Homestead_Dewig (7) a : a
<IME FOAM!Mt.IRL S-LNI. TRFA9AER FORM:SIA
APPROVED BY ME<OE RMRD OFMTnXT<.21n,/ PRFYMIBED BY TIE DFPAAPAINT 4FtfAAE CMCLYMEAT FINANCE 1C4.1.1-2=1.1
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 becomes
® more beneficial.there is more incentive than es 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 serify that they are eligible to reecho the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings. this information will he kept confidential and can only be accessed by authorized county officials The Ikpanntent 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
_ Dewig, Thomas E/Janet R
PO13ox 186
Haubstadt IN 47639
1573
Thomas E/Janet R Dewig
P O Box 186 State Parcel Number Legal Description
Haubstadt IN 47639-0186
26-18-36-200-001.611-024 004-01611-00 PT NE 3631136.42 AC
Itlnilntlr��nu��t�t�n�� ���u�u��n�n�n��n n�r��
0-27
•
•
PART 2: TAXPAYER INFORMATION
Owner I Ai First Middle • Last
-7461 041
. Address(number and street,city,state,and ZIP code) as ptupcm - - --
";
Spo?gziz First v Middle Last
,•
Maiumbs d street,city,state.and ZIP code • u pmpem ad dy
0 let � ?a , s�7629
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 claimine additional homestead deductions
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Owner 1 S r Date
•
�tE RY�I
c%-1 i CLAIM FOR HOMESTEAD PROPERTY TAX
iE�� CREDIT/STANDARD DEDUCTION �
'.�.�,.;� Sute Form 5473 (R2 / 5-92)
.au •
� INSTRUCTIONS: See reverse side lor liling instructions.
-� ' ' • ' - � . CERTIFICATION.STATEMEN7 - � � °
,WII�-
FORM YEAR
HC70
I(We) ___�_ " � certify-that on the 7gg�5�t��yyyy rch, 19_
I(We) occupied as our principal place of reside e the following described real property r hich a Homeste��rty�ax q�yR i e by claimed:
H b��
�(We) owned ❑ Are�buying under contrect • , . - � .. - . � p � a-'�
rtave a beneficial interesi in the entity that is liable for the pmperty taxes on the property and that owns the prqpQ�(y o1 iv�puNlAYnder a contraci.
� 1"WI L 1�J
- � � � • � � CONTRACT RECORDED - � ,.
If buying on contract, Fee Simple owner's name • . ' '� . , . . .�ta/�I��o �
Recorder's oftice where contract is recorded
Recartl number
Page
- � � PROPERTY DESCRIPTION � '
County . . . Township +' Ta+cing disirict (ciry, fown, fownship)� � - ' ' .
P rcel umber legal description
-oi ei� -oo � h�� -3 =1 I 3�� �l a Rc.
It any portion oi ihe residential simcture or the land not exceetling one (1) acre that immediatety surrounds ihat SlrucNre is used to produce income, descnbe Ne use anC portion
of ihe pmperty utilized ro produce income. ' ,
- - ce-�/ G/ - oa� .
� � PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES �� �
County Township Caunty Township
1 hereby certify ihe above statemenis are true, correct and compiete. Sgnamre o� Uaimam
� 55 (number arxl slreel, dry. state. ZlP code)
ASSESSOR USE ONLY ' � TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
� VALUE VAL•UE VALUE VAWE
Land not exceeding 7(one) acre immediately �
surrounding residential improvements. (�) �
Otherland (z) -
7otal land pine 7 plus line 2� (3) I
Dwelling (4) � �
Resideniial improvements �
Garage (g) -
Oiher impmvemenis (6)
Total impmvemen[s (line 4 thiough line � (7)
�� value (line 3 p6s line � (g) •
I hereby certify ihe above is �rue, correct, and Signature ot Assessor oa�e signed
complete.
Verityirg actlon - Sgnamre ot Audiror Date signed
19_Pay19_
Lesser of 7/2 Homestead
Valuation or $2,000
DEDUCTION ALLOWANCE
3
Sgnature of Audi,or �/� � \ i� I Dat ned
.� ,ULJ P \ W .�'- �a - 9