Homestead_Boeglin SATE FORM 53564(R)/8-10) •TJaSLREt P085813-IA
APPROVED By STATE BOARD OF CCOt1VFS.NM PRESCRIBED BY THE DEPARTMET OF LO CALOOVEIESSM:T IDAV(E IC 6I.I-224.1
Gibson County Auditor 111 PORTANT 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
•
F I L E D benefit and to provide additional identifying 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 INFORNA1'ION
MAY 19 2011_-_____ r ' Taxpayer Name' — — — LocationAddress— — - ----,
C.3.M--"' -may Boeglin, John L Elpers Rita/James
lJ Life
/�(� 72505
GIBSON COUNTY AUDITOR `
liaussraor IN 47639
11564 - .,
_
John L Boeglin& Rita M Elpers 11111111111[111 MI [1111111111 1111 II III Dlllll-II_IIIIB M 1 111 Iii111111 II I 111111
1121 Schroeder
Evansville IN 47725-8530 .
111111111111111111'1111111111111"1111181111111111"1111111111111 State Parcel Number Legal Description
26-23-18-100-000.122-024 PT w 184 20 95.5948
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.
___ _______P_ARLI,LIASPA,I_ER INFORMATION;__- _ _
Ow. First Middle .. Last
—tq M , . /P-e_if, Rl-1"4 m )1 f S
Mailing Address(number and street,ci yl .state,and ZIP code) [] Same property address
//a I Sch goeed e k Gyy/✓SUI(Z-t; 7—A7 c/-7 7 z. 5.—
Spouse Fusel Middle Last
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Mailing Address(Number and street,city,state,and ZIP code) fl Same as property address
Social Security Number(last 5 digits) Drivels License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
I 1 I - I 1 I I I 1 sea, •
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 Signature Date
IUIL'd HL lu ..� . - r
Piestn�etl By Staie 90aiC ol (2� Carvmis;ione�s ...
CLAIM FOR NOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19_g�
.✓����°°
SEE BACK FOR FILING INSTRUCTIONS
� '-) �� d` '�` � certify that on the tst day of
tv��, 19 , I, e) occupied as our principal p ace of residence the following described real property (or
vahich a Homestead Property Tax Credit is hereby being claimed: �/
�, (we) �ed q�lo - 0(3 - �d�-�� - �d�• �0�� - lJci 7"
❑ are buying under contract
❑ have a beneficial inierest in th taxpayer
Property Description in County
Taxing District (City, Town, Township):
Parcel Number
If buying Ofl coniract Owners name ��ee s�moie o.oeq
Township
or legal description shown on tax statement
�k N �'-� sw� rg -�F-ro� .3G. �'7s—
Contract recorded in Recorders Ofiice - Record No. Page
If any portion of ihe residential structure or ihe land, not exceeding one (1) acre that immediately surrounds that
structure is used to produce income, describe the use and poriion of the property utilized to produce income
Any other couniies in which individual owns or is buying real properiy:
certify ihe above statement is true, correct and complete.
Stree� ACOress
County Township
' Individual either owns or is buying under a conVact thai provides he is to pay the p�e���ty'itaxe���
on the residence, or has a beneficial inierest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre immediately
surrounding residential improvements
Other Land
Total Land
Residential Improvemenls
Dv✓elling
Garage
Total
Other Improvements
Total � ovements - Line (6) plus (7) equals (8)
I here.., certify ihe above is irue. correct. and complete.
Signatuee ot nssessor
Flpproved: "`�"'""'� �
True Cash
value
(1)
(2)
(3)
l4)
(5)
(6)
(il
(8)
- ACTION BY AUDITOR -
�YJ:?iJ � Yl LLj�•5
R! �D1Ta?; v
Assessed Homestead
Valuation Valuation
r.:w.
Da�e: -- c? - o� o--0 9-----