Homestead_Anslinger SLATE FORA,535m(Pl/8-10) �y3AA0.NTSIA '
APPPFD BY STATE BOARD Or ACCOUNTS fd! RESCRIBID BYTIIE DEPARTMENT OF LOCAL OA\TANMrAIT FIY IC➢61.-124.t
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N.Main Street Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
Princeton, IN 47670 • 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 are eligible to receive the
FILEDbenefit and to provide additional;identifving information necessary to allow county government to better monitor homestead `
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
Local Government.Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
MAY 10 2011
_
Taxpayer Name Location Address
C. .ri\--7— - Anslinger, Leo J/Donna M
V Nl 1772 W 1000 S
GIBSON COUNTY AUDITOR • - `
HAUBSTADTIN 47639
7370 II IIII II 11 1 �
Leo JAnslinger ' - 111011111 III 111111111111111 IIP Iilll �Il�lu�ll �lu�l���l�ll�ll IUll�dl��lll IIIIIIII
•
1772W1000S o
Haubstadt IN 47639-8608 . " •
I11yFl1ll11Fr1111ll1llll1ll"1'III'I'lliI'lll'II'Ilil'ltttlIlIIt ° State Parcel Number ,• Legal Description
26-18-35-200-000.020-025/PT SW NE 35 311 7.738 AC
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 .
Ow. t First Middle n vV - Last
..
• eo 3&-- -, f-i��s' to r
•
Mailing Address(number and street-city.state,and ZIP code) IE"Same as property address
. 1-711 \e✓ --j )5 pin ue3-I' 11 v, 43 ( 3 _
Spouse First y�,, Middle /� , . Last
Mailing Address(Number and street,city,state,and ZIP code) 2 Same as property address
1 -1 1LA) 1 0 0 0 S' I6.00SI— a Ott , IA) y "163q,
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 a (� o Date 65/04/I (
wan+ xc �o �em
ReudDeG By Sutt BoarE of Taa Commissioners
Ta & Filed in Duplicate
CLAIM FOfl NOMESTEAD PROPERTY TAX CREDIT FOA YEAR 192�
SEE BACK FOR FI
' , �/ �L�o�.,.a , %h -
�We)_ certify that on the 1st day of
�farch, 19�� I, (We) cupied as our rincipal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned ��—o�Q��'�Da""��
❑ are buying under contract ��y _�d/ _3� �QQ -Q�. va0 - Qa�
❑ have a beneficial int/e�re/st in the taxpayer
Property Description in� ��� County ��-*» Township
Taxing District (�ii�y-T�vvn, Township): l,�-� �
Parcel Number
If buying Ofl contract: Owners name ��� �""o�e owner�
or legal description shown on tax statement:
.
�`r. S'4J��! NE�S� 35-3-�/ ��22/
Contract recorded in Recorders Office - Record
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
Any other counties in which individual owns or is buying real property: County Township
�hereby certify the above statement is true, correct and complete.
�e-��^�+-�1, �tic,�k.�-�� .� �. � +�°"�- 4 3 �� st-w�(+, z(U �l �� 3%
r naNre . Screet ACaress Gry. State ena Zip CoEe
' Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre immediately
surrounding residentia��e�ts'���� �
Other Land g.8
Total Land
Residential Improvements ,�!N 2 �: i979
Dwfllling
�� /�ti�� ��
Garage
AUDITOR Total
Oiher Improvements
ToT-' Improvements - Line (6) plus (7) equals (8)
I��y certify�e above is true. correct. and complete.
Sigfldtuf¢ O� (�SSP55p!
Approved
True Cash Assessed Homes[ead
Value Valuation Valuation
c�) Soo /7a
(2) �
(3) s� O
�a� � i � So
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(s) .Z / �P �'a
(�) �'
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- ACTION BY AUDITOR -
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Da:e
Date: �II