Homestead_Fritz STATE FORM:wt.Irt.wl TRrssuus FORM.a-u
.APPROVE()BY 5111E BOARD OPMTT.'1Syw P Rr3WsmD DT 111F DFPARTHENTOr LOCAL GOVERNMMT FINANCE IC 41.1-241
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and tarried couples are limited to one homestead standanl 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 verily that they are eligible to reecho the
benefit and to provide additional identifying information necessary to allow county goverment to better monitor homestead
filings.This information will he kepi confidential and can only he acn el by authorized county officials.The lkpannmat of
Local Go'entment Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Fritz, Gary W/Deborah A
1617 Schillinger RI)
Evansville IN 47711
10765
Gary W Fritz
4166 E Oak Ridge Est Rd State Parcel Number Legal Description
HAUBSTADT IN 47639
26-23-02-400-001.988-024 /OAKRIDGE EST 7 D-10
PART 2:TAXPAYER INFORMATION
Owner g. First Middle Last
•ag Address(Humber and street,city,state and ZIP code) - 10 Same as property addre - - --- -
(o . L►. - ;Rf ist-144S fc Lta daidi V7639
Spouse First /� Middle ��--� Last
aaCt Ann t—Y 1kzJ
Mailing Address(Number and street-city,state,and ZIP code) El Same propene addm:s
V/6(0 6. Ozk Caw- /-443-nQaf, - u • 91�7 s7
Each unde•:'en=. ertifies.under penalty of perjury•,that the above and foregoing information is true and correct and that he or she is elieible to
- 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 ignature 5?5 Date
•
�. �CLAIM FOR HOMESTEAD FROPERTY TAX
CREDIT/STANDARD DEDUCTION
t Stata Fwm 5473 (R6 / 4-03)
' Prescribed by the Department of Local Govemmant Finance
INSTRUCTIONSr See �etrerse side Por filing instn�ctions.
� FORM YEAR
� HC70
FI
B�
I(We) certifx�S7hlat on [h ts day of Marth, 20
I(We) occupied es our prindpal pl ce f residence the toliowing described real property for ich HomesteaaPf 'G"'sedit is hereby daimed:
V
7 I(We) owned ❑ Fve bu mg under contrect GIBSON COUNTY AUDITOR
, Have a banefidal interest in the entiry that is liable for the property taxes on the properry and that owns the property or is buying under a conVacl.
It buyln8 on contract Fae Simda owners name
where canVSa is recorded
i( arry portion ol the residantial sfi
ol Na PmPenY uNized to produce
Rawrd
Tpvnship
PaBa
� I Legal descnption I Is N�roperty in Questlon:
T
q(jealO�Perty ❑ Moblle Home (LG G1J-�
or Ne Iand rwt excaeding one (7 ) acra that Immadiatey surtounds lhat struUUre is used to ptvduce incoma, describa the use end portion
�ws�i�viiii�
a' �y� �+.�i".�'�'�s�'4''. ��°��'��.,�'r��sZ, ��TRUETA7(-�`^-�� ASSESSED�VALUE � HOMESTEAD-.� �"�� NONRESIDENTIALk�'� '�`
,
� A3SESSORUSE�ONLY.r ^[ � -�.- � �,+ � �- .., _ . : �
�?`':.�- s -- .r,���_: .,SrLL V/LLUE��e,'� ,�ATs„100X OF.TTV v.*:.VALLUE � :. �S-�s�f�"".��iVALUE�...��n-��r.,,'li -:?.
`�.�, t a!:r i�wt�.:3�.��.rYic€ ��`rsF�3'4'1r- z , -.
Land not exceeding 1 (one) acre�immediatety - - - �;�,� at u-� .�;�ciy ���.� ;�, .a;
surtounding residential improvaments. ��� �,Z�, ���u _ ��. `s�`.�; r�::
J' %� a S E:.:
Other land (y) : y.�v' �'�T� �;�
Tatal lend (I/ne 1 plus line 2) �g)
9 � ) ���,����5"`�fi. -�ta��''..``s���`�
ResidentialimprovemenfsorMnually �ellin 4 :e�, "��.�;�i ir r _� ��N
Assessed MoWle / Manufactured Home .,:s 1 �...�•, a�; -� .
Garage (5� _ s � �
u ,�-' " .
...r - =
O�herimprovements (6) ` �' _ - ,
Tdal improvements (line 4 Mrough lirre 6) (7)
TUaI value (line 3 phs Ilne n �g�
I hereby certify the above is We, correM, and � Signawre otnssessor � Dau sipned
complete.
Vailying acUon - SlgnaNre aflwditw Date signed