Homestead_Schumacher (2)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Slate Form 5473 (R6 14-03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reveao aide Ibr MV irabucdons
F„ R YEAR
FEB 1 6 2006
I (We) t�,z lMNdf ytsu- L�6CN�I +fiC3DlgiE'f�tAt@Dp/@firch. 20_
(We) occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
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.
ONTRACTRECORDEDsz'
.. fit: Li✓, i .. rK«' r/ �i'SI.'`�Ll� t!r f a�.'�. �'c�iNrt�4tii._�.��
If buying on contract, Fee Simple ownees name
Recorder's office where contract is recorded Record number Page
Fs+-sL- ^�rwa�, -IdF` .tip z-" r "'` #•- ..P�sr''tr?as�: `- '' ;:.. -.
v--.z ?PROPERTY.�ESCRIPMON � :?
County
Tormship
Taxing district (' own, township)_
Parcel number
Legal description
Is the property
certify the above statements are true, correct and complete. I
Signa a 5cfaimant
�,,�]
�0
property ❑ Mobile Home (LC. 61.7 -7)
If any portion of the residential structure or the land not exceeding one (1) acre Nat imrtiedi rely surrounds That s Cure is used to produce income. describe the use and portion
of the property utilaed t(o�(p�odype inmme.
: F' ?s���
,���h�,`r�PROPERTY,OWNED'Bl! CLAIMANT; IN' OTNER' COUNTIES�ra�:t'�'���- �'"�5fy�ri `'.:max- �.�`N,
County
"HOMESTEAD
Township
County Township
I hereby
certify the above statements are true, correct and complete. I
Signa a 5cfaimant
�,,�]
�0
ss
her ands , city state ZIP code) O
G.i•Jw'!°vSr:',"."�- ri`?a"- tom"" =' <a
3����`�LLA.SSESSDR`USE ONLYti.
TRUE TAXY R,?r.
y
ASSESSED VALUE
"HOMESTEAD
} NONtESIDENTIAL%i?�
Y...ra
ygLUE•`
!"AT 100 %'OFTTV
VALUE`
VALUE - �'��bbgg.�� "3
��j+u.:-
Land not exceeding t (one) acre immediately
i•,
surrounding residential improvements.
ice'°- `=r''t
Other land
(2)
Tdal land (line I plus line 2)
(3)
Dwelling
(4)
Z� �n
Residential Improvements or Annually
Assessed Mobile I Manufactured Home
Garage
(5)
Other improvements
(6)
F. 4'
°. NO
e�..�s
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
1 hereby certify the above is true, correct, and
signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
w `o- r :zr'iiv W Zr W STAN6ARE DEDUCTION AL'L'OYVANCE F x,`" nay' �`is" i{'''. 'z
20 _ Pay 20
Lesser of 1r2 Homestead $
Valuabon or 535.000
Signature of Auditor Date signed
• dart FORM!19.11C/'FO tBLAWt[A FORM TS-IA
.APPROVED BY MIT KAROOF AM-1M,,_n.v PRrsp1omor mF DEPARTMENT(if LQ:LL 60ValeNMaT MO:ANCE IC 6-1.I-2:4 I
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
• than beneficial,there is mote incentive un eser for homestead fraud.Homestead fraud causes higher tae bills for all:therefore.
H6\ 134-1--7IX9 requires uspasers 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 count'government to better monitor homestead
filings.This information will he kept cnnlidential and can only he 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 INFORMATION
Taxpayer Name Property Address
Schumacher, Robert A
Oakland City IN 47660
:•01
Robert A Schumacher
4878€. 900 fn
Oakland City IN 47660 State Parcel Numher Legal Description
26-20-13-100-000.904-001 001-00904-00 PT SW NW 13-3-9 7.30 AC
D-8
ilk' c X
PART 2: TAXPAYER 1NFOR\1ATION
Owner& First Middle S , C `e Last
g Address(number and street,city,state,and ZIP code) - - - --- .,a _me as property oddieis- . — - -- --
ohay E Cti Pd loos Cat) 4 e°4.
-
Spouse 7� First Middle Last
7 aftn 1 1 ' Ciel 0 yvt,;e4 4 r
Mailing Address(Number and street,city,state.and ZIP code) ,ate 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 1 attire Date
. PART 4:ADDITIONAL INFORMATION
7