Homestead_Anderson (3) ! •
•, STATE FORA!'o•IR_t•.rvl TREASURER PORN ta-IA
APPROVED BY SLATE wIuonr.iCfl .TS.NPR PRI2AInm BY THE BEPARMYt(f EG'At GOVERNMENT MANE K Lt-U'-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 standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive 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 verify that they am eligible to receive the
benefit and to provide additional identifying information necessary to allow count'government to better monitor hontesre:d
filings.'Ibis information will he kepi confidential and can only bc accessed by authorized county(initials-The Ikpannecnt of
Local Government ['runt will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Anderson, Steven K/Rebecca L /07 9 q a 31J O t'
7 oRI
Haubstadt IN 47639
10753 VC
Steven K Anderson 3�Of-�� lJ
142 Box 59 7 79F 5 Y State Parcel Number Legal Description
HAUBSTADT IN 47639-7868 C
Illnllt tll llllt llll llll llllltlltllnl'It 1l llt'tl ulltlnlrltl 26-23-02-300-001.846-024 00094-01846-00 PT W 24102.00 AC
PART 2: TAXPAYER INFORMATION
Owner I First Middle / Yv/, v Last
3�va1 K. .
40tu Address(number and street.city,state,and ZIP code) 2(Same as property address _..
Spouse First Middle Last
12EF3gee-4 L. • A,‘i-E /
Mailing Address(Number and street city.state.and ZIP code) Sane as property address
Each undersigned certifies,under penalty of perjury.that the above and foregoing infonnation 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.
Own r 1 Signature Dar
•
�, CLAIM FOR HOMESTEAD PROPERTY TAX
' CREDIT/STANDARD DEDUCTION
� Scate Form 5473 (R6 / t-03)
Prescnbed by the Department of Local Govemment Finance
INSTRUCTIONS: See reverse side /or filing inslmcfions.
l�Q�� FORM YEAR
1' ` HC10 �
�� � � �•� �
�(we) / L?'/�f�/,C yC� y� l.V/l11?l4(��L�/J(,@ylJ�[L� N �rtiry that on the 1 si day of n4ard� 20
I(We) occupied as our principal place of residence the following described real propetly for which a Hom/�ste�d✓,Pro`P�.Ta�CrediLis�hereby daimed:
� I(VJe) owned ❑ Ne buying under wnlract �'�� GI5CiGid COUif i Y AUDIT03 i
, Have a benefidal inlerest in the en6ty that is liable for the property taxes on Ihe property and �hat owns the pmperty or is buying under a wntract.
If byvg on conVaq. fee Simple owner's name
olfice where conUad is recorded
Tamship
Taing dislri�(city, tq�m, fownshipJ
Pa„„O/'r�/!I /V—l.1lJ IL/ / �DOn �' /—/O /I/s�ihepro�
I
Q � ��
I( any portion ol the residentiat sW cWre w the land not excee7ing ona (1 j arre lh immediatey wrrounCS thai
ot the propeAy utiizetl b produca inmme.
�Ir��/i OYr�.�C
Record number � Page
al property ❑ Mobile Homo (/.C. 61.7-n
is used lo produce income, Cesuibe the use and poAOn
��`�' U��,:��i�`� ,���Y�:�STANDARD':DEDUCTION'ALLOWAMCEt�-u,�`P'�"..v� � ��'��'�-�"*?'���,� rt �?�� =:t
��..'
20_Pay20_
Lesser of 1/Z Homestead
vauauon or 535.000
5
SignaturaoFlwdilw ' Datesigne0