Homestead_Elpers (28) Wit I f1R,M'1!w,lt/f+xl IREASURET FORM 73-IA
APPROVED BYsrtrtanWrtt MN1LNtl.aW IRrffiWarntYmr DIMMEST(itftAL GUttRNMryT En:.\[tEMM.t1-AI
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couplo are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than eta for homestead fraud.I lomestead fraud causes higher in bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verity that they are eligible to receive the
benefit and to provide additional identifymc information necessary to allow county government to better monitor homestead
fling.This information will he kept conlidemial and can only be accessed by authorized county officials.The Depanntent of
• Local Government Finance will use this information to create tools that mill help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name P!- - . . .
Elpers, Steven A/Beth Anne
32,c 2_ E. W42QE sroU
P'R 118 QP .
... 47639
10994
Steven A Elpers
3252E Warrenton Rd State Parcel Number Leal Description
Haubstadt IN 47639-7956
1r1n11tu 1t11nn11t 1t1ll1tulirintitlltilntitlmitlin til 26-23-15-400-001.640-024 004-01640-00 PT NE SE 154101.50 AC
D-9
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
S �E1st b LPEQ S
— 'Ong Address(number and street,city,state,and ZIP code) ----- Same as properly adds — — --
3 2 5 2 C. W a ell-E NYTD 22o ' \A Audi STwvT , Sv L4 1 L3 9
Spouse First Middle Last
geTN- �tJ1.J� �Le'EtS
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
32S 2 C . W>AQOC1\iTD N.Rkbsrtao y sr3 4' i ((?
J
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 I Signature Date
I
lMf =����
aE -° ' q CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
i' , .
,�,��� State Form 5473 (R2 / 5-92)
ieii -
INSTRUCTIONS: See reverse side lor7i/ing instructions.
. . � — CERTIFICA71
- FORM YEAR
HC10
� i �
.�' �1�,</9�
e) _���q[y� V� . . certify that o�t 1 y�M �
��) occupied as our principal place of residence he following described real property for which a Homestead Property Tax C���h'�(� imed
I(We) owned ❑ Are buying under contraci �
Have a beneficial interesi in the entity that is liable for the property taxes on ihe property and that owns the property or is buying under a contraci.
� CONTRACTRECORDED - �
If buying on contracL Fee Simple owner's name . . �
Recorder's oNice where contrect is recortletl Rewrd number Page
Counry . . To nsh�
Pa¢el number Legal tl
If any portion ot the res�.,ential simaure or the land not
ot the property utiiized to produce income.
County
nddress
PROPEfiTY
�. : _
rown,
�k S� 15- �{-. j'o I. c� r�c
one ( cre that immetliatety surmuntls that structure is used to produce income, descnbe [he use and ponion
� 0?3-/� =�%t� - G�/. G o - �
PROPERTY OWNED BY CLAIMANT IN
Township Coun[y
� �
certify the above statemenis are tme, correci and complete. SigXna� e�
/`
n�{mber and s7reef, ciry, sfale.T(P yode) ,
COUNTIES
daim/a�nt
_ 1 /.
Township
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL, �
VALUE VALUE VALUE VALUE
Land not exceedinq 7(one) acre immediately
surrounding residential improvements. (�)
Otherland (2)
Total land (line 1 plus line 2� (3)
Dwelling (4) �
Residential improvements
Garage (5) .
Other improvements (6)
Total improvemenis (line 4 thmugh lina � (7)
Total value (line 3 p�s line � (g)
1 hereby certify the above is irue. CorreCt. and Signature of Assessor Date signed
wmplete.
ying action - Signature of Auditor Dare signetl
�
19_Pay79_
Lesser of tl2 Homesiead
Valuation or 52.000
1'Vh2�
DEDUCTION ALLOWANCE
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