Homestead_SchlottmanCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
Sete Form 5473 (R71 &M
Proxrbed by the Departrnent of Local Government Faerxa
INSTRUCTIONS See reverse side for filing insfrmbons.
FORM
0
CERTIFlCATION STATEIIIIEW..
I (We) am" th V Te 1 st day of March. 2(1_
I (We) pied as our principal piece of residence the following described real properly for which a r t is hereby claimed:
rl I (We) owned ❑ Are buying under contract G)BSON COUNTY AUD)TOR
Have a beneficial interest in the entity that is liable for the property tEdres on the property and that owns the property or is buying under a contract
� ..� c. , - '. • CONTRACT;RECORDED x„ ,- •a = 1 .. ;_ '�_ 1 � a �,
.ti tuyrtg on .,baggy Fee Simple owner's name
Recorder's office where mbad m recorded Rend number Page
,.. t� .�.'... ,f f.: �i h•
PROPERTY DWYIUPFMAk."
County
Canty
Tom ship
Tmang district (dy, I—. township)
I hereby certify the above stadrtterrts are true. correct and corn piet.
Signature of daunara
L 'pticn
H the prop" n rte:
::taVALIJEy:a.,.
_ I -
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Real property
❑ Mobile Homo (LC. 61.1 -7)
If any port on of the residerdial structure or the lard not exmeeding one (1) are that "med�ly surrounds dud sbuclu a is used to produce scone. des rite the use and portion
d the properly utilized to produce income. 0� 1 LI _ 3_q 3, ?6
. ... -. .,. _., ... : PROPERTY OWNED BY�CWMANTBOTHER COUNnES* firs. -+t ^joy ».s•. < = 'r.�:. •`I•c
^
County
Tranship
County
Tmmhip
I hereby certify the above stadrtterrts are true. correct and corn piet.
Signature of daunara
(number and street dl: Ala. ZIP coda)
GL 1 S' I
` ASSESSOR USE ONLY r ;
' ° TRUE TAX
ASS E VALUE
`AT,
d HOIWSTE.AD t`
't ssh NON- RESIDEM7IAL��
(
YAUIE:'x
100%OF T7Vr
VALUE
::taVALIJEy:a.,.
n•.> �•.
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Land not exceeding 1 (one) acre immediately
surrounding residents] improvements.
Other )and
(2)
h r '
.a
Trial land (rare 1 plus Gre 2)
(3)
Drre6rg
(4)
n i
Residential unproveends w Anrnralhy
m
Assessed Mobde I Manufertaed Home
Garage
r��psxk'S'(4riv'txa�
(5)
z fi' i'Jl i A it sz tee '�
Other unpfovements
(6)
,Y
Taal unpmvermerds (rvxe 4 Through Bne b)
(7)
.
Total value (Ibe 3 john #ne 7)
(S)
I hereby certify the above is true, correct, and
complete.
Sigaan+e of Assessor
Date signed
Wifyi g acbm - Signature of Auditor
Date signed
- , ' '�"FeGi; r �S TADADDDUCTOALLOWANCE e4;G
20 _Pay 20 _
Lesser of 12 Homestead
E
Valuation or 535.000
Signaaae of Auditor
Date signed
S FORM -/s TREASURER PoRV TS-IA
xrmao BY srsrr BnVRn nF wvvym(nru PRtAWBFn DI illy DEPAR1xffYr(fLOCAL Ctt r10Mr2.7 ruati CEe6-EI L-FI
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
more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tai bills for all:therefore.
HEA 1347-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene the
benefit and to pnn'ide additional identifying information necessary to allow county government to better monitor homestead
lilinttc This information will he kepi confidential and can only he aecevsed by authorized county officials.The Department of
local Government Finance will use this information to create 4WIs that will help county official eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Schlottman, Jacob E/Devon N
6618 S 950 E
Oakland City IN 47660
8614
Jacob E Schlottman
6618 S 950E State Parcel Number Legal Description
OAKLAND CITY IN 47660-7731
ItIttlltttltllrttllttllttt ltr lllrttlttlltt ttllrtu III••IiIl iiiI 26-20-14-100-001.962-001 001-00125-00 PT N NW 14393.03 AC
D-8
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
JaC.ob FOCetati CO Ala tf na..et
--tg Address(number and street.city,state.and ZIP code) - — — - - - — Same as property adores— --- ——— — "-
46/3 S ?go E , cty.kand cPis , TN 'a�Leo
Spouse First Middle Last
Jb2vofl Nicole- Sch ktErn-&.n
Mailing Address(Number and street, cts
city,state,and ZIP code) Same as property addi
re
(D to I O S 9 so E Oo-19-\a.rt& e '-i5- t ..ts'J q1-40 a
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 Si Date
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