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Homestead_Elpers (29) • STATE FORM!"..ilet NI TREASURERPoAVg1A
APPR[w'tn BY STATE MNRnnf MVR:.NTS.:vw PREytRIBID BY Tilt DE PARTMD4TIF LOCAL GOVERNMENT FINANCE IC 6-I.I-L'-1.1
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 ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information neeessary to allow county government to better monitor homestead
filings.This information will he kept confidential and ran only he accessed by authorized county officials.The Ikpannrcm 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, Ronald M/Debra J
Rr I Box 478-a-3
Fort Branch IN 47648
2650
Ronald M/ Debra J Elpers
R1 Box 478 A 3 State Parcel Number Legal Description
Fort Branch IN 47648-8143
�t�t r��ssr�t��ttt�tt��tt�t�tt�rEtl��t�t t�t t��t�st�tl�ir�rt��t� 26-18-34-400-001.448-024 004-01448-00 PT SE 343111.92 AC>This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
RoW4Jc1 fi4 jv v, �7 �I o r s
ong Address(number and street,city,state,and ZIP code) 1-�d Same as property address
I D I y cS S a —o ) F-I- 3-rc,A I ,v v7C. el
Spouse First Middle Last
The LR -Teq El ers
Mailing Address(Number and street,city,state,and ZIP code) [-Same as property address
/o1 y3 S' 250 t ) F-i- •
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 I Signature Date
•
�.�^� , CLAIM FOR HOMESTEAD PROPERTY_ TAX
� y ' CREDIT/STANDARD DEDUCTION_ -
`+�� State Form 5473 (R2/1-90)
'°" INSTRUCTIONS: See reve�se side (or filing instructions.
CERTIFICATION STATEMENT
I(We) _�� �i[ ���g,��4�[,S/� certify that on the 1 st day of March , 19 �
((We) occupied as our principal place of r idence the fol owing described real propert�f2S'r�.c��tead
HU
�Property Tax Credit is hereby claimed:. I(We) owned. ❑ Are buying under contract
� Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
property or is buying it under a contract. -
CONTRACT.RECORDED
If buying on contract, Fee Simple Owner's Name .
Recorder's office where contract is recorded ; -_Record Number Page . •
County
PROPERTY DESCRIPTION �
_ , Taxing District (City, town, township)
'.�t�(i�"�/(Ex-o0 � lr..,_._.....,..�-._.. Yt �. ��l-�- � � �'Y� ��,
If any portion of the residential siructure or ihe land noi exceeding one (1) acre ihat immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
�i.g.�aiiiiivi i��r�.�
-� ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VAWE HOMESTEAD VALUE NON-RESIDENTIAL
� . . ' � � , VAWE
Land�noi ezceeding 1(one) acre immediately ' "�
surrounding residential improvemenis (�)
Other land (2)
Total land - line (7) pius line (2) (3)
Residential improvements Dwelling -(4)� - � - - � - - � - - - -
Garage (5)
Other improvemeMS (6)
Total improvements - line (4) through line (6) (7)
Total va�ue - line (3) pius line (7) (8)
I hereby certify the above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
STANDARD DEDUCTION ALLOWANCE
7 989 Pay 7 990 1990 Pay 7 991 1997 Pay 7 992 19 — Pay 19 —
>ser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 7/2 Homestead Lesser of t/2 Homestead
Valuation or $2,500 Valuation or $2.000 Valuation or �7,500 Valuation or 51,500
��
Signature of Auditor „ Date
, �GL� M O " � YY1 �v� -,ID �