Homestead_Goedde (11) !TALE IDtS'!!M IR-!'a.' MANREA FORM TS/A
APPROVED BY Ctnrr BOARD Of MCMWBpn Prrnintl)nY TIE Drr, mnNT(w LOAros'ztNMrwrrE shire H.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 beconrs
more beneficial,there is more incentive than nee for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taxpayer who receive the homestead standard deduction to verify that they are eligible to reecho the
benefit and to pnside additional identifying information necessary to allow county government to better monitor homestead
filings.This infnrnution will he kept confidential and can only he accessed by authorized comity officials.The Depannrm of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpaver Name Property Address
Goedde, Paul E& Kelli A
—/12(E /O2
Ilaubstadt IN 47639
8353
Paul E & Kelli A Goedde
1691E 1025 S State Parcel Number Legal Description
Haubstadl IN 47639-8025
26-19-32-400-001.080-024 004-01080-00 PT SE SE 32 3 10 18.29 AC
liollirt1t11eliellt111111111.II 1 1 1 1 1 1 11111111 D-9
PART 2:TAXPAYER INFORMATION
Owner I First � Middle v �� �� Last
pac4. ( _ edict? _
tg Address(number and street.city,state,and ZIP code) l� Same us property nddres
Spouse First Middle Last
/ e77; 4 6 �K
Mailing Address(Number and street,city,state,and ZIP code) (-Santa as property address
/ 6 / /027 S
Each undersigned certifies,under penalty of perjuy,that the above and foregoing information is due 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
•
•
E`�� ��� � CLAIM FOR HOMESTEAD PROPERTY TAX R� _ YEAR
s��: CREDIT/STANDARD DEDUCTION • Ci �` C� �
.�;,;�� State Porm 5473 (R2 / 5-92)
�ui
INSTRUCTIONS: See reverse side for liling inshuctions. �PR 1 6�99.5
- CERTIFICATION STATEMENT -
I(We) `�- �+1.• O�^-' certify iha[��neum/ f March, 19�
�) occupied as our principal place of residence the foilowing described real property for which a Homestead Property Tax Credit is hereby Gaimed:
n I(We) owned ❑ Are buying under contraci
�4ave a beneficial interest in ihe entity ihai is liable for the property taxes on the property and that owns the property or is buying under a contract.
CONTRACTRECORDED.
It buying on contract. Fee Simple owner's name - ,
Retorder's ottice where contract is recorded Record number Page
Caunty
DESCRIPTION - ��
rown,
Parcel number Legal d ion �/
Op�{-o�ogo ;� o��_ �£. ��-3-10 ? g.�-5 �}C-
tl any portlon ot t�e residential swcmre or the land not exceeding one (7) aue that immediarety sunounds that swcNre is used to produce income, describe Ne use and portion
of Ne property utilized to produce income.
��atir_.dii�irizwiiv�
ASSESSOR USE ONLY . TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
.VALUE VALUE VALUE � VALUE
land not exceeding 7(one) acre immediately
surrounding residentiai improvements. (�)
Other land (p) .
Total land (line 7 plus line Z� (3) I
Dwelling (4) . �
Residential improvements
Garage (5� - -
Other improvemenis (6)
Total improvements (line 4 (hrough line � (7)
Total value (line 3 p�s line 7� - (g) �
I hereby Cehify Ihe above is true, GorreCt. and Signature ol Assessor - Date signed
complete.
ymg action - Signamre of Autlitor Date signetl