Homestead_Neufelder (6) ♦MATE FORM MN.IR:14n1 MEASURER FORM SIA
• .SrPIRWED BY ST OE BIM.RDfFMYIRL\45.944 PPLFSCRIBED BY THE DEPARTMENT OF!OLAF ra RMMOO'FINANCE In1.1-raI
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 becornea
more beneficial.there is more incentive dun eser for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
HEA 1344-2009 requires taxpayers who remise the homestead standard deduction to verify that they arc eligible to reeehe the
benefit and to plrxide additional identifying information necessary to allow county government to better monitor homestead
filings_This information will be kepi conlidential and can only be accessed by authnri,ed county officials.'the Depannmat of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY ENFORMATION
Taxpayer Name Property Address
Neufelder, Thomas L
403 S Center
Fort Branch IN 47648
7851
Thomas L Neufelder
403 S Center State Parcel Number Legal Description
Fort Branch IN 47648-1503
26-19-19-101-000.563-026 011-00563-00PRITCHETTS ADD 235
IIIrrllrtlItIIlatlttllrtltttrlllItIIII IIIII 11111111?
•
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
I2otrld S Ley /Uec5e) el a
ong Address(number and street,city,state,and ZIP code) X Same as ppropeny uddrea----- --' — --
2fo3 S. Cen-ter 5+,
Spouse First Middle Last
Mailing Address(Number and street city,sale,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Drivels License/Sate ID Number (last 5 digits) Other(please specify in Part 4 below)
•
sore
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 Signature Date Telephone
` U l 4-J - /o ( )
Spouse Signature Date Telephone
PART 4:ADDITIONAL INFORMATION
CLAI��i FOR HG�`STFAU P(i0°�TY TAX Cfi�IT FOR YFAR 195�
SEE BACK FOR FILII•�G It•:STr2UCTI0hlS
z',.,_) � � f����?' �Q,�Q� cesti-fy tha*_ on the lst day o
�h, 19� I, (�'�°) occ�?i� � oU-r incanal nlace oi resiaence the follaaing dscritnd real
n�,V'_rty ror �cnich a Ftoir�t°�3 �to�-rtY Tax �edit is hereir� }�ing clai�i:
I, c-�>� a�n�ri d//� �D.7lo .� '��
� aze bu-�inq un3es contract
� haw_ a b�.neiicial i�nterest in �he tah��yer —�� �
Proe=�ty i�scrin;ion. in 9". ).�UCXYY, �un�y 'Ib.�rsh�
Ta.ina Dis�; ict (City, Ta:n, To�t�nshio) :
��rc�1 t�i„-�•.s or 1 al description s}�wn on tax stata%.nt:
�� ��C� �'ir�Q.G o� � S
Z- bu�:ina on �ntract: Cx4:i_ss nan'e (fe° sur�le cnan_r)
- - Co;«xa� r�ord�i in Pec�rd=r's 0•`_fic° - i�-cord tb. Fage
Z` any oor�ion of �h° residen�ial stn:c'air° or the land, not °.��°�iing or.e (1) acre that
i,�r.�dia�ely suizoturis `iza� structure is us�3 to pnxiuce incan_, descriLe th_ w_ a*ri oortien of
u�e oroeA�ty utilized to prcxiu� incorre
?�ny otn°r �unties in which individual a-rns or is bu�ing r°--al propnsty:
"�.1°_T°.Ihj� C°{-`-�.1+.� ii11°_ c.�SJV? S`�-dt.Hi'ult`. 15 �Lll°� W172Ct d7Y� COfi�l°_t°.
SiSe°i.
Cbuntv ZU:ms}tio
. . . 1.1.L}'� Jlril.:
V
*Inctividual °it}n_r a•rns or is b�ying tm°-r a contract that provides he is � pay `h_
oromst}� taxes on �h° residence, or has a b°s°Licial intesest in th_ ta-':oaY°-r•
- FC1R ASSESS(?R � S USE Oh:LY -
Lard no. er.��9 1(one) acre 'uT�mdiately
surrourr3ing residential iir�rovarents
otns �a
Toal Land
A� sidentia 1 Irrorov°sr�its
oth�s Isr�arovmt�nts
Dc, elling
Garaae
Total
Tc '. Itrorov�rn�ts - Line (6) plus (7) eauals (8)
True Cash
Vd�il°'
(1) 9�o O
(2)
(3)
(4)
(S)
(6) �oo 0
c7�
(B)
�ar�i oc:nmlete.
h�ea�� certiiy the aboce is tn�e, correct,
Si=°natur° o;. Pss_�sor
- AC710�� Bl' �UDITnR -
1 I lJ �u ��+"• L`11 l�A Date
i+r� �:� �� :
-- '-� `��- U —
Asssss�i
Vd�.U3L1Ci1
'/ � /' ii %i
� �
L� t�
- 1 S- �%
Ca?'
3�it�s�s:
�%d1Uc1t1C�:�
300
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a � 70
% /%/%/%;
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