Homestead_Mayer •
Sttn FORM a3`N410h-101 IRSASURLR RON IS-1A
APPROVED l qnt M\Rn Of Al I III Nri.LU PRLSCRlnknlIV rim.DI PAR I.ML.1or LO%ALCo%nA\MLSt I L&&L IC Liars t
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N.Main Street Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
Princeton, IN 47670 more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud causes higher vac bill:for all:therefore.
II EA 1344-2009 requires taxpayers w;no receive the homestead standard deduction to serif)'that they are eligible to receive the
benefit and to preside additional identifying information necessary m allow county government to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to mate tools that will help county officials eliminate homestead fraud.
PART l: PROPERTY INFORMATION:
Taxpayer Name Location Address
Mayer, Bruce A/Lisa K
952 W 1000 S
HAUBSTADT IN 47639
2286
m1.01111111111_ 11111111111 Homo,.110111[ 1101111.011101011I
Bruce AMayer
952 W 1000 S
HAUBSTADT IN 47639-8602
III�I�'II"I�I�Illlllrllllnitll�Il'll'I"II11'I�II"'����I��III" State Parcel Number Legal Description
26-18-36-400-000.705-024 PT N SE 36 3 11 3.634 AC
0c1192012
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This form MUST be returned to County Auditor's office.SON GOUNTY Au R
p17o
Please do NOT send this form back with your tax payment to the c8tinty treasurer.11
_ .er I First Middle Last
6/t VC C 'ILGF A) /YIGIY,(—/L
Mailing Address(number and street,city,state.and ZIP code) in Same as property address
Spouse First Middle Last
LTS4 M
Mailing Address(Number and street,city,state.and ZIP code) Same 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
'
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��� � CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
'� � $tate Form 5473 (R4 / &00)
� ' IN57RUCTIONS: See reverse side (or filing ins6uc6ons.
� EAR
R
�,� �
DEC 11 Z�U1 � 6"
/� GIBSON COUC: t e nw� �.... .
I(We) certify that on the 1st day of March, 20_
I(We) ocwpied as our principal place of residence the foliowvig described real o rty for which a Homestead Property T�c Credd is hereby daimed:
n I(VJe) owned ❑ Me buying under contract
�lave a beneficial interesl in the entiry that is liable tor the properry tazes on the property and that owns the property or is buying under a contrad.
II buyi(g on wnUact, Fee Simple ownefs reme
Counry
P -el u�
I( afry portion ol the resid
M Ne property utilized lo
_ �
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County
��'��'�
7avnsNp
Legai descrip ot[i� � .
Ta6ng disUkt (city,
Record number Page. - � •
JJZ U -ir � / V �1x.. ,] (D � J � i I �, 10 �`7 I�
s WcW2 a Ne lantl trot ex ing rne (7) arie �hat immedatey surtounds Nat structure is used to produce moome, tlescribe the use and
ke income. � -
-%X- �� - �� - �ao. � � d.�
��=. � PROPERTY%O_WNmBYC-.,���LA_'IMANT?
Twrnship - _ Counry
I hereby certify the above slatements are true, corred and complele. Sgnatu o1 daimant
. - ��
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