Homestead_Schmitt (9) •
STATE 10114 Ts.,R'/.+v/ IAFASUILA}OBM CIA
APFROED BY STATE BMRD OF I/TTn:ac.!VV PIiSNBm BY THE DEPAAtxn_YT°,LOCAL GOVERetrat FINANCE MLI.'-t-.'
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and tarried couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tax bills for all;therefore.
• HEA 1344-7000 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
tiling,.This information will he 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 INFORMATION
Taxpayer Name Property Address
Schmitt, Timothy W/Tina R
800 Tretter Park DR
Fort Branch IN 47648
2836
Timothy W/Tina R Schmitt
800 Tretter Park Dr State Parcel Number Leval Description
Fort Branch IN 47648-1224
26-19-18-302-000.372-026 011-00372-00 TRETTER PARK 10 -
lilt I I eIr It I n III tit I I III
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.
PART 2: TAXPAYER INFORMATION
Owner 1 First Middle Last
/ >10 �j �/ w ,
`i M i
iv f7L
• Address(number and s t,city,state,and ZIP code) Same as property address
qO< 60-t-ter fork 8 i't jL'/ /-o,Nt ,3r-a ) , 21,x/ &77 I/8
Spouse First Middle Last
n q Re q
Mailing Address(Number and street,city,state,and ZIP code) E Same as property address
goo Yi-etter ect k p, v 0 1•t /3FA06.1 , XV y7/�18
•
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 I Signature D Date
PART 4:ADDITIONAL INFORMATION
•
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CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Form 54731R2 / S92)
INSTRUCTIONS: See reverse side for �ling instrucfions.
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JUN 2 3 1999
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� CERTIFICATION STATEMENT ` ; U �J
I (We)���, � ,� . c-��-�.y�" • �+-� � �C �y,,,R� �� ceAi� ihat'bnit e�15t tl y of �A%IarEG�li4'R
I(VJe) occupied as our principal place of residence the following cnbed real properry for which a Homestead Property Tax Credit is hereby ciaimed:
L'
L; {�Tvve) owned ❑ Are buying under contract
❑�Have a beneficial inierest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
� CONTRACTRECORDED
II buying on contracC Fee Simple ovmers name
Recordefs office where conVact is recorded . Recortl number Page
PROPERTY DESCRIPTION
Counry Townsliip T in district (ary, (own, rownship)
Parcel number Legal descrip6on � �
- �o -a n �
It arry poNOn of Ne revdential sWC[ure or the IaM not eace�rg one (i) acre ihat immediatety sunounAS Nat swcture is used to produce income, describe Ne use antl portion of
ihe property utilized to praduce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
Counry Township Counry Township
SigdeWre of Gaimanl
_reby certify ihe above statements are true, correct and complete. .
Address �numberand stree(, ciry, slate, ZIP cotle)
C0 .f. . �3�Q.�
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(oneJ acre immediately (�)
surtounding residential improvements.
Oiher land (2)
Total land (line 7 plus line 2) (3)
Dwelling (4) -
Residential improvements
Garage (5)
Oiher improvements (6)
Total improvemenis (line 4 through line 6J (7)
Total vaive (line 3 plus line 7) (8)
I hereby certify the above i5 true, correct, and Signawre of Assemr Date signed
complete.
Verifying action - Signature ol Audimr Date signed
� STANDARD DEDUCTION ALLOWANCE
19_ Pay 19 _
Lesser of V2 Homestead �
Vatuation or 52.000
SignaWre oi Auditor Date signetl
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