Homestead_Elpers (20) r - SIAM FOAM,3t MN'awl twANLlR FORM:11A
APPRm'EDBY SPIT BOARD Of'Arn CNIS_WN PRfV(AIsmm BY MEDEPRnr,r OF LOCALrovrRNM CNT FIVANcE tee-Li-rat
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 e'er for homestead fraud causes fraud caes higher tax bills for all:therefore.
•
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reeehc 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 he accessed by authorized count'officials.The Depanntent of
Iw cal Gm'ermnent Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY LNFORMATION
Taxpayer Name Property Address --}} ICJ
Elpers, Cornelius B/Joan M , Nl LTV an ei
a221-14
, •
Ilaubstadt IN 47639
11054
Cornelius B/Joan M Elpers
2231E Warrenton RD State Parcel Number Leea1 Description
Haubstadt IN 47639-7970
ltluillusilu ll. iuI Irltlr tll iul lt�tr lrr till ll,uu lIIil..11 26-23-16-400-000.261-024 004-00261-00 PT N SE 164101.50 AC
X
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
(1 d � v►eliiJ <, 8. Elpers
�g.Address(number and street.city,state,and ZIP code) --- - - �,Simni: property address - —
2013 I ga,SZ [Ala 00e,VI fDn Rd Rauh 5-fac4 Q-A/ 4f7637 .
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 Signature Date
waM xc m i�s
RescribW By Sute BwrE ol Taa Commiuioners
To & FileO in Duplica�e
CLAIM FOA HOMESTEAO PROPEATY TAX CREUIT FOR YEAR 19Z�
SEE BACK FOR FILING INSTRUCTIONS
�(We) ���2� ��-N�-e*!!-� �;D• ��� �
described real property for
which a Homestead Property Tax Credit is hereby being claimed: '
I, (We) ❑� wned
14 are buying daAe�niract
❑ have a beneficial interest in the taxpayer
Property Description in
Taxing District (�ity; Towr,rTownship):
Parcel Number-
If buying on contract: Owners name ��� sim0le owner�
EJ� �-�Ov�GI-O�
��-033 /�-�O-C�dO•o?�/-c1��i
Township
�
or legal description shown on tax statement
�-,-; N� S'E s� � G-5�-� o /. a�C�.L
Contract recorded in Recorders Office - Record
If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
structure is, used to produce income, describe the use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property:
hereby certify the above statement is true, correct and complete.
County Township
aew
' Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
True Cash
Value
Land not exceeding 1(one) ac�m�ed tr yE
surrounding residential improv ent (1) S"o 0
Other Land
JUN 121979
Total Land
Residential Improvements � ��,, �'�
�� ���08
arage
Total
Other Improvements
T '�'.Improvements - Line (6) plus (7) equals (8)
I�by cert�iy�the above is true. correct. and complete.
Siqnawre of
Assessed Homestead
Valuation Valuation
(2) —
(3) -S—U U
(4) � �3 8 0 ��
�s) J�
(6) .7 / 3 8'a ���
(�) — — ,
(8) � / 3 PO '�
O / 7�
�/s��—
6=��-71`'
Date
- ACTION BY AUDITOR -
Date: