Homestead_Schmits stMt roast,sw ern I ..n rulAUau fORM Zu
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Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 IndividuaLs and married couples are limited to one homcuead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than eser for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires uxpasers who receive the homestead standard deduction to serity that they arc eligible to reccise the
benefit and to provide additional identifying information neces ry to allow county government to better monitor homestead
filing..'Ibis information will he kept confidential and can only be aceesced by amhnrived enmity officials.The Ikpanntenl of
Local Government Finance will use this information to create tads that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Schmits, Kenneth P/Carol A
405 N West
Fort Branch IN 47643
6754
Kenneth P/Carol A Schmits -
405 N West State Parcel Number Leal Description
Fort Branch IN 47648-1043
26-18-13-401-000.689-026 011-00689-00 PT SE 13-3-11 .293 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
e.N IJ<z_r F30, Bch M'I rS
Jions Address(number and street.city.state,,aand ZIP code) - I/-�1 • _ - FR Same asprroperty property-address I, U (may— - -
/ os /4") r W VL�d'WM s C.7 • 1 l x+' / U
Spouse First Middle Last
0• n
Mailing.Address(Number and street,city,state,and ZIP code) ®Same as property address
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.
Own I %nature Date
•
FOAM HL 10 1979
PrcuriDeO By State Board af Ta. Commissiancrs
To & FileO in Uupliwte
CLAIM FOR HOMESTEAD PROPEATY TAX CREDIT FOR YEAR 19 ��
SEE BACK FOR FILING INSTRUCTIONS
�We) �ti�l�^ - �>----�� �� `=-"�Q �� certify that on the 1st day of
�rch, 19�`L, I, (We) occupied as our principal place ot residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed: �y
I, (We) hQ owned V/L �D �v / DO
❑ are buying under contract •
❑ have a beneficial inte�r/est in the taxpayer
Property Description in s6'—�-a-*-�. County � Township �
Taxing District �.Ciiy,—Town, Township): c�1�• ��--a-•�-�--
ParcelNumber or legal-description shown on tax statement:
ii%�.SE 'iy i3-3-ii
�V-cu �i S E'�Y / 3- 3- ii ..] 9 3
If buying on contract: Owners name ��� simple ��e��
Contract recorded in Recorders Office - Record
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 portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property:
�hereby certify the above statement is true, correct and complete.
nn n _ � � .,0 i
C�9�z C: . �}z.Yn.w�.—�
County Township
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Gtv. State ana
Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Lantl not exceeding 1(� �e�m ia el� ,,
surrounding residential i o m ts �
Other Land
Total Land JUN ?, � i97g
Residential Improvements Dwelling
�/f . � j (i4�Garage
� AUDITOR Total
Other Improvements
Tc�mprovements - Line (6) plus (7) equals (8)
I � �y certity the above is true. correct. and complete.
� _ .
Sig(u:�re of Assesmr ,
True Cash
Value
.(1), .�• 7�0
(p� --
Assessed
Valuation
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;TION BY AUDITOR -
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Date:
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Homestead
-'� "Valuation
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