Homestead_Zenthoefer (4) Halt FORM S)lnI R_/NMI MIASMA PORN iSIA
.A rPRO ED DV STATGRIMRD OFACfEWts!m rwrmnED BYmr DEPARTae(wLOCAL GOVE10Mrn MNAYCE ICN.I.L'-ll
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 IndividuaL.and married couples are limited to one homestead s andani deduction.As the receipt of this deduction become:,
more beneficial.there is more incentne than ever for homestead fraud Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to erifv that they are eligible to recei'a the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
(tiling,.'Ibis informanon will he kept confidential and can only he accessed by authorized county officials.The Ikpanment of
Local Lovcmment Finane<will use this information to create tools that will help county officials eliminate homestead fraud.
_i—f PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
APR 0 i 2010 Zenthoefer, Peggy
103 N vest
)77,03 n Y
Fort Branch IN 47648
2481IBSON COUNTY AUDITOR
Peggy Zenthoefer
403 N West State Parcel Number Lezal Description
FORT BRANCH IN 47648-1043
ll I (l I II I IIII I I I I I II II I 26-18-13-401-000.547-026011-00547-00 PT W SE 13-3-11 .30 AC
to nit nt n nun nu u n t t nE ✓
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 ZT `O£ S LLast. -ces\( L I• •I L.
Address(number and street city,state,and ZIP code) El Same as property address
903 N. LOLsk 5 + F+ 13 ^a1/4,Nc - , IN y7141(1Y
Spouse First Middle Last
N/A
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) I Other(please sp<Aif'in Part 4 below)
)i slaw 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
/
y CLAIM FOR HOMESTEAD PROPERTY TAX
. t CREDIT/STANDARD DEDUCTION
I ` Y` -Siate Form 5473 (R8 / 7-07)
Prescnbed by Ihe Departmenl of local Govemment Finance
INSTRUCTIONS: See reverse side (or fifing instrvtfions.
,
`
F R �R
HCT
UG 1 2 Z008
� M'e) certfy that on the 1st day of �t�c}�,RLO_
�) occupied as our ri� ace of r ence Ihe folbwing des ed real property tor which a Homestead Pmperty Tac Gedit is hereby daimed:
(We) owned ❑ e buying under contract
ave a benefidai interest in Ne entity ihat is IiaWe for ihe property taxes on the property and fhat owns tlie property or is buying under a contract.
If byting on convad. Fee Simple ovmars name
Recortlers ofiice where wnUad is recorded
Caunry TovnsWp
Pamel number
Tadng district
Is Ihe orooertv in
Record number � Paga
��f— �� C /,� -3— // � C�� o�aaero ❑ Mobile Home (IC 6-7.7-n
Itarry portion of lhe residential siruclure or ihe land not ezceeding one (1) ave ihat immediatety wrrounds Ihat 9n�clure is used m produce Nmme, describe ihe use and portbn
aFNa property uli�z� b produce inmme.
a�o-/5-�3-�fd l-Goo.s`t7-oa(Q
.- .
. . •. . .
�� ..
Land not ezceeding 1(orre) ave immediately � . ��''- ��
surrounding residential improvements. (�� -
Other land �p� �_ - �
Tdal larnf (line 7 plus line 2) (3�
Residential improvements orMnuaity �Iiirg (4) "�;� �' ��r��„�.�aY ���.Y� :�;'
Assessed Mobile I ManufacWred Home - .> *=. '� �` : ` � .
r �a- ar � :e. r -.
Garage (g� - '""'r �...'�;�•:e`5�., �•
:s�
Other improvements (6) � - ."-v., �
Tdal imprwements (line 4 th/ough line 6) (7�
Tctal value (line 3 pl�s line � �g�
I hereby certl(y the above is We, correCt, and Signature ofAssessor pate signed (month, day, yea�
complete.
Vaifying action - Sigralure of Autlita Date signed (mmUr, day, yaar)
.� �. •� � � � •
�` � pay 20_ q5.ppp �pr 2007 pay 2008 42.000 for 2070 pay 2017
Lesser M tY2 qq.ppp for 2008 pay 2009 41,000 for 2011 pay 2012
Homestead Valuation S
w 43,000 for 2009 pay 2010 40,000 payable after 2072
Signature oilwdibr Dale signed (mmN, day, yea�
�
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