Homestead_Schleter (2) •
• e. STATE FORM 53569(R)/&It) TREASURER FORM TSIA
APPROVED BY STATE BOARD OF ACCOUNTS.TON PRESCRIBED BY THE OEPARTMEVT OF LOCAL GOVERNMENT FINANCE W 61.1-334.1
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 causes higher tax bills for all;therefore,
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
.� FILED benefit and to provide additional identifying c Mng 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 Deparunent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFOR:WL4TION
APR 2 5 2011 Taxpayer Name Location Address
Schleter, Robert/Rena
V v 5748 E SOO S
GIBSON COUNTY AUDITOR FRANCISCO IN 47649
1033 II IIII III IIII IIII
Robert/Rena Schleler IIII IIUiiiI�I�lithilull�ll_�IIII�II_IIIhII�II_I1 �II�III_III �IHI]1111 OItill
5748E 500 S
Francisco IN 47649-9141
•III 'VIII'�II'�I"II'I'II'liiillliilil'li"iI�III���IFltltlitllli State Parcel Number Legal Description
26-20-06-300-001.561-001 /WSW 6 3 9 6.81 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.
e
Ow. . I First Middle' Last
Rb\Dfl-f ASu i
Mailing Address(number and street,city,state,and ZIP code) I��1{)Same as property address
5 e G 560 5. -yti^C'a s6o, ) N L ) 6 u:'
) .
Spouse First Middle Last
e.1 . a--o . Sec, lc
Mailing Address(Number and street city,state,and ZIP code) f5Saine as property address
5�yss 5 -D 5 Fr eisw 4Z4 1Gt
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 Signatu ifa__ Date
� a CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
; State Form 5473 (R2 / 5 -92)
INSTRUCTIONS: See reverse side for tiling instructions.
I (We) �� certify that on the 1st day of March, 19 f
,pied as our principal place residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
j-�Wz owned ❑ Are buying under contract
IL—) Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property b I nT and tr
CONTRACT RECORDED 1 101
If buying on contract, Fee Simple owner's name
Q149 e,
Recorder's office where contract is recorded Record num U DITO
Vp-
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
PROPERTY DESCRIPTION
County
Township
I
Taxing district (city,
Parcel number —O 10
Legal description
, / ^ 3 c � 7ee__
It any portion of the residential structure or e land not exceeding one (1) arse that immediately surrounds that structure is used to produce income, describe the use and portion
th
of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township
County
Township
•eby c i e a ve late is e t « eci and complete.
Signature or claimant
,es (n mber and street, ary, state, ZIP code)
AV/, Al 936- 1 -A
ASSESSOR USE ONLY
TRUE TAX
:VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON- RESIDENTIAL
VALUE -
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Other land
(2)
Total land (line I plus line 2)
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plrs line 7)
(g)
I hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
l Aft,,ng action - Signature of Auditor
N
Date signed
ow STANDARD DEDUCTION ALLOWANCE
19_Pay 19_
Lesser of 1/2 Homestead
Valuation or $2,000
$
Signature of Auditor
Date signed
J