Homestead_Schmitt -.. ,S. MATE Toni 5MFAt0./..nr lnr:AZUR FORM IS1A
APTMwfn BY'ICE IXNPO of✓AYl.Tl.inn Paf4WBm BY nn DEPARTMEtr(FL OAL CMet`nincr THANE Iet.1.1-ti-tI
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
more beneficial,there is mote incentive than e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HFA 1344-3009 requires taxpayers 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 county government to better monitor homestead
gp' filing-.This information will he Lep.confidential and can only F..accessed by authorized county officials.The Depannmt of
liF I o w
Local Government Finance will use this information to create tools that will help campy officials eliminate homestead fraud.
J9LJ, i PART 1: PROPERTY INFORMATION
APR 7 LUIU Taxpayer Name Property Address
Schmitt, Dennis L/Debra A
700 Tretter Park DR
/JF(-/cJ Fon Branch IN 4 764
GIB,ftCOUNTY AUDITOR
Dennis L/Debra A Schmitt
700 Tretter Park Dr State Parcel Number Legal Description
Fort Branch IN 47648-1222
26-19-18-302-000.692-026 011-00692-00 TRETTER PARK 6
II lllllllllalllll lu flu Iiilllllllllllllll 11111111111111111111
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
r t
1)e-AAIIS Le oy ScN M ► —Pi-
�ng Address(number and street.city,state,and ZIP code) _- - - — - Same as property address - - ---
Spouse First Aliddle Last
e 8 2A A- AI Ili S c_ 1-1- M i -I—f
Mailing Address(Number and street city,state.and ZIP code) cgl 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.
Owner 1 Signature Date
•
FOflM MC 10 1979
Preuri0e0 By State Board af Tax Cammissioners
CLAIM FOA HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 � 9
To & FileO in Duplicate
SEE BACK FOR FILING INSTRUCTIONS
5 �, _.,,�.-�1- /S'' O�l - �0�9.2 -O!�
�We) -� ,,.� -�^�-ru�-�- ��� �- certify that on the 1st day of
.iarch, 19�.Z, I, (We) occupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) O owned
❑ are buying under contract
❑ have a beneficial intere t in the taxpayer
Property Description in �» County � Township
Taxing District (City,-Town, inwaship): �- �-�-�
Parcel Number or legal description shown on tax statement:
� �i�.. . �
If buying Ofl contract: Owners name ��� simuie owner)
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: County Township
hereby certify the above statement is true, correct and complete.
��[d� �. �c .,CI 7Do T e��t, ��.�2 l��t , �� �l�i�u�v .Aa, . �76s�
'Signawre _ Street nCEress Ciry. Sure ana Ziv Coae
' 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
Land not exceeding 1(one) acre immediately
surrounding residential improvements
Other Land � � � � �
Total Land
Residential Improvements ,jU(� � 197�wel�ing
Garage
�, � T I
Other Improvements AUDITOR
T��mprovements - Line (6) plus (7) equals (8)
t y certify the above is true. correct. and complete.
Sig�uture o1 As5es5oe
True Cash
Value
�7� $ 8 0
(2)
�3� g S o
(4) %�'�O
(5) / �-S3 O
(6) �T�
(�)
iI3���s�
- ACTION BY AUDITOR -
_�
_�
.
�j���/��
:i ;�i /� /i
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.
Homestead
Valuation
�9�
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ApprOVed: ' / �� t �� Date: � � ��9