Homestead_Maurer (8) cl{lE/ORM!Mt+11C/t-NI MARIE/R.FORV 11A
.ArFMNE°fly TATE ODiRDfit MR?R N TS.!ON ryr$RIBW BY 111E DFFART¢.Yr(F LOCAL C VELNM1l."r FI:A\LE MLI.I24i
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual 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.I Iomesteat 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 receive the
benefit and to provide additional identifying information necessary to allow county government to better moires'homestead
tiling,.'ilk information will he kept confidential and can only he accessed by authorized county officials.The Ikpartnimt of
Local Government Finance rill rue this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Maurer, Keith M/Karen A
RI Box 59 dr-
. Haubstadt IN 47639 dr-
.
7213 _ _
Keith M/Karen A Maurer
1412 W 1000 S State Parcel Number Legal Description
Haubstadt IN 47639-8607
Irltillurlrilnulirlrfnliilnilnilurlurinrllrr�r�lr rr il 26-18-36-100-000.706-024 004-00706-00 W NW 36311 1AC
.
Spouse First Middle Last
• MI fig io A WA U e,c
Mailing Address(Number and street,city,state,and ZIP code) sme as pmpeny address
/4/d W /ODDS AA oBS-Th 0 T/0 y 7Z,03
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.
.
1,11
FOflM MC 10 1979
PreuriGeE By Stale BoarO a� ia. Commissioners
CLAIM fOR HOMESTEAO PROPERTY TAX CREOIT FOR YEAR 19
To Be FiIM in DuO����e
SEE BACK FOR FILING INSTRUCTIONS DD Q�'-O�
, - Dof� 7
;�(We) ,��� ./_����/ �• certify that on the 1st day oi
March, 19� I, (We) occupied place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
(We) ❑ owned �CO �� � /Gg–OOD. ��–Q�`�`�
❑ are buying under contract
❑ have a beneficial interest in the taxpayer /�
Property Description
nty
Township
Taxing District (�ewn, Township):
Parcel Number or legal description shown on tax statement:
!�'��1 u� ,u - 3 � — .3— // /.�
If buying on contract: Owners name �'� �""�1e Oxne`�
Contract recorded in Recorders Office - Record No. Page
If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
structure is used to produce income, describe the use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property: � County
�reby certify the above statement is true, correct and complete.
�.
:--
Township
'SignaNre Svee� Atltlrezs Ciry, State and Zip Coae
Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre�ln�a� `�':i �
surrounding residential improvem�itr s �8
Other Land
Total Land
Residential Improvements
MAY g i�81
� well�
�""-� �•�re.��,a.
;�U�ITOR � rage
Total
Other Improvements
?j�nprovements - Line (6) plus (7) equals (8)
�r�oy certiX the above is true. correct. and complete.
Signamre ol
True Cash
Value
(i) �So-a
(2) —
(3) � O O
(4) a 5000
cs) .�, —�_e._0
(6) _�, S o-�
(�) �
(s� a, S��
�«����������t���rr��i�
Assessed
Valuation
/70
J
j��jj�jjj/
���������
'= --.
�
/I io
oa:e
Approved: Date:
Homestead
Valuation