Homestead_Elpers (27) 51511 roma scmnet tow TRF/O'LER FORM 31A
AFPRIA'EOBVSLSTF bURO OF.MYR:.\TS.`VN PILESRIaU,RYnIF DFRARTICIU OF LOCAL t VELYMFh7 FINANCE IC 6-1.1`-t.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and hurried couples arc 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.I lomestrad fraud causes higher tax bills for all:therefore.
• HEA 1314-2009 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to recehe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
Mingo.This inRrmation will be kept confidential and can only be 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 LNFORMATION
Taxpayer Name Property Address
_ Elpers, Ron ABriana J i
RI Box 478AI
Fort Branch IN 47648
7180
Ron A Elpers
10051 S 250 W State Parcel Number Legal Description
FORT BRANCH IN 47648-8146
26-18-34-400-001.395-024 004-01395-00 PT SE 343111.50 AC
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D-2
. PART 2:TAXPAYER INFORMATION i
Owner I First Middle Last
on �ja_ti Pecs
fil ng Address(number and sweet,city,state,and ZIP code) - - [Same as property address - -
9 `ovos s. p,sd w. � 3�- .ti- _,J (P7"(,' /(
Spouse First Middle Last
P rrana. L v C/fzvS
Mailing Address(Number and street,city,state.and ZIP code) ® Same as property address
*' /00 c? S- r2.9) W Yf- —hAitnr.D - 1-n1 z1-7 Go 2
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 I Signature Date
III
d�rt�', CLAIM FOR HOMESTEAD PROPERTYTAX
"4- � = CREDIT/STANDARD DEDUCTION
` � SUte Fwm 5473 (RS / 70-01)
Prescribed by the Department of Local Govemment Finance
INSTRUCTIONS: See ieverse side !or /iling instrucfions.
�
�:rt_'.'q �:?�';i�.�: /Y� ',' ___x"'.:- . •-.. . , . . /l - ' CFRTIFICAT
FORM YEAR i
HC10
I(We)_r(S1kJ� —r �J(�(�(.�/ riil�that-dhtlt�'ISf ad'yof�20_
I(We) occupied as our principal place of residence lhe (ollowing described real property r which a Homestead PropAhr��ciCr�diYi�bqeby claimed:
U U L L
❑ i(We) owned ❑ Are buying under contracl
'Have a beneficial interesl in lhe entlty that is liable for the property taxes on the property and Ihat owns th�roperty or is�buy'm�g under,2,'contiact.
I( buying om m�iraa, Fee Simple owner's name
Retordefs otfice where conVaG is recorCed
.�
Rewrd number Page
�� p._� • Z.:�>�tlt ..~*•:a• '.. ;�' .
Caun Tavnship Tacing tlislricl "ry, to vn ip)
arcel num r l de li / Is Ihe pr in question:
OO � / S—�� �� ��� � l� I' '�. ❑ Real proPerty ❑ Mobile Homo P.C. G7.14)
II any portion of the resiEential sWClure or Ne land not exceeding one (1) acre Iha� immeCiatety surtounds Iha� sWCture is used b protluce inwme, desaihe ihe use and portion
ol the property uWized lo produce inwme.
� / /1 -.'ST� v//1/l—
1 �-� ih��.' 4�1:�... t ��.� S}�.. . .. ._.,._ ._r, ".S ON. _ ._
"� fi:'�g"s' _:p5SES50R�USE ONLY � '` "'� �'�.TRUE�TAX ' ASSESSED VALUE � �HOMESTEAD �� �� ,.� N . RESIDENTIAL��� ��J
�-''v".`$�-t;�„_._�:i; �� .��T;1. 7 ` � VALUE: . ��AT 100/a OF;TIV : �� VALl1E�s5 ' � . ., � -. =VALUE ,x,,: ia.�'>'..
Land not exceeding 1(one) acre immediately i � f� '' �i 3�`��"' � `"'=
surtounding residential improvements. ��� t ;��; :�� ^_ : ` -` _ °? -?'- �� �:
� . -
Other land (2) ' ?'�, , F.� ��'
•.•SF�-��n
Total land (line 1 plus line 2) (3)
� h� r .; ni .:
Dwelling (4) s �.r. .�r� r � ��� ��a�". `''i
Residential improvemen4s .
Garage 5 '��� ��+�`�'����'`s,���`:
( ) '`f._`_�-�.4....:m`�''��- ';,s.�=..:-.a(..
Other improvements (6) _,`�.. ��.-.-,� `-_�
, E.:,
Tctal improvements (line 4 through line 6) (7�
Tdal value (line 3 plus line n (g)
I hereby certify the above is We, correct, and Signawre ofassessor Date signed
complete.
Verilying aclion - Si9nature oflwditor Date signetl
20_Pay20_
Lesser of 1Y2 Homestead
Valp�ion or 56,000
S
Date