Homestead_Boerste SLATE FOAM ORA IR'I otO MANtIA m0.4 TS-IA
♦rM I/CEO BY MATE BOARD Of An-ouNra,qv fIAAmED BY ME DE?ARTME`IT OF LOCAL roatRYMENT,OLIACE K4-I.IS24I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one home-lead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever for homestead fraud.Itomesread fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to receive the
benefit and to provide additional identifying information necesary to allow county government to better monitor homestead
filings.This information will he Ldp confidential and can only be arse.ved by authorized county officials.The Ikpartmenl of
Local Government rivnec will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Boerste, Catherine L
R2 Oca..-/
HAUBSTADT IN 47639
3397
Catherine L Boerste
3730 E SR 68 State Parcel Number Legal Description
HAUBSTADT IN 47639
26-23-02-300-001.959-024 004-01959-00 PLEASANT RIDGE 1
D9
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
C'.nh€tkv-E L ogie C73-
•Tg.Address(number and street_city,state,and ZIP code) Same as property address
373o E S,C lob , N.4K/3sr/fDT, -/t/ '/7le 39
Spouse First Middle Last
Mailing Address(Number and street,city,stale.and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
-
° 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 elitable 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
� R•�° CLAIM FOR HOMESTEAD PROPERTY TAX
�*-'� � CREDIT/STANDARD DEDUCTION
` J State Fwm 5473 (RS / 10-01)
Prescribed by the Departmem of Local Govemment Finance
INSTRUCTIONS: See reverse side foi /iling insfructions.
FORM Y AR
Hc�o 03 6"1
3"� 03
I(We) W certify that on the 7 st day of March, 20_
I(We) ccupied as our principal place of residence the following descnbed real property for which a Homestead Property Tac Credit is hereby Gaimed:
❑ (We) owned ❑ Are buying under contract
�Flave a benefidal in[erest in the entiry ihat is liable (or ihe property taxes on the properry and that owns the property or is buying under a contract.
� .� _ �
'�.�t:.. �r?k=r� '�-v�v.. �cszt.i-� �..,..,�.�`_.;"�:`e:z?;CbNTRAC7�RECORDED• �.+�� :i .- -, -:�n - � _
a
_ s' � . ,:,. ... .
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If buying on contrsd. Fee Simple owner's name
Retordefs ofica where wnVaU is recorded Rewrd number Page
County
arcel number
if any portion o� IresiCi
of the O�operTy uWized to
7ovnship
:�
strudura w the Wnd not ezceeding one (1) aue t�at
ice income.
' ...-_ i.�.,.. .
T�cing Eislritt (ury, town, township)
Is Ne properry in
� I Q/teal DroPeRy ❑ Mobilo Homo (I.C. 61.7-7)
r
sunounds Ihat swUUre is used to produce income, describe Ne use antl ponion
_._ '.__._ .. . ._ . . _. __ _. _ .,: �
� " �_?_.�.�..�.,��%rh�^�'�-` f�i�":?'PROPERTY.OWNED.BYCL'AIMANT'IN-OTHER'COUNTIES ._. -_--��'S'-t ....''.�,'.':�C:. � �-•' °
County Tavnship Caunry Tavnship
I hereby certify the above statements are We, correct and complete. sig wre o( iaimant �
a
�ress (num6er and sUeeL ciry, state, ZlP code)
L
� �: ��'^`�'�'�.�.�`' —� ak':: .�r n� "` Y rztS`; � 9r ; .. _ ' . . .. . , ... . _ .
'�� t�.ASSESSOR USE ONLY �-i' 2� ss : TRUE TAX yr ASSESSED VALUE � HOMESTEAD� .ti �-NON-RESIDENTIAL� .:
�-?;.�Ri.�r3tn-�.a:y..��::�:;?'�"ri,J -- �',. � �.� :'er.-+ VALUE� - AT 100%o�OF'.TNc. . v,:VALUEsy � - "yr .. E: VALUEr.:.:� �'i .±.
Land not exceeding 1(one) aae immediately � '� fi t�is ��;° ��'r'� j
surroundingresidentialimprovemenls. (�) � . . � ,.,�r�.,°_•:", �,._.�,Ay�,
Other land (2) � �`K"5 �, �
r _-:-f' t P .-?;
�; -..,, -
Ta1al land (line 1 pfus line 2) (3�
"' ;' : � i L r �' - =
Dwellin9 (4) ° � ,_ t � -�',"I�'Sc-
%7 �J' '1,!`$(+S �G9 "...P'.—... `G.',:..
Residential improvements ,� 3 S •� �� �,� _
Garage (5) '.�rt � ".,� ���: „ ".
....,� .r..:i�4- ^(..:
Otherimprovemenls (6) �..r'r s -=y
Tdal improvements (line 4 through line 6) (�)
Total value (line 3 phs line n (g�
I hereby certify ihe above is We, wrrect, and Sgnamre of assesmr Date signed
complete.
Verifying acl'an - Signature oflwditor Date sgned
�`�'r",•�`�"•_�: s�t-�i-�"it7-_�-rt :�:3s�i�'."—?m'�:STANDARD.DEOUCTION�ALCOWANCEf�";,;:-`:i<'t�.a�:'.�`�.r.'�:'�....�=�'"v�.z��:�? -
20_Pay20_
Lesser of 12 Homestead
Valuafion or 56,000 S
SignaWre of Fwditor Date signea