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Homestead_Holzmeyer 'IATL I ORY'!'A,CIiwl TRIASUtrR PORN 11A rnrwtn BY STATE DIV Dp NnilL•TA.:Ow PPI-AAIBEm BY TIE DIPARTSD:YT(W LtsAL Q)VERNMFNT rDt%StE KH.1-2:4I 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 ex er for homestead fraud.Ilomestead fraud 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 reecho the benefit and to provide additional identifying information nemoan'to allow county eucemment to better monitor homestead filings.This information will be kept conlidemial and can only he acceased by authorized county officials.'Ilw Depanment of Local Goverment Finance will use this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Holzmeyer, Eric J/Lisa M R3 Box 326 G Ilauhstadt IN 47639 10856 Eric J/Lisa M Holzmeyer 155E Hirsch Woods LN State Parcel Number Legal Description Haubstadt IN 47639-8832 I I II I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 26-23-07-200-001.514-024 004-01514-00 PT SW NE 7 4 10 1.00 AC ` ' D-9 PART 2: TAXPAYER INFORMATION Owner I First Middle /lo Last cric J /zme yer- �tg Address(number and street,city,state,and ZIP code) - -- Sam e its property address - _ - /5S E. 1-74(-1 sch ltloods Ln liac.bstctd t, 2W 'i'2 /039 Spouse First Middle Last Elsa M . 4 /zmeye/- Mathias!Address(Number and steel,city,stale,and ZIP code) / I'QI Same as property address 1SS E. /"/ 'r sch Gi)kods Lit rtac< bstadf, 2W JL%6,39 - Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is eliuible 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 IP MP. • ea� "� a CLAIM FOR HOMESTEAD PROPERTY TAX a��= CREDIT/STl�NDARD DEDUCTION .,,�y .; � State Form 5473 (R2 / 5-92) �eu INSTRUCTIONS: See reverse side !or (ilrng instructions. ��. � ' - - - _ r- � '- rco rnn ' , �i EAR _ HC10y � �� ., 199 /° GI'T :=� �.`JCU!v'?�` -'.�I:dTOft I I(We) certify that on the 1st day of March, 19_ "''�pied as our principal �place of res dence the followin descnbed real roperry for ich a Homestead Property Tax Credit is hereby daimed: (We) owned ❑ Are buying under contract ❑ Have a beneficial interesi in the entiry that is liable for the property taxes on the property and that owns the property or is buying under a contract. � � . �� � . � -� - � _ . , CONTRACT RECORDED � � It buying om m�(raCt. Fee Simple owner'S name - .. ' Recorder's oRice where contrad is recordetl Record number Page Counry rc nu ber If any portion of Ihe residential str of the property utilized to produce N�— PROPERTY ' Township ' Taxing district �ry, ro, f ip) Legal description - or the land not exceeding one (11 aae that immetliatety sunounds that strucNre is used to protluce income, describe t�e use and portion e. . ' . i . . .' t . . .. f . . . f [ . . . - c� j_-L�uv - �/�_ di T-riof � PROPERTY OWNED BV CLAIMANT IN OTHER COUHiIES certify the above siatements are true, correct and rnmplete. numberandstreef, ury, sfate. ZIPwUe) �� �yo x 3 2 co � l�� ��3s T�-o T �3 9 Townsttip ASSESSOR USE ONLY TFiUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL .VALUE VALUE VALUE VAWE � Land noi exceeding 7(one) acre immediately surrounding residential improvemenis. (�) �� Oiher land (p) Total land ((ine 1 plus line Z� (3) Dwelling (4) - Residential improvements Garage (5) � � . Other impravements (6) Total improvemenis Qine 4 through line � (7) Total value (line.3 p6s line � (g) I hereby cenity the above is true, correct, and Signature of Assessor Date s�gnetl complete. - Verityirg action - SignaWre of Auditor Date signetl � STANDARD DEDUCTION ALLOWANCE � ' 19_Pay79_ . • - Lesser of 7/2 Homesiead Valuatio r 52,000 � Signature o� Auditor — Date si —� �