Homestead_Barthel STAR FnRNI.SSaIR_/uMt TREASURERFORM i3-IA
APPROVED BY.5t•TE BOARD OEMOYR/''ta.`nw PRESCRIBED BY DM DEPAAf¢YtOE LOCAL C.MTLNMENT MPAYCE IC 6-1.t-r4l
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 IndividuaLs and married couples are limited to one homestead standanl deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than e'er for homestead fraud.I Iomeazead fraud causes higher tax bills for all:therefore.
HE.\ 1344-2069 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene the
benefit and to provide additional identifying information necessan'to allow county government to better monitor homestead
filings.This infomation will he kept confidential and can only he accessed by authorized county officials.The Depanment of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Barthel, Christopher S/ •
RI 459
II stadt IN 76
3353
Christopher S Barthel
1302 W Cloverdale Ct State Parcel Number Legal Description
HAUBSTADT IN 47639-8761
lit,illtt��tttt��t�t�tt�tt�t�tttl.II 1111 111111) 26-22-12-300-002.254-024 THE MEADOWS LOT II
tt�
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.
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
CV‘ S:b e-r a o tt re) c ��—�
eVAddress(number and street,city,state,and ZIP code) 1 I Same as property address
13oa . Clout -ckoL .Q Ck 114ou.10s -k( N -( (D'3
,
PART 3:CERTIFICATION
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 I Sjt:/\� Da
•
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDITISTANDARD DEDUCTION
Stete Form S173 (R6 / 403)
PrescriEed by Ne Department of Local Govemment Finance
INSTRUCTIONS: See /everse side /or filirg insfi�ctions.
FORM u� YEAR
HC10 1� -
� � ,.
� 4
S. Si /
��e) crerti(y th on the 1st day o( March, 20
D��a.. ,[S
I(VJe) occupied as our pnncipal place of residen the foliowing described Homestead PropeAy T�c Credit is hereby � ed:
v v
❑ I(We) owned ❑ Are buying under contract GIBSON COUNTY AUDITOR
� Have a benefidal interest in the enfity ihat is liable for the property taxes on the property and that owns the property or is buying under a wnVact.
If buying on contract, Fee Simpie owners nama
Recordefs olfice where wnVad is reoorEed
�'��` ?"�°��a'��'4'�'i,:".*''-",t�v .0 � :'_�i,�'v�.°.
Cou b Twnship
Pa�l:iYy.q � Legal dq�;
\/l/ �
if any ponion ol the residential sW cWre w the land na
ot the properry ulilized lo produce inwme.
. . . , _ : 1 �.
Rewrd number � Page
Tating districl (ciry, fown,
� l� 1����t � � �eal proPercy� ❑ Mobila Homo (I.C. 61.7-�
one (1) that immeCiatety wnounds Nat sw ure is used b produce income, desuibe Na use and portlon
1 ' " _ . . . . . .
��..,^f,,..F `'� Ti�"� �' d 4,�4�'. <S t . �•T.€� 3 . _ . } x � . . . . . ro %C
_�,�.�fi� t ASSESSOR USE ONLY �;�� ir�TRUE TAX�° ASSESSED VALUE HOMESTEAD L-z� NON=RESIOENTIAL �.r�-
�'i°�'.e�.`� , . ; 5 N'�-�"g �,�f�'�„i:*-� z,il-a+,+-VALUE �K r AT 100 /a OF�TiV� �VALUE� �F�w. Y '.«��yVALUE`�`,"_�`.�.�'-p�
Land not exceeding 1(one) acre immediately ' g-__�,�`T���,�tz�fi�".�"�' ����
surtounding residenfial improvemenis. ( � �'.��.,�4�,��.t f.� �
Otheriand ���""'"F �'^�''���{*: �
(Z) '¢�T�{7:;�j�;.�
,..s'.��..,...�: �u�
Tdal land (line 1 plus line 2) �3�
Owellin 4 ��'���' § ���� `�
�Residential improvaments orMnualty 9 ( ) ���'��� �a�' �y��'
0.ssessed Mohile / ManufaUUrad Haire g 5 ��?��M��?�
Gara e °..t fi �• �•'
( ) ,Yx. '�;}�' ,�su'
Otherimpravements (6) ���`"`e'�'� "�'�'3'
�. "` %'�,�� ��-.. .T`_"
TUaI improvements (line 4 fhrough line 6) (�)
Tctal value (line 3 pl's line n (g)
I he�eby certify Ihe above is We, coned, and Signature olAsseswr oate sgned
complete.
Velifying action - Signature oflwditor Date signed �
Sgnature
20 _ Pay 20 _
le;ser of 1i2 Homestead
Va�uaUOn w E35.000
$
Date
/ ' � �1 lr T . ir1 i�_