Homestead_Titzer i r
•
•i{tt FORM!Th.IR:r v.nl MEASURER POILM 73-1A
APFRm'EO BY 51511 NLUtncw An nI.Nts.L'Vr PRidNnFDBY THE DEPARTMENT OF LOCAL Gfn`c0.YMfFi FINANCE lCei.1-L'4.I
Gibson County Auditor
101 N'Main
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 eser for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
Eh HEA 1344--3009 requires mxpasem who receive the homestead standard deduction to verify that they are eligible to reecne the
benefit and to provide additional identifying infonn:nwn necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only be accessed by aWhoriml county officials.The Depanntent of
Local Government Finance pill use this information to create tusk that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
—. Titzer, Dennis W
5900 5 1025 E
Oakland City IN 47660
8575
Dennis W Titzer
5900 S 1025E State Parcel Number Legal Description
OAKLAND CITY IN 47660-7713
26-20-11-200-000.204-00/ 001-00204-00 PT E SE 11 3 9 26.068 AC
t n tit It II tit I I n I I nt I tit I I tit'lu I I n I I t I I nt I I tuI tI u I
0-8
PART 2:TAXPAYER INFORMATION
Owner I First Middle // IS•_PI t� W; //' ate -�d / / 7 e
•t: a ddress(number and street,city,state,and ZIP code) - _ - Same asproperty oddress- ---- —-- — - -
/s9°o • 141 is RC E0—S+ OA/Inc/ 64/ 7w z7e6- o
//
..use First Middle Last
1A7e_ / /7-0-rie
Mailing Ad. • - . . d street.city.slate.and ZIP code) Sae as property address
c900 S. /O_ S L. 0,44 / C/'/7 .Z/v' 4/7660
- -- — - -
PART 3:CERTIFICATION
Y( R timed certifie nder penalty of perjury,that the above and foregoing information is tie and correct and that he or she is eligible to
receiv •-wit - try rstandard 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.
I Signature Date
PART 4:ADDITIONAL INFORMATION
0 jCLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
} CREDIT /STANDARD DEDUCTION HC10
State Form 5473 (R614 -03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
I (We) j / Z L 7�? , ( v certify that on the 1st day of March, 20
1 (We) occupied as our principal pl ce of residence the following described real property for which a Homestead Property Tax Credit is hereby cli medy:
i ❑ I (We) owned ❑ Are buying under contract Vr A
Have a beneficial interest in the entity hat is liable for the roe taxes on the property
ty property riY and that owns the property or isbuyinggndera contract.
r J- s
If buying on contract. Fee Simple owners name
Recorders office where contract
-r �i-. '.€ r �r F:war:�a ?s` -- t4u= P,ROP.ERTY_DESCRIPTIDN4 -' Y.'_. ? .aP'�' � -mss '",,*Y, ,� "rt'`,r s #°`'
County
Township
Taxing district (d t ,taw ip) n
County Tmnship
hereby certify the above statements are true, correct and complete.
tune of daimant
P /ate /eI r ^
_O
Legal description
Is the property in question.
(,/ — D Z0
EJ Real property ❑ Mobile Homo (I.C. 61.1-7)
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
�.': iE,`` � ''rs¢��:��`��,;<�''.�:?;:�'��iu PROPERTY. OWNED 'BYCLAIMANT.IN:OTHER`COUNTIES
�.,.3::'.'�, '�i.,�. r�*',v`.' -';�.. "- sa'�`, �s.�"^S ?'1�•
County
Township
County Tmnship
hereby certify the above statements are true, correct and complete.
tune of daimant
^ddress(number and street, city, state, ZIP code)
O p1 I- A7L Y3 GI
f�
j
&&V '. '` :mot --,rn '
ASSE� !Je RUfS,ElONLY�±�
TRUE TAX
'ASSESSED VALUE
'.sHOMESTEAD'
NONRESIDENTIAL "� -�
���
x ..A.
VALUE%'r?'_FAT
'. ,3r
100 %'OFjTTVxn
VALUE
a VALUE
-` ^� -�y,
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
��,,.a�``��Y<1,�5 y
Other land
-f`
Total land (line 1 plus line 2)
(3)
Dwelling
A
Residential improvements or Annually
Assessed Mobile Manufactured Horne
Garage
(5)
.
y L-N, uk? y
S3� YrS
Other improvements
(6)r
m-1
+K`
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
20 _ Pay 20 _
:ser of 112 Homestead
faluaben or 535.000
b
Signature of Auditor ^ A� / v I Date signed �—