Homestead_Schmitt (7) 11\n FORM 53N.iIC r s1 TIWASURlR FORM 5-IA
APPROVED BY SLATE UNROOF ArmuNT%._on rux,lmmBv nIrorpMncn(rLa:LLre rNMraftraNeric.-I.I.L'r.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple.are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,that is more incentive than cur for homestead frawL homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2004 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying Information necessary to allow county government to better monitor homestead
filings.This information will he kept cnnlidential and can only he accessed by authorised county official..The Department of
Local Government Finance still use this information to create tools that will help county officials eliminate homestead feud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Schmitt, Mark A/ Beth A
Fort Branch IN 47648
8708
Mark A/Beth A Schmitt
7285 S 650E State Parcel Number Legal Description
Fort Branch IN 47648-8620
26-20-18-400-001.571-001 001-01571-00 PT SE SE 18 3 9 1.7218 AC
Iii n fit(t I I nn I i l I n I liI u I I nn I t I I I fit I it n I t I nn I n I
X/ D-8
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
7/7d Jr// a//e n 5� ,-72;
�e Address(number and street,city,state,and ZIP code) - - — — - . l me as property address -
22 05 5 6506, forr fitcnc4 . r�v ,-/,‘v6
/
Spouse First Middle Last
5e74 a2 5GAi77 ; f
Mailing Address(Number and street,city,state.and ZIP code) H..- -e as property address
-
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 eliuible 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 C ��/ Date _
.
•
Prewioea By Sta;e Boam of ia+ Commissioners
CLA169 FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 0/1)
M SEE BACK FOR FILING INSTRUCTIONS /
®(We) t ' 1( uk X'nDcAji certify that on the 1st day of
,rch, 19-9qL, 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: 5d'60 F,L
I, (We) owned — 0/37/ /r 17315 Pic—
El buying under contract 0 IS-7t -00
❑ have a beneficial interest in the taxpayer `
Propert • Description in County Township
Taxing S. c (C oy' .Township):
Parcel Number _ or legal description shown on tax statement:
AUG 1 o Qt �1y ►�- 3 -9 �. �a��
If bU on C�Qflt CL�,_I: Owners name (fee simDi¢ owner)
4
AUDITOR 47 Contract recorded in Recorders Office - Record
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: County Township
II hereby certify the above statement is true, correct and complete.
�sSignalure Street Address _.. G %. state an0 LO Gone
Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
FOR ASSESSOR'S USE ONLY -
True Cash Assessed Homestead
Value Valuation Valuation
Land not exceeding 1 (one) acre immediately
surrounding residential improvements (1)
Other Land (2)
Total Land (3)
Residential Improvements Dwelling (4)
Garage (5)
Total (@)
Other Improvements
To improvements - Line (6) plus (7) equals (8)
1 hereby certify the above is true. correct, and complete.
S,na:wc of Ansessor.
(7)
(8)
ACTION BY AUDITOR -
Daic
ON
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