Homestead_Stotlar • ililE EDBYMA OC/AR M LIEE8 FORM:SIA
.AFFRIT'EDPY ELiTEPssRnM ACCOUNTS.YOx PRLYLAIBm BY TIE DEPARn 4TDF LOAL: tNMrgt FINA4E n-41.1-L'4.I
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N Main
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction become
more beneficial.there is more incentive than ner for homestead fraud.Homestead fraud causes higher lax bills for all:therefore.
HEA 1344-2009 requires taxpacers who receive the homestead standard deduction to verify that they are eligible to recent 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 M.acressed by nuthorired county officials.The Ikpannrem of
Local Government Finance will tic this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
STOTLAR JACOB J/ASHLEY R
HINTON
1008 S Center ST
FORT BRANCH IN 476-18
2960
Jacob J Stotlar
1008 S Center State Parcel Number Legal Description
FORT BRANCH IN 47648-1708
II III I III III III I III I I I I I 26-19-19-103-000.254-0 LOWES ADD 9PT PT S NW
l n tit t tit n 11 uu to tout tit 11 t tit 19-310.04 AC
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
Spouse First Middle Last
Mailing Address(Number and street,city,stale,and ZIP code) Warne as property address
- - 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.
•
°` CLAIM FOR HOMESTEAD PROPERTY TAX
r. - 7 : CREDIT/STANDARD DEDUCTION
Siata Form 5673 (R8/ 7-07)
'� �w `� Prescribed by Na Oepar�ment of Loral Government Finance
INSTRUCTIONS: See ieverse side lor (ling instmctions.
� FORM YEAR
� 40
� M�e)
tlie fdlowi �bed real property for which a Homestead Prope�c�.�J����ned:
�' (31t15U
�e) ned ❑ Are buying under contracf
Have a benefidal interest in the entity Uiat is liabte for the property Iaxes on the property and that owns the property or is buying under a contrad.
if buying on cmtract, Fee Simple ownefe name
Recordefs office where conlraG i5 recorded
Counry Twmship
Pa�ceJ number
Tacing district
If any porfion oi the residenlial swctura w the I���//q o/t �exceediru one (1) acre Ihai immetliately
o: �he property uliGzetl lo Oroduce inmme. / i_ ��/, / tl' �'/O .
`�� �
a �-��-��-�0 3-0� .a�5"y-oa,�
Record number � Page
Is �he pioperty in question:
�j Real property ❑ Mobile Fbme (IC 6-f.7-n
iun�,s Is72t stiucture is used b produce incoma, tlescribe Ihe use and porlion
.- .
. . .. . .
„.. �
Land not exceedirg 1 (wie) ave immedfa[ely - _ - ..':+''.; " - - � .
�� i'• •
surrounding residential improvements. ��� " �..-?� �--� `� . �
OtherlarW (p� � '
( T�al land (line 7 plus line 2) �g�
Dwelling (4) - � � - :: r.-, � .
Residential improvements a Mnualty ' -
Assessed Mobile / ManuFactured Home - . ' . �' � .
Garage �5� . - . . .
c :' .
Other impravements (6) , _ -� - ;,
TUaI improvements (line 4 through line 6) �7)
7cfa1 value (line 3 pha Gne n �g�
I hereby Certify the above is We, cotreCl, and SignaWre oiASSessa Date signed (monlA, tlay, year)
complete.
Vsifyirg action - SignaWre of fwditnr pate signed (mmfh, tlay. year)
�' �.-� � � • •
pay 20 _ 45,000 for 2007 pay 2008 42,000 tor 2010 pay 207 7
Lesser of 12 qq.000 tor 2008 pay 2009 47.000 for 2071 pay 2012
Homestead ValuaGOn S
« 43,000 for 2009 pay 2010 40,000 payable aRer 2012
Signature afAuditnr Dafe signed (monfh, Eay, yBe�