Homestead_Helfrich (7) MATE FORM!1Ya tle/swl rPEASUESA FORM SIA
ArPROVED BY MATE BOARD DE FRANr1.'nn PLEA-MOM BY ref DEPARTMENT OF LOCAL GOVERNMENT ra:NCE le FI.I_1.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple.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.Homestead fraud causes higher la bills for all:therefore.
• HEA 1344-2109 requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to¢cease the
benefit and to ptwidc additional identifying infonnatwn necestry to allow county government to better monitor homestead
filint_v.This information will he kept confidential and can only lx-accesed by authorized county officials.The 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
Helfrich, Thomas R/Loris Ann
R2 Box 15
tlaubstadt IN 47639
8347
Thomas R/Loris Ann Helfrich
9981 S US Hwy 41 State Parcel Number Leeal Description
._ —_ _Haubstadt.IN.47639-7811- — ._ . -- - --- -- — -- -----
26-19-32-300-000.434-024 004-00434-00 PT N SW 32 3 10 .74 AC
IsloiltttI,IItu•IItIuI,,I,t lleilitnIInillli iteill,I,I,I 0-9
PART 2:TAXPAYER INFORMATION
Owner 1 First Middle s Last
—r71 o 0/el s
T. t�f-B l f d
g Address(numbs and street,city,state,and ZIP code) ❑ Same as property address - - --
R98 / S. us NW Y. c(/ A/Aaf35rAprrSr/ 476 3 9
Spouse IS Middle Last
40/2 's A . iIEi_F,e lCist
•
Mailing Address(Number and street,city,state,and ZIP code) 0 Same as property address
981 S. X15 /•Iwy. y I NAuasrADr, Id 47L39
—
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 Si tare Date, /
d�p•4 CLAIM FOR HOMESTEAD PROPERTY TAX � � R
:�"" y� : CREDIT/STANDARD DEDUCTION �o�
�' State Form 5473 (R2/1-90)
�'°�• WSTRUCTIONS: See reverse side lor filing instructions. . �AY 1 O 19� i
CERTIFICATION STATEMENT Q�/ 7�� �O ��T � BZ�
�� (We) 7��.2�Ltl'./, �L.//Lvrn.aa..���uo certify.that on the tst day of N�ir�.�i,T79'�%
I(We) occ�as our principal place of residence the following described real property forwhich a Homestead
Property Tax Credit is hereby claimed: � I(We) owned .❑ Are buying under contract
�Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
proPerty or is buying it under a contract.
CONTRACT RECORDED.
on contracL Fee Simple Owner's Name
Recorder's office where contract is recorded
PROPERTY D
County / o
Number � Page _
Parcel Number I Le9al Description �� � .
oo�-00�{.3¢_0o S�cJ 32-3-/0 ,?.�.�;j a�
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
;ounty Township � County - Township
I hereby.certify ihe atiove siatemenis are true. correct and Signature
complete.
Address (Street, number. city, siate and ZIP code)
ASSESSOR USE ONLY . TRUE TAX VAWE �• ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
� veinc
Land not exceeding �(one) acre immediately
surrounding resideniiaf improvemenis (�)
Oiherland (2)
Total land - line (1) plus line (2) (3) �
Residential improvemenis Dwelling � (4) - - � � - - - - - - -
Garage (5)
Oiher improvements (6)
Total improvements - line (4) through line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Audi[or Date Signed
1989 Pay 1990
Lesser of 1/2 Homestead
Valuation or $2,500
STANDARD DEOUCTION ALLOWANCE
1990 Pay 1991 1991 Pay 1992 79—Pay 19—
Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or $2,000 Valuation or 57,500 Valuation or 51,500
Signature of Auditor � Date