Homestead_Angermeier spat FORM!)••Bl'l w'1 TREASURER FORA:}IA
APPrOVED BY STSTE BARB OF METtLNTt BB. PLrARIBED BY ME DEPARTMENT OF LOCAL r.o!L'OIFWT FINANCE re-u-r'al
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and tarried couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ester for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1337-2009 requires taxpayers xho receive the homestead standard deduction to eerily that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county goverment to better monitor homestead
filings.This inlhrmninn will he Le(conliricntial and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create lids that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Properly Address
Angermeier, Darryl F/Tammy L , •
R 1 lion
• llaubstadt IN 47639
9530
Darryl F Angermeier
1350 W Wheatland Court State Parcel Number Legal Description
HAUBSTADT IN 47639-8762
26-22-12-300-002.223-024 THE MEADOWS 4
t1t1n11nt1r��nu��r�r�u�u�r�nr�r��u �HMI �� �
PART 2: TAXPAYER INFORMATION
Owner I First Middle � last
hg Francis Francis /L Ih erW)fier -- —
�g Address(tlunber and street.city,rate,and ZIP code) _ - — 0 Same as{ perty address
350 W. Lf/l7 Fwf/4&tJ(ar' /1,1574111 TA/ y76.39
$
Spouse First Middle Last
q re-N rnv Lyl�n n P� Hy7 PIer
Mailing Address(Num and
fr AreeL city,state.and ZIP code)) /_/ / fl Same aJpmpenv addrtas
I3so W, wheaflArld (OA /7civ45i4d -��c/ y7639
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,heron she may be liable for back taxes and substantial financial penalties.
Ow Signal a Date
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Stete Fortn 5�73 (RB / I-03)
Prmcibed by the Depar�nt d Loal Govemment Fmarwe
INSTRUCTiONS: See �cx�rar ddo br �p iybuUlona
FORM YEAR
�jL 'HC10
• �L �.J �J �
� CFD 2 9 �006
' fiq
I(VJe) certify thal on•tl�ie 1's"t`da�f March, 20
v
I(We) occup� s our prindpal place oi residence t following desaibed real property (or which a Homestead FZpr,�g(y�7�CrsiLt id heieby a�a`imed:
�I (We) owned ❑ Are buying under con ct �
Have a beneficial interesl in lhe entity ihat is liable for the property laxes on the property and fhat owns the property or is buying under a wntraU.
I( buyin� on conVaa, Fee Simde ownefs name
Remrders ofice where mnVaq is
Caunty � Tamship Tating dis ' city,
Parcel nu r Leg scripti �he Prp.,
_ J?'�
tt any poNOn ol the residential sWCWre w the la not exceeding one (7) ave that im�tliate urrounds that
of, thne property W(vEd tn protluce income. ��
/ - (.�:� �
Twvnship
I hereby cer6ly �he above slateme�ts are We, corred and completa.
and street,
County
-��t/
Record number
Pa9e
Real propeM ❑ Mobile Homo (I.C. 67.1-7)
ire is used b D�uce income, describe Ne use antl portion
Twvnship
�`+���'+,ri"� ""'��"�`�°��'�"°�- ��"�'�� %�TR ETAXY,�4?��ASSESSED�VALUE'�HOMESTEA,.�D�t�3' '�'" ON N=RESI�ENTIAL�'����'%
x a+r'.�. �,� `�AS3�'�ao`}'.tl�'.V.S�LY.. .. _�,�„��="��'�_YALUE�"�?,�x.�AT100%�._OF�,fTTV�'w'.ir,�VALUE����.T3.,+°r�VALUE��",�"�'��
Land nol exceeding 1(one) aae immediatety r�''�° ��;�'"` `"'e�,�t��{is,`� ���
surtounding residentlal improvements. � � ,�'�� { �y���✓ �Y',
( ) .x' -s�° ~--� ��,n_._4c:�'3'.3'
n � ��yyz� 4 .
Ofher land (Z� x3�-� k
�ra� ts_
Total land (line 1 plus line 2) �g�
,�Cr�'�: r a` �y,',�"''s�.-;%��c*�.�t3
Dwelling (4) � �+ �" � + •�_ .
Reside�al fmprovements wMnuaOy �et Y � .-� � -
i r.a.�sa-.� s.u.d�..i? '
Maesmd hbbBB / MaruAa�red Flane ���h '`� �" y"'�%''��
Ga2ge (5� � ` ' .: ��'�`�a. ��
e;
Other improvemenis (6) ��-��;,���'
1-�._ e �
Total improvements (line 4lhrough line 6) ���
TUaI value (Gne 3 plrs line n (g�
I hereby ceAify fhe above is We, corred, and signature o(l�ssessor oate signed
complete.
Verilying action - Signature of AuAitor Date sgned
�.� :�;��-�_`""��s.'�.'...r,el�'�:����3c�as�+'.�3�'.s7^s',-.--..�STANDARD:OEDUCTIONALLOWANCE.�-.�..: _ ".n'�'� . i�a4'�a��'e�,�"'tj.`F.'•"'..�:'�£�'��«"�'�.�}.�'c._T��.w:
20 _ Pay 20 _
Lesser d 1r2 Homestead $
Valuanon or f35.000
SynaWre of Auditor � �ate sgned