Homestead_Anslinger (4) STATE FORM!!WIR_l..ro TRrASULEA FORM IS-IA
AP/ROCEO BY 5T.TE WW1°Of AOMONTS.a.x PIFARIBW BY mr DEPARTTQ.`n OF LOCAL Cm..NMI1.7 FINANCE IC Ir.I"al
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.
0 HEA 1344--200q requires taxpayers who receive the homestead standard deduction to serifs that they arc eligible to recene the
benefit and to provide additional identifvin_ information necessary to allow county government to better monitor homestead
filings.This infomutinn will be kept contidemial and can only be accessed hY authorimi county officials.The Department of
Local Government Finance will use this information to create tads that will help county officials eliminate homestead fraud.
PART 1:PROPERTY INFORMATION
Taxpayer Name Property Address
Anslinger, Steven R
Cir
Ilau m dt IN 47639
7240
Steven R Anslinger
995 W 1000 S State Parcel Number Legal Description
Haubstadt IN 47639-8602
11111111111111111111111111111111111111 ' 11111111111111111 26-18-36-300-001.647-024 004-01647-00 PT SE SW 36 3 11 1.00 AC
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
R 1
S R
euen • AnS En5r
Ong Address(number and street.city,state,and ZIP code) RI Same as Property—address -
99s w . jOoo S j-lau6s fac/7L .fin/ V7co 3 9
Spouse First Middle Last
4 el-le I�t,'r /7nSbn5en
Mailing Address(Number and street,city,state.and ZIP code) Same as property address
99 (A) /Goo S Hat, 6s7'ctc/7' S/' S/ 76 39
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is elieible to
receive the homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions
unlawfully,he orr/she may be liable for back taxes and substantial financial penalties.
Owner I SignannC Date
�E Ti�3
eE ^' ; CLAIM FOR HOMESTEAD PROPERTY TAX
�'•��'� CREDITISTANDARD DEDUCTION •
'�;;��� State Form Sa73 (R2 / 5-92)
�su
INSTRUCTIONS: See �everse side lar filing instructions.
. �
jj�:' : s' i.� i,; �;(ii
l, i j S '
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. '
e) � r� _ � cenify �arpik✓�� ���r . 19�
q) occupied as our principal place ot residence t follovring described real property for which a Homestead Pmperty i s hereby Gaimed:
I(We) owned ❑ Are buying under contract _ .
Have a beneficial interest in ihe eniity thai is liable for the property taxes on the property and thai owns ihe property or is buying under a contract.
CONTRACTRECORDED '
If brying on contrac6 Fee Simple owner's name � - -_ - . � .
Fecorder's oflice where CoMract is retorded ' ReCOrd number Pa9e
PROPERTY
Counry
Parcel num er Legal descr C n
p��' — o��l ��. � l,� L- 3—� 1 I. o� �-c
If any portion o� the residential simcture or the land nm exceetling one (1) acre that immediately surrounds that structure is used to produce income. tlescribe the use and portion
of the property utilized to produce income.
County
—in —. n.,—
' D�
OWNED BY CLAIMANT IN OTHER COUNTIES
certify the above statements are tme, correci and complete.
5fate. ZIP CoAe)
Signamre ot Gaimant
�
ASSESSOR USE ONLY TRUE TAX � ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately
surrounding resideniial improvements. (�)
Otherland (p)
Total land (line t plus line 2� (3)
Dwelling (4)
Residential improvements �
Garage (5)
Other improvements (6)
Total impmvements (line 4 through line � (7)
Totai value (line 3 pbs line � (g)
I hereby Certify ihe above i5 true, Correct, and Signanre of Asseswr Date sgned
complete.
Veritying action - Signature of Auditor Date signetl
�
19_Pay79_
Lesser of 7/2 Homestead
Valuation or 52.000
� �
STANDARD DEDUCTION
S
Date signeL