Homestead_SchwierschCLAIM FOR HG ESTEEU PROPERTY TAX CUIT FOR YFAR 19_2�
SEE BACK FOR FILING INSTRUCTIONS
I `) H 9 A QC certify that on the 1st day o;
A+ 14'iarch, I, (P occrro r ied as ou rincipal place of residence the folln.:ing described real
i &erty zor which a Houeste a Property Tax Credit is hereby heing clain-ed:
I�Ole) 96ne3 ID 0 (- 0 0 cko'�' 00
❑ are buyinq under contract
have a beneficial interest in the taxpayer ((��
Property Description in n 4}nnN. County pin at Tvanshi
,
Taxina District (City, Toc:n, Township) :
Pastel tau -nbs or legal description shown on tax statenent:
PL_ Sur'14 Sw, Li 31 -19 1, W.$
f.- bu.-ina on contract: amers name (fee simple comer
Contract recorded in pecorder's Office - Record ib. Page
If arry portion,df the residential structure or the land, not exceeding one (1) acre that
L nately surrounds that structure is used to produce income, describe the use aryl portion o_
the prop -sty utilized to produce income
ny other counties in which individual owns or is buying real property: County Tv:nshio
I herehy certify the above statment is true, correct and complete.
r
* ig,.ature Street Address City, State an Zip Ccxl
*Individual either cF.m5 or is buying uner a contract that provides he is to pay the
property taxes on the residence, or has a beneficial interest in the taxpayer•
- FOR ASSESSORS USE ONLY -
True Cash Assessed JbT— estea:
Value Valuaticn Valuatie:
Lard not exceeding 1 (one) acre imcre iately 1 Soo / 7 ° 7=.
surrounding residential improvarents
Other Lanni _ (2) 0
(3) S4�o / 8 a
Total Land U
Residential Lmmroven�r2ts� D„ellinq (4)
APR 2 086 Garage (5)
Total (6) �'%� So 1 /S6 0
(7) %/ ////// ;
other Irprovoments / i Do
To Ir-Draven°nts - Line (6) plus (7) equals (e) (a)
I hereby certify the above is true, correct, and complete.
Date
�ignature of Assessor
- ACTION BY AUDITnR -
i np
0 va ;� pr4rr7 14 Date: �(3 -86
'TAIL fOR%1!35 I2'r wnl TM1FA ULERFORV'SIA
.A FROVEDBY RVE RMRnnrMfltstS.yv PRFYIUamnY IDE DEPARt% STOF LOALGOraNNWT FatASCE MH.Ir4.1
Gibson County Auditor
101FN 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 ewer for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
• HEA 1344-2009 requires tarpapers who receive the homestead standard deduction to verify that they am eligible to teethe the
benefit and to pno'ide additional identifying information necessary to allow county gocemment to better monitor homestead
filings.-nlis information will be kepi confidential and can only be accessed by authorized county officials.The Ikpanmcnt of
Local Bovemment Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Schwiersch, Larry Alan/Andrea J
R 2 Box 396 ((``,,1L i
Ilauhstadt IN 47639
8839
Larry Alan/Andrea J Schwiersch
10362 S 550E State Parcel Number Lezal Description
Haubstadt IN 47639-7834
26-20-31-300-000.909-001 00-1 000909-00 PT SW 31-3-91.4928 AC
x
PART 2:TAXPAYER INFORMATION
Owlet I First Middle Last
Larry / ()Afar, Schuo.. h
g Address(number and street,city,state,and ZIP code) - - Same as property addnsi —�-
ID�(�a S 550E 1-(6Uos4-6 [4, In 41(655
Spouse First Middle Last
lrQ do (end")
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
IO3aS. 55Dc ---I( -cook \n 4 i - ) -
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 elieible to
receive the homestead standard deduction on this property. Each undersigned also understands that,by claimine additional homestead deductions
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Owner I Signature Date
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