HomeMy WebLinkAboutHomestead_Dewig (8) SIATE FORM!me.l ll-r..P1 TnrASL[[R FORM SI.I
.APMOVED BYsI.x1L BOARD°,A. L,a S.2o4 PnrSORIBED BYTIIrnEPARMEYT OFLth:ll r VEILN rrFTA&CEw I.I-E.-r.l
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than e'er for homestead fraud Homestead fraud causes higher lac bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessan to allow county government to better monitor homestead
filimp.'Ibis information will he kept contideniial and can only he accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county official',eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Dewig, Eugene
R2 Box?19A deri
I laubstadi IN 47639
8320
Eugene Dewig
R2 Box 219 A __ _ - ---- —Male Parcel Number Legal Description
Haubstadt IN 47639-8041
26-19-31-400-001.684-024 004-01684-00 PT SE SE 31 3 10.453 AC
In II ouIt II our'I1I1 I uI nI1 II I u I n1 IIII uI 1I I I I I tI seI D-9
PART 2: TAXPAYER INFORMATION
Owner I First ® } '/ Middle De:// Last
g Address(num.** city,state,and ZIP code) 3515 oa5 S El Same as property address
a/
Ol &r Pik (9-n �f • V7 YroZOIZe
Spouse First Middle Last
Mailing Address(Number and street,city.state,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 Pan 4 below)
state
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
•
��rt� t CLAIM FOR HOMESTEAD PROPERTY TAX
� = CREDtT/STANDARD DEDUCTION
� •. � SUte Fortn Sa73 (RS / 70-0t)
Presvibed by the Departmem of Local Govemment Finance
INSTRUCTIONS: See reverse side /or filing instructions.
� : . _
'FORM �� Y AR
"�'°� i� ��;o,-, 6�3
� � 1� �� l�
I(We) � certiy that on�the-1sFday-o( Meich,40iQ� ,j
I(VJe) occupied as our principa of residen the following described real property for which a Homestead PropeAyiarCredil is hereby daimetl: �
�(We) owned ❑ Ne buying under contract
'ave a bene5cial interest in the entity thal is liable (or the property taxes on the property and that owns ihe property or is buying under a contrect.
�L'"�."oriri.Y�c+`�?�.`�-`.��".�`x=y_��'�-'�3-� �':i ��a i��!'S`d�n.Y�'-�'"�CONTRACPRECORDED�ytr` `'� ���:'S�,?�.f''"�'sr"F.. a_t f-=.��.::... ' - -
If buying on contraG. Fee Simple ownefs name .
Recordefs ofice where convad is recordeE Record number Page
County
Tavnship
(ciry, fown, fowruhip)
Parcel number Le9al descnption O Is the property in question:
�� � �$� -(�� ❑ Real property ❑ Mobile Homo (/.G 67.1-7)
If any po�ion of lhe residenUal sWCtura w �he land nol axceeding ane (1) aae t�at immediatety surrounds Ihal sWCture is used to produce income, describe ihe use antl portion
of Ihe property utilized to protluce income. .
_ , ,- � „-
To.vnship
=��/ ���QaSL
- - - -- -
iWNED�BY CL'AIMANT��,IN.'OTHER'CO
County
I hereby certify the above statements are We, correct and complete.
and sVeet, ciry, state, ZlPcode)
claimant
`���' �:�Z.;,��'^����''.&'T+`�' r`f-^�� �`� ' 7RUEsTAX ASSESSED VALUE �'HOMESTEAD�''' i �NON-RESIDENTIALh""� l�ra
'-, �`''�, .��ASSESSOR USE ONLYq-�- ��,r,,,s � 'L'� .yp�UE=;i tia0�' - Y1T 100% OF TiV � � VALUE +'��e#'+ ��`+��`*� � 1� • �r'd rs
x� 4�a�i'�,.�xa- �aTa 72'L°.9i�'i:'�`.d_.,�a:�'�� [..t+.+. �. uF _. , t8 .�n_?;, m�.:: E�.tr_st.�.+�tiVALUE'�,✓� ais..'�J i
Land not exceeding 1 (one) aae immediatety �`7 �v �� `'�� �'�c�� ��� "° '''
surrounding residential improvements. (�� _ �"Tik�*�� � '�`�h � _
�� �.. . `=�,. �: �
Other land (Z� ='=�'�.�; ,"-.-s.�`;�'Y"``�jR
`:Cr�.�,r,� :,r...�`-'.�,
.xr
Tdal land (line 1 plus line 2) (g�
, .n� 3'.. ���bstv,, ��� r�y�•z
Dwelling (4) ��ir'� �
r
Residentialimprovements :r,€.�ar.b!�..fs,�T',.�._.» -�'�-l.�it!iS
r.-�','�i�'���_'`�.el 5�� i'
Garage (S) ,��''d ��}' ' ' � a � s-�'"1a..
SY �rv{ HYP�P+i�{' ��i� ; �'
�i� n�.+L�''c�'Y`Zii �
ONer improvements (6) � a-
�,-r�'�:f� �:.r
Total improvements (line 4 through line 6) (7)
Tdal vatue (line 3 phs Irne n (g�
I hereby certi(y Ihe above is We, correct, and Signamre o(�assessor Oate signed
complete.
Verifyvig aabn - Signature otlwdimr Date signed
i�`.-'�s�+°A�'iit�%a� .��.�3'���'c:�.-:?�-"�rr'�.,�5�';Fr.,��_STANDARD:DEDUCTIONALCOWANCE.-s.'''v'.'iv.�L�?--�;.�'�i "z�..�r'_.Y�'�'_3-g+�.i:�.•Y`.b"..,'���:=�-��.�e
20_Pay20_
Lesser of 1!2 Homestead
Valuation or 56,000 S
Signature oflwd0or Date signed
a- tl- oa