Homestead_Reinhart - `-TATS FORM 53569(NI8-10) - TRFASIREA FORM TS-tA
'T
APPROVED BY STATE BOARD OFACCOINTS.'.M PRESCRIBED By TIh OFYARTMEST OF II RALOOATAYMEYT FMAV(£IC 6-1.1.224.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS .
101 N. Main Street Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
Princeton, IN 47670 more beneficial,there is more incentive than ever for homestead(mud.Homestead fraud causes higher tax bills for all;therefore,
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
S benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
FILED filings.This information will be kept confidential and can only be 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 I: PROPERTY:11 FORMATION
APR 8 . 2011 Taxpayer Name Location Address
Reinhart, Gloria J
— C 'p �l 306$Hillcrest.
`\ Fort Branch IN 47648
GIBBON COUNTY AUDITOR -
2566
G aria J Reinhart II.I111 11111 fill Illflli fill Il01111fi1011 Ill fll:IIliI_illfill/1/1/11 IIifII011.111111/1 II
306 S Elillcrest
Fort Branch IN 47648-1618
FIIIIIIIIIII"II'il11" "LIt1LIIIJd111lIL1J1t11tiL1tld1i State Parcel Number • Legal Description
26-19-19-102-000.118-026 4'T NW 19-3-10.25 AC
•
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.
et E
1 First Middle - Last
J-eAV, vk (n0., 1-
Mailing Address(number and strut'',ciifty,state,and ZIP code)) la,
property address
3J(o S. [�1-'i i IC_reST-
Spouse ' First Middle . Last
IAV Pr -
Meilin AddreTS umber and s refit,ci_ .-- — - - -
g (N ry,state,andZll'code) - _ - -SaroL�as property address-:. -;-
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
I I I I I I I I I I stRY
. • 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 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 Signature c Date
.
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Sfata Form 5473 (R6 / 4-03)
PresuibeE by Ne Department of Local Govemment Finance
INSTRUCTfONS: See �everse side for filirg insbuctions.
FORM 1"_ YEAR
HC10
- __.•.�rtv: v^.y .h. . .n .giti`^' �_1Yr���u wnnvn J1I11COICIYI/. �� -5�. "] ..fi.:: 'E b` � %� ^" _
��e� certify that onp the 1 st day of March, 20
I(We) occupied as our principal pIa ( residence Ihe following described real property for which a Homestead Pr��rry Tl+c �ir�0�ereby daimed:
❑ I(We) owned ❑ Are buying under contract `� /%�
' Have a benefidal interest in the enGty that is liable (or ihe property Wxes on the property and that owns the propL4C��tfO(rlh�&hder a conVact.
II buyinq on contrad. Fee Simple owners name
Remrdels ofice where contraa is remrded
County
Tating dislrit� (city, fown,
Record-number � Page
��V���II��DV I I LmoasCiuon Q/ ^ cA IstheVroOeMinques6on:
i��� I 1���'O •G��7/ !� ❑ Rea� D GanY ❑ AAob'le Homo (I C 6f 7 7)
If any poM1irn ol the resitlentlal sWctura w the land not exceeding one (1) arre that irtunediatety surtounds that svucture is used lo produce income, describe the use antl portion
of ihe proPerty utilaeE to produce income.
'�'4� "t"` �� '{ i �' c"�"r �"� �.z�`"�,�� � TRUETAX?��n � ASSESSED VALUE �HOMESTEADb> �'� NON�RESIDENTIAL�'''� ��4
�' '�re�s�. ASSESSOR USY ONLY -_��3�yz,� �^. y.°.� ypLUE;i � AT.100°/a OF�:TN �`VALUE � ��'�yq�UEr i�: ��
�. � Fs+c�',�1 s� . _ - .'c.-s . � sr � � av . z�..-.�......tz:.�
Land nol exceeding 1(one) acre immediately (' � �'� ��.���c'.s*���,rc����
surtounding residen6al impmvemenla � � ��� r���;
Other land ��'�� ��� LL
Y
(2) ���tK-.'� �
:»,wr.�• ,a=:3z�
Tolal land (line 7 plus line 2) (3�
�. '�-�-r�`x,:S'.. � '
Dwelling (4) �� ii`-`� b. ��'�
�Residential improvements or Mnualty �����"'��- �'--�' ��'i��
Assessed Mobile / ManufaUUred Horrre Gara e !�';c'.�3.+`YYf �'� 4-
9 (5) 4, 't. �� -c
�h Y� � .�.5'�� �.N[��' ��
Otherimprovements (g) � ��'�
�
:��'t
.�. x���'
Tatal improvements (line 4 fhrough line 6) (��
Total value (line 3 phs Irne n (g�
I hereby certify ihe above is W e, correG, and Signature olASSessoi Date signea
completa.
Verifying adion - Sig�Wre ofPudimr Date signed
20_Pay20_
Lesser of 1i2 Homes;ead
� ' vaivauon w 535.000
Sgnature of Auditor
S