded in Recorders Office - Record No. Page
If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
structure is used to produce income, describe the use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property
Address
County Township
and Zip Code
ddndividual either owns or is buying under a contract that provides he is to pay the property taxes
Ira
TF 4t � I�On the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
J U t\l 2
Land not ex e Ing 1 (one) acre immediately
surrounding residential improvements
Other Land
Total Land
Residential Improvements
Dwelling
Garage
Total
Other Improvements
Tol- rovements - Line (6) plus (7) equals (8)
I hereby certify the above is true. correct. and complete.
S.ynarme or Aase5s01
True Cash Assessed
Value Valuation
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
- ACTION BY AUDITOR -
Rn„
Homestead
Valuation
Date: - -� '031 =0—/ --
/ ( `,,eby
certify
the above
statement is true, correct and complete.
Address
County Township
and Zip Code
ddndividual either owns or is buying under a contract that provides he is to pay the property taxes
Ira
TF 4t � I�On the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
J U t\l 2
Land not ex e Ing 1 (one) acre immediately
surrounding residential improvements
Other Land
Total Land
Residential Improvements
Dwelling
Garage
Total
Other Improvements
Tol- rovements - Line (6) plus (7) equals (8)
I hereby certify the above is true. correct. and complete.
S.ynarme or Aase5s01
True Cash Assessed
Value Valuation
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
- ACTION BY AUDITOR -
Rn„
Homestead
Valuation
Date: - -� '031 =0—/ --
Y
SVCS FORM 53564(1.31 MC) 1 TRESSES=FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS.X09 PRESCRIBED BY THE OFPABIME'T OF LOCA1.CAYEA\MEST ENIANI£IC 6-11-2241
' Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
.p 101 N. Main Street Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
Pr. dnceton,IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore,
HEA 13442009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
tiill FILED benefit and m proide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only be 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. .
PART 1: PROPERTY INFORII_ATION
MAY 2 2011
., - Taxpayer Name Location Address
C • Schleter, Gerald A/ Nita M Trust
0 CR 550 E
GIBSON COUNTY AUDITOR FORT BRANCH IN 47648
8703
Gerald A/Nita MSchleter III�I�IIII�III�I�II 1101111.[IHI 11�11_DIllII�iI�III�III II�IIIIII�II�II_IIII01till
4904 S 550 E
FRANCISCO IN 47649-9175
IIt IIt't IIIIIt IIIIIIIIIIIIr IIIII.IIIIIIIIIIIIIIIIIIIIIIIIIIIIII State Parcel Number Legal Description
- _ - – _ 26-20.06-300-000.875-001 6 3 9 4.50 AC -
• 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.
, f1_—_._...—_—._._______...._—_—PART.2:TANPAYE.R-1\FORMATION___,
_--- - --
Ow . 1 o First Middle Last _
Gera( 14 ScHterEt
Mailing Address(number and street,city.state,and ZIP code) 0- Same as property address
1/909 S. 55o E °/ RAac7scu , !p ch6 cif 9
Spouse First - Middle Last
7k1,T> 4170-5-0 Cl,1e-1--Ac- I. �_.Jav,Jcon ccl5/e.fer
` Mailing Addres(Ntmmbef and street;cry:state.and ZIP code) -- - -'-I 'Surhe as property address- ' ---I =
a LI
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 , •