Homestead_Helfrich (6) MIL IORM,IKIR=I■P1 I1IAStir£A FORM ZIA
APPROVED BY MATE BO&RO(NMT IRtit.9P rVYRmID BY me OEPARMEVT(K LE AL OMCANNFT7 Fa:A'CEMs-l.l--•'A.I
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 e'er for homestead fraud.Iomestead fmud 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 receise the
benefit and to provide additional identifying information necessary to allow count'government to better monitor homestead
filings.This information will he kepi confidential and can only he accessed by authorized county officials.The Deparrntent of
Local Government Finance will use this information to create tools that will help county officials eliminate hmnemead fraud.
-PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Helfrich, James E/Brenda L
R2 1
I laubsadt IN 47639
10903
James E/ Brenda L Helfrich
11965 S 200E State Parcel Number Legal Description
Haubstadt IN 47639-8005
Itloll Ftt'tllt tit lit lilt tit tit lint ill tint ltd ttl lit tl tl tlrtl ll 26-23-09-300-000.432-024 00049-00432-00 PT SE SW 94101.6846 AC
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PART 2: TAXPAYER INFORMATION.
Owner I First Middle Last
tg Address(number and street,city.state,and ZIP code) — --- 0 Same as property eddies; - -—
Ck1125 5I moo E. A ns -k 1(,93
Spouse First Middle Last
Mailing Address(Number and street,city,stale,and ZIP code) EqS:un<as property address
1\R U S S . E. c .lo s-�cei-V L q--/c.3 5'
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
`�E'�"� CLAIM FOR HOMESTEAD PROPERTY TAX
ai- 4.
;E�� CREDIT/STANDARD DEDUCTION '
�,.� StateFortn5473(R2/5�92)
�J
-,,.
INSTRUCTIONS: See reverse side lor liling instruc(ions. �
i�:-� � 1�.�
' �� _ �', I )
�I�AY 1 Q 1994 �
) ; /l .!' _��{�/-� certify that on ihe 7st day of March, 19
) oc/ pied as our principal place of residence the tollowing described rea6property for which a Homesiead Property Tax Credit is hereby claimed:
`I (We) owned ❑ Are buying under contract � ,,
❑ Have a beneficial interest in the entity that is liable tor the property taxes on the property and that owns the property or is buying under a contraci.
. . . .CONTRACT�flECORDED
It buying on conirac[, Pee Simple owner's name -. . . - - _
Recortler's office where contract is recortletl Record number Pa9e
PROPERTY
Township
Tasing di�ricy(ciry, jown, townsbip)
Parcel numb Legal de � ti
CK� j���-� � 7'- � /o � � �`�6s�C,
It any portion oi the residential svucwre or Ne land noi exceeding one (7) acre tha� immediatety sunounds that structure is usetl ro produce income, describe the use and portion
of the property utilized to produce inmme.
-��_�9-n�i�1/)-
PROPERTV OWNED BY CLAIMAM IN OTHER COUNTIES �
Counry Township Counry Township
aby certify ihe above statemenis are ime, correct and complete. Sgna[ure ot Gaimam
C�
Addre 5( umbei antl streef. ary, sfale, Z1P code)
�Z bS ��co 3
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL �
VALUE VALUE VALUE VALUE
Land not exceedinq 1(one) acre immediately �
surrounding residential improvements. (�)
Otherland (p)
Total land (line 7 plus line 2� (3)
Dwelling (4)
Resideniial improvements .
. Garage (5) � _
Oiher improvements (6)
Total improvemenis Qine 4 through line � (7)
Total value (line 3 pLs line 7� (g)
I hereby Certify the above is Irue. CArreCi. and Signature ol Assessor Dare signed
complete.
rg action - Signature of Audimr - Date signed