Homestead_Weisheit t1ArE rO I`EMIR_F fwd 77EASULER FORM TS-IA
1/PROVED BYSMOE MV)Or ArMLATl.any PlISAMFD BY TIE DFPANTEMT OF LOALrovarotEAn MANCE IC VI.i-r-&l
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead s andard deduction.As the receipt of this deduction becomes_
more beneficial.there is more incentive than eser for homestead fraud Homestead fraud causes higher tax bins for all:therefore.
40 HEA 1343-2000 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to tecene the
benefit and to provide additional identifying information necesarn to allow county government to boner monitor homestead
filings.This information will he kept confidential and ran only be accessed by authorized county officials-The Ikpanntent of
Local Government Finance will the this information to create owls that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
- -- -- --- -- _Weisheit„Dawn M/Scott Green _____,
305 S Center
Fort Branch IN 47648
2917 Dawn M Weisheit C
305 S Center State Parcel Number Legal Description
Fort Branch IN 47648-1501
26-19-19-101-000.269-026 011-00269-00 PRITCHETTS ADD 233
to n t I I raI n I I nI nu I I tI aI r I I I I I I unI EI rI rI n
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 I First Middle Last
n ' kdi)die_ W ets( ei1 -Gvee,4-
Wg Address(number and street,city,s and ZIP c) Snore as property address
305 Soot, enn-e - h- - Bro..rti� .�. Li 7101-18
Spouse _ First _ Middle -
Last
5co �Can( )n g Yew
Mailing.Address(Number and street city,state an ZIP code) l t�aame as property address
3 D 5 Sou__ C2r • ,- r-1- -� amen _1-n . �-I 7(048
. . . ---_—� —
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is elicible to
receive the homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions
unlawfitlly,he or she may be liable for back taxes and substantial financial penalties.
°w it)mature I 4 Date/a�i 0 °
•
•
a��ry i CLAIM FOR HOMESTEAD PROPERTY TAX
;��'� CREDIT/STANDARD DEDUCTION
��;� State Form 5473 (R2 / 5-92)
�us '
INSTRUCTIONS: See reverse side lor filing instructions.
; ; ° �: �
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� �We) ��l�► LM `I- 1 1� ( t�l q, y, (�`j��� � certify that on the 7si day of March, 79
�) occupied as our principal place of residence the following described real property for which a Homestead Property Taz Credit is hereby claimed:
i, I(We) owned ❑ Are buying under coniract . ,
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and ihat owns the property or is buying under a contract.
' � - • � � � _ CONTRACT RECORDED- � � �• ' �
It buying on contrau, Pee Simple owner's name '' .� . ��
Recortler's oMice where contract is recorded Record number Pa9e
Counry
Parcel number
�
If any portion 0
of the property
� - PROPEiiTY DESCRIPTION
- Township . Tazing �str i(dry, q rownship) �
\
Legal esc tiorA
�` , �
ure or Ne land not exceedinq one (7) aae that immediatety surmunds that strucNre is used to produ
nme.
c
. desaibe the use and ponion
PROPERTY OWNED BV CLAIMANT IN OTFiEfl COUNTIES �
County Township Counry Township
�eby certify ihe above statemenis are irue, correct and complete. Signawre ot ciaimam
Address (number and s1reeC dry, state, ZIP code)
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD . NON-RESIDENTIAL
� - VAWE VALUE. VAWE VALUE
Land not exceeding 7(one) acre immediately
� surrounding residential improvements. (�) �
Otherland (p)
Total land (line 7 plus line 2� (3)
Dwelling (4) �
Resideniial improvements - _
Garage (g) �
Other improvemenis (6)
Total improvements (line 4 through lina � (7)
Total value (line 3 p�s line � (g)
I hereby certify the above is Irue, correct, and . Sgnamre of Assessor Dare siqned
wmplete.
IVeritying action - Sgnature ot Auditor � Dare signed
�
STANDARD
19_Pay19_
Lesser of 7l2 Homesiead
Valuacion or $2.000
S
Sgnature ot Audimr - � Date signed