Homestead_SchoonoverCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Forth 5473 (R614-03)
Prescribed by the Department of Local Govemment Finance
INSTRUCTIONS: See reverse side for filing instructions.
FORM �J YE "R
c 10 ® -
rte..
LfJ G U LUUI
-CERTIFICATION STATEMENT":
(We) !h/a� Q
certify that on the 1st a�f March, 20
V I (We) occupi d as our principal place of residence the following described real property for which a Homestea �r 1%dQ0t iVrbd(Upj"y claimed:
I (We) owned ❑ Are buying under contract
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
ONTRACTRECORDEO.. -r
It buying on contract. Fee simple owners name
Recorder's office where contract is recorded Record number Page
:'x�- I ••`'`: .- "z- s�&'.3n+. = ,L�".'e' ' ?a'-r aMil.wc N.'P,ROP,ERT.YDESCRIP.TION ''_t° t ''.}t.. w^.mw=
minty
Tormship
Taxin dis t (city, to ,town hip
Parcel number 0 13 //
Le d scdptien �� Is the property in question:
9 I
— //
— 3 — VReal property ❑ Mobile Home ( /.C. 6-1.1 -7)
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 potion
of the property utilized to produce income.
�a�4P C-Z- 170 -ice &0 17 - co A 90 -9-- CO/
- ���-- 2'. -`�' =�; �•� r.V`7-SPROP,ERTY, OWNED :BYCLAIMANTIN:OTHER`000NTIEBUx �'r�:8sf'}5�tj��.sa- T��ytt� }-vt
County
Township
County Township
1 hereby certify the above statements are true, correct and complete.
Sign to of c i ant
cress (number and street, city, state, ZIP code) 9t)x 112 F . C U/ '1
�� - �JASSESSOR USE ONLY ?�-h
>�.` 3175':: _`,r r* IS'' -..0 '•. ".z�"- -�.'? .t s.
��
wVALUE `..
ASSESSED VALUE
AT100 %a OFST,tV.
--HOMESTEKD
�,,
O ���''VALUE�
NON= RESIDENTIAL
�. a��.'4s�VALUE -,ti; In` ':
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
-ri '" },✓ "�E^+„'r"4 ,3�1
Other land
2
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
d
�KS'il: +Ti^ it h s i
(Residential Improvements or Annually
x`- +':C<z ~`•_`=' �"
Assessed Mobile I Manufactured Home
Garage
(5)
.1} a:cir 2
Other improvements
:1F'sP IN
lam-
Trial improvements (line 4 through line 8)
(7)
,
Total value (line 3 pits line 7)
(8)
1 hereby certify the above is We, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
TANDARD: DEDUCTION' ALLOWANCEcv,' Y; a� ;2'fn..�ri»,`_'f:e;",;:;� -"y.'r
20_Pay 20_
Lesser of 112 Homestead
Valuation or 535.000 S
Signature of Auditor Date signed
a 51'YE f 9RM53:to/cc I-P I TRGNallt FOAM T}IA
ArPMTEn BY STATE Da lntry ACMIEN7S.:Om PVflThm BYInr oEPAan arruvAL GOVERNMrwT FINANCE le I.Ii:-AI
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
I 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 in bills for all:therefore.
• HEA 1344-2009 requires taspavem who receive the homestead standard deduction to verify that they ate eligible to recene the
benefit and to provide additional identifying information necessary to allow county go ernment to better monitor homestead
filings..ntis inlornution will he kepi confidential and can only he accessed by amhnrired coma).officials.The Depanntent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Schoonover, Nathan A
fi
R3 13ox 116 A \
Oakland City IN 47660 o I rl I 5
3273 1 U
Nathan A Schoonover �\ 6�
R3 Box 112 State Parcel Number Legal Description / `
OAKLAND CITY IN 47660-7719
26-20-14-302-001.805-001 001-01805-00 PT NE SW 14 3 9 4.00 Acres
I,1111111lllllittllttlitttlittlitielsttlIIiIiiilrt111111111111 D-8
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.
PART 2:TAXPAYER INFORMATION
Owner I n/ First Middle �, / Last
4
/ 4Z/1 cnnouer
alfrig Address(number and street,city,state,and ZIP code) ❑ Same as property address
997/E 70 S O6K/i e Iy, /4/ 5'7660
Spouse First Middle Last
KVMi L—ynn Schoonover
Mailing Address(Number and street,city,state.and ZIP code) ❑Same as property address
cta11 1 E -you S OaUaanci City. t J. q-1lia60
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 Signet ye Date
•