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Homestead_Elpers (36) sure IMRM 53M.II_f.-w, tBEAmara war z•..A ArpR(wrn nrsfTE WWI)OF Amf.Nt%_9.0 rtr`aTlam or ntr DFrAFMEr rtl'LtX:LL r'Vtt'Mrt.T FINANCE IC 1.1.1-r4.1 , 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 ner for homestead fraud.Homestead fraud causes higher tat bills for all:therefore. . HEA 1344-7009 requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to receive the benefit and to provide additional identifying information race:vary to allow county government to better monitor homestead tiling.his information will be kept confidential and can only M 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 INFORMATION Taxpayer Name Property Address Elpers, Daryl G/Frances L es Haubstadt IN 47639 11051 Daryl G/ Frances L Elpers 12619 S 200E State Parcel Number Legal Description Haubstadt IN 47639-7949 LLtllettllllitttllthltrltrtlithttltilltl IIIF6tttltll zs z3-16-300001.749024 s0//101f 1/121411/42PT/43PT/404ND-9 X PART 2: TAXPAYER INFORMATION • Owner I First Middle Last -�a-v- 1 G' en e.- El p--is ig Address(number and street,city,stare,and ZIP code) - --- t Same as property nddri - —— — - te ^' \ ! 3 E I-lQ.Lti5 s1-{- ,at\ 4-1 (D39 , Spouse l Middle I Last -Rang .e5 • L•-.I (M Et par-5 Mailing Address(Number and street,city,state.and ZIP code) © Same as property address l2.(oI q S . Zoo C. HO-:-x-b ) . L-1"l L3Ct 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. Own Signature Date • tY� R��l i a�/ '' ; CLAIM FOR HOMESTEAD PROPERTY TAX ;; �;: CREDIT/STANDARD DEDUCTION ..�r .;; � State Fortn 5473 (R2 / 5-92) yu . INSTRUCTIONS: See reverse side !or /iling instructions. 1�•,•! : '1 '� �. ' ''v � .' ��� ' �d..�NN 2 91996 e) —l�1_(1.�1 a�.��(.J_, �— �Jl.QitLCJtAJ ceni(y that on ihe t�t����—F�7s�1 I>) occupied as oGd prmcipal plaCe of residence ihe following described re property for which a Homestead Property Tax Credit is here y Gaimed i(We) owned ❑ Are buying under coniraa � � .. Have a beneficial interest in the entity ihat is�liable for ihe property tanes on the property and that owns the property or is buying under a contract. CONTRACTRECORDED . . . � It buying on contracL Fee Simple owner's name �•. _ ' Rewrder's oHice where coniraa is recorded Record number Page COUniy PROPERTY DESCRIPTION � Tazi�tri,j (ciry; lown. fownship) Parcel number O� 1�� Legal r tio ��f -� _� '4��� � � �i � �/a�-I�y3 It any ponion ot the residemial structure or ihe land not ecceetling one (7 � acre Nat im ediat y surr untls tha structure is use ro roduce income, describe ihe use and pohion of Ne property utilizetl to protluce inmme. �� "��' -�� " �d0 - O6� �7 i " Do?� . � PflOPERTY OWNED BY CLAIMANT IN OTHER COUNTIES Counry Township County _� certify ihe above statements are irue, wrrect and complete. 1 streeC ciry, sfare, P code � a i, 7( ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL VALUE VALUE VALUE VALUE Land not exceeding 7(one) acre immediately surrounding residential improvements. (�) � Otherland (p) Total land (line 1 plus line 2� (3) Dwelling (4) Residential improvements . Garage �5) Other improvemems (6) Total improvements (line 4 through line � (7) � � Total value (line 3 p�s line 7� (g) � I hereby certify the above is irue, wrreci, and Signamre of Assessor Da�e si9netl complete. � �ying aaion - Signature of Audiror Date signed - t_ 19 _ Pay 79 Lesser of 7/2 Homestead Valuation or $2.000 Auaitor STANDARD DEDUCTION ALLOWANCE S