Homestead_Elpers (21) STxtEtORtl!:wir.:It•MI TaF SI.EAx FORM 73-IA
nrPRovED BY SISIT.BOARD OFMU*.NT<1Ia PR/YR11ED BY TIM DEPARTE•n(f LOCAL CATtpVMrscr FINANCE MVI.tr4.I
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
MOM beneficial.there is more incentive than e'er for homestead fraud.Ilorneste:Rl fraud causes higher tax bills for all:therefore.
IF HEA 1344-2009 requires taxpayers who teethe the homestead standard deduction to verily that they are eligible to ceceise the
benefit and to provide additional identifying information necessary to allow county government to better monitor h mesead
filings.Ibis informatinn will he Lett confidential and can only he stressed by authrri,ed county officials.The Ikpannnnt 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, Jody A/Michelle R
RI Box 256 D
llaubstadl IN 47639
11149
Jody A/Michelle R Elpers
152 W 1275 S State Parcel Number Legal Description
Haubstadt IN 47639-8712
I ll ttlltltltllrt trllt lrltt lttitltt tlttt llt tlt it ltltrr1llull t1 26-23-18-300-001.269-024 004-01269-00 PT NE SW 18410.750 AC
PART 2:TAXPAYER INFORMATION
Owner I . First Middle Last
— � — Its
g Address(n tuber and sweet,city,state,and ZIP code) h'ariie pcny address
i �aup / � 7�5 N1�
S•.4e First Middle Last
Mailing Address(Number and street city,state,and ZIP code) grame as pro ny addrtss
/ �
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 additwnafhomestead deductions
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Owner I Si at a Date
•
•
W ' t3 t� _j � . •: :
�"�`°; CLAIM FOR HOMESTEAD PROPERTY TAX popM 'd'��
� ` CREDIT/STANDARD DEDUCTION �� Cto� 19 �
�' " ri: �
State Fortn 5473 (R2 / S92)
'i .._,-:� a �
�e �
INSTRUCTIONS: See reverse side lor filing instructions. ;�
GIBSn,��J�r•. ,.,,,,t�� t
i CERTIFICATIONSTATEMENT �� �- �
I(We) • certity that on the 7 st day of March. 19_
[[[I...���(We) occupied as ou rincipal pla e residenc e following descri d real property for which a Homesiead �Property Tax Credii is hereby claimed:
'�(We) owned ❑ Are buying under contract .
Have a beneficial interest in the entiry that is liable for the property �aues on the property and that owns the property or is buying under a contract.
CONTRACT RECORDED - �
on con[ract. ree ��moie owners name
is
cc�� - olaC�� -�
If any portion oi the residential structure or ihe land
the propeM uu7izetl to praduce incame.
Counry
PROPERTY DESCRIPTION
� -�
one (1) acre that Immediately surtounds t sVUCiure is usetl t protluce income, tlescn"he the use and portion of
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
certify the above statements are true, correct and complete.
ASSESSOR USE ONLY
Land not ezceeding 1(oneJ acre immediately
surrounding residential improvements.
Otherland
Total land (line 7 plus line 2)
Dwelling
Residential improvements
Garage
Other improvements
Total improvements (line 4 through line 6)
Total value (line 3 plus line 7)
I hereby certify the above is true, correct, and
complete.
19_ Pay 19 _
Lesser of 1/2 Homestead
Valuation or 52.000
(�J
(2)
(3)
(4)
(5)
(6)
1�1
IB)
TRUETAX
VALUE
ot Assewr
i s�7( � ,
ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE
STANDARD DEDUCTION ALLOWANCE
E�
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