Homestead_Schutte •
M OE FORM!!!M12't,tirl }rsNUA fORM i}IA
VPRIA'EO BY MIT BOARD Of.vrol.∎M_vn FIIISCRIBED BY TIr DEMARENEVTOF LOCAL rMCRMy111,7 11NANCE H'(•I.I-}_-r.l
Gibson County Auditor
101 N Main I 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 more incentive than e'er for homestead fraud homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the
benefit and to provide additional identifying information necessary to allow counts'government to better monitor homestead
flings.This information will he Aep confidential and can only he accev cd by authorized county dficials.The 0.Tvnmenl of
Local Government finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
•
Schutte, Lois J \\r
909 Mohawk DR
Fort Branch IN 47648
7618
Lois J Schutte
909 Mohawk Dr State Parcel Number Leoal Description
FORT BRANCH IN 47648-9508
26-19-18-101-001.154-02✓ 011-01154-00 LITTLE YORK PHASE 2 12
1 t 1n 11 t It II toI n II uIrIrI ur I nI r II urI uIr II te nI n II n I
D-27
. PART 2: TAXPAYER INFORMATION
Owner I Fiat Middle Last
Lo i 5 (Te0.h Sc k4-4-�
Ong Address(number and street city,on", od
and ZIP ce) - - - Gv Same as pmpeet e-ddres
`\ oel /AcCut.0 k< Drive, cor {"- PjCal\J IN q -1G4
—
Spouse First Middle Last
Mailing Address(Number and street.city,state,and ZIP code) ❑ Same as property address
I\ O--
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
e
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 Date
•
s...
lE E
l �`4
�1'
fi `
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fortn 5473 (R2 / 5-92)
INSTRUCTIONS: See reverse side lor liling instructions.
FORM
HC70
YEAR
'9v� �r-� �—a
TIF TION T TEMENT �� � � ��
1�5.�..���t] "
I(VJe) certify that on the 7 st day ot March, 19_
I(VJe upied s our �ncipal place f residence the fol wing described real property for which a Homestead Property Tax Credit � herebv daiqp�
.�UL U� 1,
I(We) ow d ❑ Are buying under conlracY
❑ Have a beneficial imerest in the entity that is liable for the property ta�ces on the property and that owns the property or is ymg under a conVacl i �
��,,.1.,1-f� .
��p � �
- � CONTRACT RECORDED ' � - — - - " • ��""v:• '
If buying on contrna, Fee Simple ownels name
Recorders oftice where contract is recordetl , Recortl number Page
PROPERTY DESCRIPTION � �
V� l_ D I' ����/�—/ Township - 7aring district (tity, o fow ")
c Legal description
If any ponion of Ihe residential struMUre or the land not exceeding one (7 ) acre thai immetliatety surrounds that swcW re is usetl ro protluce income, describe the use and ponion of
the property utiiized to protluce income.
� PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
Counry Township Counry Township �
Signat e of daimant �
ereby certify the above statements are true, correct and complete. `� P,� "
Address (number and street, ciry, state, ZIP code) �
0 9 d� ��t . 4-i � 8
ASSESSOR USE ONLV . TRUE TAX . ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
nd not exceeding 1(one) acre immediately (�� .
surrounding resideniial improvements.
Oiherland (2)
Total land (line 7 plus line 2) (3)
Owelling (4)
Residential improvements �
� Garage (5)
Oiher improvements (6)
Total improvements Qine 4[hrough line 6) (7)
Total value (line 3 plus line 7) (8)
I hereby CeRify the above is true, correCt, and Signature of Assesor Date signed
complete.
Veritying actirn - Signature of Auditor Date signed
� STANDARD DEDUCTION ALLOWANCE
19_ Pay 19 _
Lesser of 1/2 Homestead �
Valuation or 52,000
Siqnature of Audi:or Date siqned