Homestead_Maurer (13) ./ VI Mt IORM!"W I2'/YNI TRF..SIM FORM 711A
MPPAA fn BY MITE BO\RD Or Nast 4%T'._nn PRT-YRIBm BY TM DEPARTM:Yr OF LOCAL COVE-RVY.ETT FAANTE IC 6-1.1-2:4 I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS 9
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 ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore. S
do
RCA 1344-2009 requires taxpayers who receive the homestead standard deduction to verity that they am eligible to receive the
benefit anti to provide additional identifying infomvauon necessary to allow county government to better monitor homestead
lilinp.This information will be kept confidential and can only he accessed hp authorized county ntliicinls.The Department of
Local Government Finance will use this information to crease cols that will help county officials eliminate homestead (laud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Maurer, Kent
FlaubstadtIN-47639-- —_ __-
9477
Kent Maurer
11144 S Owensville Rd State Parcel Number Legal Description
Haubstadt IN 47639-8642
26-22-10-100-000.697-024 004-00697-00 PT NW 1041125.553 AC
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PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
)i) CA - CE FLe1 P?/?04ER
•ng Address(number and street.city,state,and ZIP code) --- - -- E"Snmas prapeny addrecs --- ---- —t— -"
/// 91/ S. Uw£n-s a itL €. gb, //40fesrAa', .h t 4763?
Spouse First Middle Last
Z'ma-A f— ER2E y Au R.-e 2
Mailing Address(Number and street,city,stale.and ZIP code) l�l >ame as property address
PART 3:CERTIFICATION
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
a�� � CLAIM FOR HOMESTEAD PROPERTY TAX FoRM YEAR
���: CREDIT/STANDARD DEDUCTION : HCio �
`.,. . ��.;� � State Porm 5a73 (R2 / 5-92)
uu
INSTAUCTIONS: See reve�se side lor7iling instructions.
ve� _� ��v{_� / 1 l V Jcl���/ �LJ�,�LL�t1 certity ihat on the 7st day of March, 79
��ii��a-i_
�) occupied as our principal place of residence ihe following described real property for which a Homestead Prope y r it is med:
��We) owned ❑ Are buying under contract ����
1L��
❑ Have a beneficial interest in the entiry that is liable for ihe property taxes on the property and ihat owns the property o[�i� qyyjng under a contract.
� CONTRACTRECORDED �
I( buying on contract. Pee Simple ownefs name �- A� D'.ro�
/1 1
Recorder's oHice where contmct is recorded qecortl number Page
Counry
Township
PROPERTY
T�ing
P�rce� u er.00 ^�• � ILegaldescription //
v��- 6Y o �
If any ponion of aure or the land not exceeding one (1 � aae ihal immediatety surmuntls that swcWre is used to protluce income. desaibe the use and ponion
ot the pmpe .,�„ " come.
Counry
�'�'��. i
' O�
PROPERTY OWNED BY CLAIMANT IN
certify the above statements are true, correct and complete.
d streel. ciry, slate. ZIP code) '
o x 9�—� {�. b s+� d�-;
COUNTIES
/ / �.�''".t-°�•
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON•RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 7(one) acre immediately
surrounding residentiat improvemenis. (�)
O.herland (p)
Total land (line 1 plus line Z� (3)
Dwelling (4) .
Residen�ial improvemenis
Garage (5)
Other improvements (6)
Tota� improvemenis Qine 4 through lina � (7)
Total value (line 3 pLs line 7� (g) �
1 hereby certity Ihe above is Irue, correct. and Signamre of Assessor Dare signed
complete.
?� ng action - Signature ol Auditor . Da;e signed
�
19_Pay19_
Lesser of 1/2 Homestead
_ valuation or 52,000
Si9nature o� Auditor //M � O / 1•
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