HomeMy WebLinkAboutHomestead_Schmitt (7) ... -� I• SEMI 10.•.i d73 .-10) IRkASLRLA FORM nay
.WPRIl ED BY i\tE BO\RD OF V.I IA NTS.]u+ ?REM' MED UV 1ln.OU'ARTMEei OF LOCAL C(w}TH.\nS1 I, so:te tatr-\.1
Gibson County Auditor E 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 fraud Homestcad fraud causes higher rat hills for all:therefore,
'. FILED IILA 1314-IIXW requires taspayen who receive the homestead standard deduction to verify That they are eligible to receive the
benefit and to provide additional identifying infirm:Mon necessary to allow counts-government to baler monitor homczead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Depannsert of
Local Government Finance will use this information to create tools that will help counts-officials eliminate homestead fraud.
PART l:PROPERTY INFORMATION
APR 2 6 2012 Taxpayer Name Location Address
Schmitt, Leroy J/Phyllis
(vw 901 CHICKASAW DR
GIBSON COUNTY AUDITOR FT BRANCH IN 47648
7624 f l
Leroy J/Phyllis Schmitt II IDIII_DIII DI I I��III III I�DIII �Iniii�I�IIDII_II_III Ill I III I [II-II[IDI�III II
901 Chickasaw
Fort Branch IN 47648-9539
tl1tltl1tl1llllltlll1l1ll"'II'ICI'11'I'I111Illlltlrlt�lll'llllfl State Parcel Number Legal Description
26-19-18-101-000.975-026 LITTLE YORK VILLAGE 30/31
PHASE 1
3
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.
_ i PART 2:TAXPAYER INFORMATION •
i _cr I First Middle last
Leroy Toe PH ScHM / TT-
Mailing Address(number and street,city.state,and ZIP code) [] Same as property address
qai cfnickAs4vtl DRIVE FORT BRA-NcH, 764'P
Spouse First Middle Last
PM yl//s A (✓g scHm/T7-
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
9o / CN/CR/ Se4W DRIVE FORT BRAIN , /4 111-76 ?
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 takes and substantial financial penalties.
Owner I Siena •e Date
.- • •
Si1�F
4� �
i =o
,�
•�'_
�e
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fortn Sa73 (R2 / Se2)
INSTRUCTIONS: See reverse side /or /iling inshuctions.
FORM YEAR
I H �o
AUG 0 2 2000
� CERTIFICATION STATEMENT
. .
I (We) ` � ce � R� (�'f (�
I(We) occupied as our principal plac � of residence the f Io g described real operty for which a Homesiea Pro�rryQa�c cQeBii is ere y ciaimed:
�I(We) owned ❑ Are buying under contract �
Have a beneficial interest in the entity that is Iiabie for�the property taues on the property and that owns the property or is buying under a contract.
CONTRACTRECORDED
It buying on rnntracl, Fee Simple ownels name
Fiecordefs office where contract is recorded _ Record number Page
PROPERTY DESCRIPTION � -
Counry Township Taring tlistrict (ciry, town, township �
�
Parcel numDer Leqal tlescription '
� � "
If any portion of the residential siructure or the land not exceeding one (7) acre ihai immeCiatey surrounds ihat sUUCture is usetl to D��� ���me, tlescnbe Ne use arW portbn ot
ihe properry utilizetl to protluce income.
� PROPERTV OWNED BY CLAIMANT IN OTHER COUNTRIES
Counry Township County Township
SignaNr laimani
��ereby certify the above statements are true, correct and complete.
Address (number and srree7, ary. state, ZlP code) �
Dl � . �f7G'��
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VAIUE VALUE VALUE VALUE
Land not exceeding 7(oneJ acre immediately ��) -
surrounding residential improvements.
Other land (2)
Total land (line 1 plus line 2) (3)
Dwelling (4)
Residential improvements
Garage (5)
Other improvemenis (6)
Total improvements Qine 4 th�ough line 6) (7)
Total value (line 3 plus line 7) (8)
I hereby certify Ihe above is true, correct, and Signawre of Assesor Date signed
complete. �
Verifying action - Signature ot AuOitor Date signed
� STANDARD DEDUCTION ALLOWANCE
19_ Pay 79 _
Lesser of 1/2 Homestead �
Valuation or 52,000 �
SignaWre of Autlitor Date signed
�