Homestead_Beal MIL FORM:Wee OC/4•t IPFAAiIIA MOM r 'tA
.ArrRm'nt BY arlIL MNROOfAM•NM 21,69 r.rstrnm BY THE orpAxn eiT(F t{RN rOVE0.VMnn FPA'tE IC 4-I.1-n-kl
• 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 heroines
more beneficial.there is more incentive than ner for homestead fraud,Homestead fraud causes higher tax bills for all:therefore.
atWY HEA 1344-2069 requires taxpayers who receive the hornestced standard deduction to verify that they are eligible to recene the
benefit and to provide additional identifying information necessary to allow county govemoenl to better monitor homestead
filing--This information will be kept confidential and can only be accessed by authorized county officials.The Depannent of
Local Gmcnment Finance will use this information to create rots that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION --' - `" " -
Taxpayer Name Property Address
-- — -- -- -- - - — . . -.Beal Elmer N,/Lisa
122 Box 124
Ilauhstadt IN 47639
11053
Elmer N/Lisa Beal
12566 S 200E State Parcel Number Legal Description
HaubstadlIN 47639-7948
lt�tt lltttlrllrtttlit�tlrt lIt tllr�tttlt tlltt�It lltttll III
26-23-16-302-701.64433-024 004-01643-00 BLDG ON LSD GRD
PART 2: TAXPAYER INFORMATION
Owner I First 11 cc Middle Last
1 t NL - - '�\ S9—, --
tg Address(number and street,city,sate,and ZIP code) as property�drai
Spotlit First Middle Last
Mailing Address(Number and street,city,state.and ZIP code) td� property address
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 Signature Da
air
�. _\ ��_ _ ._�
_�. �---_--.
e�^�� a CLAIM FOR HOMESTEAD PROPERTY TAX
a
CREDITISTANDARD DEDUCTION
i'
,�;�� State Portn 5473 (R2 / 5-92) "
r.�:
INSTRUCTIONS: See reverse side tor liling inshuctions.
. - . r.FanFir.nri
FORM YEAR
HC70
��� `CX/j�Q,�/( It�L )'-' .�(,����jA�JC certify that on the ist day of March, 19_
'e) occupied as our principal place of residence the following described real property for which a��HOmestead Property Taz Credit is hereby claimed:
I(We) owned ❑ Are buying under coniract - _ , .
Have a beneficial inierest in ihe entiry ihai is liable for the property taxes on the pmperty and that owns the property or is buying under a wntract.
CONTRACT RECORDED �
It Wying on contract, Pee Simple owner's name . . � . � ,
Recorder's o�ce where contrect is recortled Record number Page
� - - � PROPERTY DESCRIPTION
Counry . , ' Township ' � Taxirg tlistnCt (city'I
1
Parcel number Legal description
-D 3 -a� "
If any ponion ot the residential sirucwre or the land not exceeding one (11 acre that Immetliately sur u ds ihat
of the property utilized to protluce income.
T�11. )���il�n")�YY�
d fo pr�ce income, describe ihe use and portion
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VA�UE
Land not exceeding 1(one) acre immediately -
surrounding residential improvemen�s. (�) � -�
Other land (p)
Total land (line 1 plus line Z� (g)
Dwelling (4)
Resideniial improvements .
Gara9e (5) '
Other impmvements (6) � �
Total improvements (line 4 through line � (7)
Total value (line 3 p6s line � (g)
I hereby Certify ihe above iSlrue, correct, and Sgnamre ot Assessor Dare signed
�^mplete.
ing action - Sgnature of Audimr Date signed
i
STANDARD
19_Pay 79_
Lesser of tl2 Homesiead
Valuation or 52.000 �
o� Auditor