Homestead_Elpers (30) MMAiE 1 ORM!JR,.Ile/H•l 71ITSSUlLit WRY IS-IA
GC IMPORTANT NOTICE TO HOMESTEADEP PROPERTY frOVERNSIENT FINANCE a
Gipson County Auditor
101 N Main
PRINCETON IN 47670 Individuals and married couples are limited to one homestead sandani deduction.As the receipt of this deduction becomes
_ more beneficial,there is more incentive than err for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
• HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county gosrmnent to better monitor homestead
tilings.This information will be kept confidential and ran only be acer.,ed by authorized county officials.'Ilse Department of
Local Goverment Finance will use this information to create ttwis that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
—. Elpers, David M/Marilyn J
•
R2 Hox 60
8363
David M/Marilyn J Elpers
9875 S 350E State Parcel Number Legal Description
Haubstadt IN 47639-7872
III I I I I I I I I I I III III III 26-19-34-200-000.264-024 004-00264-00 PT S NE 34 3 10 4 AC
to tell uu ffunf nfnfnf of ffnff ' D-10
. - PART 2:TAXPAYER INFORMATION
Owner I Li n First - Middle Last
J ' M 4IpEPS
ilig Address(number rand Stu city,state, ZIP code) q 8g5 5 f��f`�D• Same as property address --
H 24-x6 c--r .7azt i1 'i?-39
Spouse First Middle Last
jq,i l/x�, !r 2/? RS
Mailing Address(Number and street city,state,and ZIP code) q 9 is' 5 356 L e as property address
tia fab
J I SradT 1 4%5 9
Each undersigned certifies,under penalty of perjury.that the above and foregoing information is true and correct and that he or she is eliuible 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.
OwekSignawre Date
warn Hc io is�v
PrescriDeO By Sla�e BwrO of Tax Commis5ianers
To & Filed in Ouplicate
CLAIM FOR HOMESTEAD PAOPERTY TAX CREDIT FOR YEAA 19��
SEE BACK FOR FILING INSTRUCTIONS
�(We) � '� � /� � certify that on the 1st day of
arch, 19 I, (We) occupied as our principal place of esid ce the following described real property for �
which a Homestead P�operty Tax Credit is hereby being claimed: �
_ i9-� �3aa-��. �G� ��-_
I, (We) �owned � DD � o O � / (�
❑ are buying under contract � ! —��
❑ have a beneficial interest in the taxpayer
Property Description in �,� , County T Township
Taxing District (Gity; Fev�m, Township):
Parcel Number
If buying Ofl contract: Owners name ��� simoie owner�
or Iegai descriptiOn shown on tax Statement:
JQl-' S�2 /[�E%C 3 s�-3 � 0 S�QCC�o�
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: County Township
;hereby certify the above statement is true, correct and complete.
;\ � � —
'Signeture Sheet Aaaress Ciry. State ana Zio �e
' 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 -
Land not exceeding 1(o�aire Tnme�l}�
surrounding residential i ov�ne ts L
Other Land
7otal Land JUN 11 1979 '
Residential Improvement
�/���`��y— ff �welli ng
/ AUDITOR T'arage
Total
Other Improvements
T' Improvements - Line (6) plus (7) equals (8)
I�by cert�iy�(he above is true. correct. and complete
. ( l _ / n�
Sgv:ure o1 Assessor
True Cash
Value
(�) �5'0 0
c21 l0 7 �
(3) �/ % O
(4) %�—�p
(5) ��—Q���_
(6) �7'a�
��� 3 S v
�g� �o—d'—H
�a��
Assessed Homestead
Valuation Valuation
/7a
,'�y-�„�'e
_ Daie ' . _' _ _ _ ' _'
" y� J - ACTION BY AUDITOR -
Approved: ,� � %�\1�� Date: