Homestead_Schmitt (6) atstErnnIn +,lef fan, TREASnzn FORM:3-1A
AMUn'EM ST nosco MRDnrVCTII':%Ic.Vn PRESCRIBED BY Mt DEPARTMENT(Ft 1'I GHSLMMrNT PS:nYYEtC I.I-e4.1
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 tkduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than e'er for homestead fraud.Homestead fraud causes higher us bills for all:therefore.
BEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teems the
benefit and to pru''ide additional identifying informatmn tweexsan-to allow county govemrnent to better monitor homestead
filings.this information will he kept confidential and can only he accecsed by authorized county officials.The Ikpanntenl of
Local Government Finance will use this information to create tools that will help county officials eliminate honcicad fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Schmitt, James A/Susan E
403 S Willard
Fort Branch IN 47648
7860
James A/Susan E Schmitt
403 S Willard State Parcel Number Le2a1 Description
Fort Branch IN 47648-1659
26-19-19-101-000-695-026 011-0069SU0 EASTVIEW 17
I.I.,II.,,I.Iltl•I.PII..I ter 111,111,11,11111,II li ti ntii
PART 2: TAXPAYER INFORMATION
Owner I First Middle ) Last
//
•1,g Address(number and street,city,state,and ZIP code) - - - ❑ Same as property address
•
�p 3 5 CJ/GGD P 51' ,x.717 $aucl --7-11-1 n
Spouse First Middle Last
O bSYD -
Mailing Address(Number and street,city,state,and ZII'code) 0 Same as property address
Social Security Number(last 5 digits) -Drivers License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
Sae
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 claiming additional homestead deductions
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Signature I • Date
•
�a �r�p . .
E °, CtAIM FOR HOMESTEAD PROPERTY TAX
�%�'� CREDIT/STANDARD DEDUCTION .
� :� State Porm 5473 (R2 / 5-92)
�aus
INSTRUCTIONS: See �everse side /or filrng instructions.
� CERTIFICATION:
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-) 1..�( . 1.1M.0 LLttJ L• �.�C�/(/yvC ��7 _ certiry ihat on ihe 7st day of March, 79 / 7
,I��(,N)�e) occup as our principal place of residence the following described real propeny for which a Homesiead Property Tax Credit is hereby claimed:
IG11 (We) owned ❑ Are buying under coniract
E!
LI Have a beneficial interesi in Ihe entity ihat is liable for the property taxes on the property and thai owns the property or is buying under a contract.
� CONTRACT RECORDED
It Wyirg on contract, Fee Simple owner's name . �
Recorder'S ottice where contraci is recortled Record number Page
'� PROPERTY DESCRIPTION
Coun,y - Towoship Taring dis � t(ciry,/6v7t mwnship�
l !�l
Pareel number Legal desuiptio •
OI I - ob�e95-O� l']
II any portion of the re5idenealSlrucWre or ihe lantl not ezceeding one (71 aue ihat immetliatety surmuntls that structure is used to produce income, d
al the property utilizetl to praduce income.
PROPERTY OWNED BY CLAIMANT IN OTHER
Township County �
�— I
certify the above statements are irue, correct and complete.
4 O r' sfreeG ciry, te, ZIP code) . �a
� B ....�� ��d�
ASSESSOR USE ONLY
Land noi exceeding 7(one) acre immediatety
surrounding residential improvements.
Otherland
Total land (line 1 plus line �
Dwelling
Resideniial improvements
Garage
Other improvemenis
Total improvements (line 4 through line 6j
Total value (line 3 p�s line 7�
I hereby cenify ihe above is true, correct, and
i�pleie.
:ng action - Signature of Auditor
19_Pay19_
lesser of tl2 Homesiead
Valuation or 52,000
TRUETAX I ASSESSED
VAWE VAIUE
(�)
(z)
(3)
(4)
(5)
(6)
(�I
l8I
Signa:ure of Assessor
Signature ot Audi:o� • — . .. _ t • �—
1
S
ALLOWANCE
Township
� 7(Q��
HOMESTEAD
VALUE
Ne use and portion
NON•RESIDENTIAL
VALUE
Da�e signed
Dare signed
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