Homestead_Elpers (37) 5T%TE r1MM!'W lR-r•■••1 fi,,ssurrr FORM 73-IA
APPROVED BY'FATE 11,14R40r MYf..NTr.2U1 PVYRIBFDBY mE DEPARTMEYT(f LOCAL rOv RNMIIKT FD:A'CE IC 11-1.1-I24.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes
_ more beneficial,there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-3009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and ran only be accessed by authorized county oflicials.'nrc 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, Ronald P/Nancy E
R I Box 134 A
Daubstadt IN 47639
9604
Ronald P/Nancy E Elpers
12556 S Owensville RD State Parcel Number Legal Description
Haubstadt IN 47639-8703
�rlttlitttltllttttlltltltt�tt�r�trt��� IIiiItIitl�rtttlr�� 26-22-15-300-000.288-024 004-00288-00 PT SW 15411 2.20 AG
D-2
• PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
aoI4gld �ahll Llpers
ng Address(number and street,city.state,and ZIP code) - - ❑ Same as-property address -- -— — — — —
1a. 55(P st Owevuvflle !o{ Haubstadt l/v y7G3 °f
Spouse First Middle Last
cy Et zalOett. Eifers
Mailing Address(Number and street,oily,state,and ZIP code) ❑ Same as property address
( is 5—c s, Owe. nsv : Il e- ie aubseao{ t XA" 7CO3a
PART 3:CERTIFICATION
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 1 .attire Date
® U
.JGLU vl lad wLltu.alvuuu .. .
\\
CLA1M FOR HCl"�STFAD Pf�OPERIY TAX CRQ)IT FOR YEAR 19_ ,��
i SEE BACK FOR FILING INSTRUCTIONS, '�'�
I,`�7�e) �"' /�1"' -_ � f'1" '� certi that the 1 t da f
r�sch. 19 . I, (w )��ied as our pn.nc
•'" � sty for which a Hoirestead ?roperty Tax
� .
fy on s y o
lace o residence the follo,aing described real
t is hereby �;*x; ���;*�:' .
I, w�� ❑ �� �'G ����-.��6.�c�-�88-0��
� are buyinc? urrler contract ���- 4 O a�� - D a
� have a beneficial int��r-(est in the ta�mayer
Property Description. in �J�-� �unty - �M Zbanshio
Taxing District (City, Toom, Zboniship) :
n�ol rh�ber or�, }egal des¢intion s}nc,m on tax statHrent:
V�" rS�.J ��}� /0�'7`=�/ �7.20
Z' bwina om m�tract: Owners nan�e (fee simole owner)
Contract rerorded in Rewrder's Office - Record 23�. Page
If any nortion of the residential structure or the land, not e�eeding one (1) acre that
um�ediately sunv�s that structure is use3 to pzvcluce incane, describe the use arrl portian of
tn= property utilized to produce irnome
Pny oth�r counties in which inciividual owns or is buying real property:
I here.i7y certify the above statenent is true, o�rrect a� conq�lete.
�im Ztr,anship
city, state and zip a
•- *Individual either aans or is buyi.ng imer a mntract that grovides he is tn PaY the
oroperty. tax� on the residence, or has a beneficial interest in the taxpsyer.
- FOR ASSESSC)R�S USE ONLY -
4Yue Cash Assessed F�inestead
Value Valuation Valuation
Land not exceeding 1(one) acre inarediately s-O.d � 7 a t 7b
sisroiuriing residenti.al i�rovarents (1) _T
� - . .
Zbtal Iand
Pesia�ntial I�zo�,anents
C�,h�r Iim�rovenents
Dwelling
Garaae
4bta1
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't� '. I�mverients - Line (6) plus (7) �uals (8) (8)
Z hereby certify the above is true, correct, and �lete.
I)ats
- ACTION BY P.UDITnR -
i�ozove3: Date: