Homestead_Moers MMAtt l ORSt tN I R r art TM-ASMUUR roaM T3'.A
RwrIMPORTANT NOTICE TO HOMrESTEAD PROPERTY ROWNERS Ia-L'J.I •
Gibson County Auditor
101 N Main
PRINCETON IN 47670 IndividuaLs and married couples arc limited to one homestead sandanl deduction.As the receipt of this deduction becomes
S more beneficial,there is more incentive than es er for homestead fraud.Homestead fraud causes higher tae bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene the
benefit and m provide additional idemifyine Information necessary to allow county government to better monitor homestead
tiling.This information will he kepi contidemial and can only Iv accessed by authnri,ed county officials.The Department of
Local Government Finance will at this information to create tools that will help county officials eliminate homestead thud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Moers, William E/Gail L \L
R_
FORT BRANCH IN 47618
11009 /6`S E /zoo s.
/14u sraD, Cr' °/7435 -1d/7
William E Moers
1665E 1200 S State Parcel Number Legal Description
HAUBSTADT IN 47639-8047
It lttllrlt ltlltttt11t1t 1tt 1tr1t11t tt t1tt11trtltllttt irirt trill 26-23-16-100-002.010-024 004-02010-00 PT NW NW 164107.047 AC
^/ D-9
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
IN LL Rr- EdwA2p P9oE2s
�ig Address(number and street.city,state,and ZIP code)-
- - --— _-._-as property address -- -- -" —
/E6s- F / 0o S, HA0asrnpr/ a-rz 517g3r - goy-?
Spouse First Middle Last
GAi L Gg,Vrs. Thy ERr
Mailing Address(Number and street,city,state,and ZIP code) lat<me as property address
1661 C. 1200 S, 14A0BfrDA1-jr'.-' 5/7427- 1077
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
•
CLAIM FOR HOMESTEAD PRQPERTY TAX
CREDIT/STANDARD DEDUCTION
State Farm 5473 (R614-03)
Rasaibed M tlie Depenmeiri d Loril Govemment Finance
wsrnucnoNS: s� ��a. mao w� �m�md,c
� '�OR YEAR
� �� -�
JUL 2 2 2005
� (We) � L L. ce�i(ffi�l9lP6lD�p3t�eay�6FA�5}@i. 20_
I(We) occupied our principal pl of residence fhe (ollowing described real properry for which a Homestead Property Tac Credit is hereby daimed:
�I (VJe) owned ❑ Ne buying under contract
Have a benefidal interest in Ne entity Nat is liable for the property taxes on Ihe propeRy and Nat owns lhe property or is buying under a conVaU.
If buy'ug om m�iraq. Fee Simple owners name
conirad is remrded
Counry
Parcel nu 6er
Qp��b;
I( any ponion af Ne resiE
of the property util¢eC to
7axnship
Lagal descriptian
rict (riry, town,
�sa—F
Is the property
sWdure w Ue land not exceeding ona (7) aQe that immetliatety wrtounds that
ce iricome.
�%�Li
Record number � Page
Question:
�aal property ❑ MoWle Homo (/.C. 67.7-7)
re is used to Droduce income. Aescribe Me use and portion
�`�'5�.�-��-'�'�-��,r�. -.m`-'"h.����PROP.ERTY,:OWNED:�BY.CLAIMANT,IN;OTFiER'COUNTIES},`'�"'.�+`�5�.��;:�r`��'�^`�"�'r,"�`',--�'.�','��`�'""g
County Toxnship County Twvnship
I hereby certify ihe above statements are We, corred and complete. Signature ot daimant 1��_��
�'� � i'�O"'...
�dress numberaM streef, city state, ZlPcode)
R 1 l�oxlos✓ cRr�oo S
�`�� �����' £'' `��'`{'''�� ��TRUETAX��k ASSESSED VALUE ;�HOMESTEAD'��` � NON-RESIDENTIAL h
.,��t�s�_'�'��`��fASSESSOR�l1SEONLY-`.�--� �!�r yp�;UE�;�sb� �`AT100%'OFTTV VALUE �_f`y','a-..VAI.UEry,� ,r,�s
�.+�'E,T.��.a�'#rsf#����,.�A. �-�?a �t7.a.v. . .� � ...,. >.,d,...� �.�..- .. ,..� �� ��i�?
Land not exceeding 1(one) aae immedialety � r'"„� s-;, '�""',-�,n.-�� ��' ��"�'�.f..rA,.
surrounding residentlal improvemenis. (�� ��, .,,.'.;"'`f,���rt,t,�` �f'
�� _� � ,, -_
�: "'"'�"'z`
Other land (y) �:'�,-�����
..sa,� >;r`:
Total land (line 1 plus line 2) (g�
. ��+.��- .� .. ��%:
Dwelling (4) � � �,��, � ���ur���
�Residential improvements or MnuaOy
Asauxd AbhOe / Manufa�red Hvne Ga2ge (5) '��������;�3 _ v� ��-M
3�.,: � ..2s'��,'ni�.,�e� —�
n '
Other improvements (6) �Y�� 3i����Y
a-r:w°.'Fi :'„n�+''�.�
Tdal improvemenfs (line 4 through line 6) (7)
TUaI value (line 3 ptrs line n �g)
I hereby certify ihe above is We, corred, and Signamra o�nsseswr oate signed
complete.
Verilyirg action - Sigriatura ofluidibr Date signed
�