Homestead_Niederhaus MIT rORM•)M12'F-Q t lRLsSuItnR FORM IS-TA
APPROVED nY SPOIL WARD Or'MY•t OTS_`m, PRLUThW BY Mr OFPARIMLMFOF LOCAL r vaRNMrra FINANCE IC 4.1.1.114.1
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 ester for homestead fraud.homestead fraud causes higher tat bills for all:therefore.
HEA 1344-2109 requires axpa.ers who receive the homestead standard deduction to verify that they are eligible to reecho the
i benefit ani to provide additional identifvine informaton nte:1yt 'to allow count g0+'rmtrdmt to barer monitor homestead
i
=,P tilirrp�.ibis information will M cep mnlidaainl anA can only he arcesuJ by authorieeJ county olfici�als.'Ihe DLlunndmt of
7 I Local Govclnment Finance gill use this information to create tools that wilt harp county of vials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
APR 2 0 2010 Taxpayer Name Property Address
Niederhaus, Donald Gene L
R2 Box 126
GIBBON 4�NTV y AUDlYtp llaubstadt IN 47639
11059
Donald Gene Niederhaus
12582 S 200E State Parcel Number Legal Description
Haubstadt IN 47639-7948
1t1tt11ttt1t11tttr11t1t1tr1ttr11t1ttr1tt111t1t1tt1ttt1t1tt11t1 26-23-16-400-000.758-024 004-00758-00 WARRENTON 13 PT/14 PT
PART 2: TAXPAYER INFORMATION
Owner I First Middle — Last
o _ 2412. AIf ed. °Cj^'In e .oS
tg Address(number and street,S.state,and ZIP code) -_. -- — _- ❑-Same as property eddres> - — - — - - — - — —
/2 S"82. S 2.eo 7= Rau obSi(k&7' Z)(rd. 4Z`3-4
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
suite
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
•
ei%-'°� CLAIM FOR HOMESTEAD PROPERTY TAX .
����; CREDIT/STAN�DARD DEDUCTION .
�;�• State Fortq54731R2 / 5-92)
�7�>
�au � .
INSTRUCTIONS: See reverse side !or /iling instructians.
FORM YEAR
0
_ �_.
JAN 0 2 1997 �
�� �We) _��L � 'f t a i�1/�19_
�) occupied as our principal place of residence ihe following escribed real property for whicti a Ho t�;R�Op iLYedtpfgj@(db Gaimed:
L,�We) owned ❑ Are.buying under contract � . , , . � �
❑ Have a beneficial interesi in the entity thai is liable for the property taxes on the property and ihat owns the pmperty or is buying undera conUact.
- - � . . � - CONTRACTRECORDED� � .. � • � �
H buying on contracC Fee Simple owner's name � � ' � ' - . � - .
Recorder's oNiCe where Contract is retorded � ReCOrd number Page
u any
of Ne
Township
struaure or Ihe land not ezceeding one
�Ce inCOme.
/I�
in rr.
ihat immei
rown,
desuibe Ihe u5e arid portion
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES � � �
County Towns�ip Counry Township
�=by cenify the above statemenis are irue, correct and complete. Signawre o� ciaimam
Adtlress (numberandsfreeG city, sfate, ZlPcode)
MZ 2� c3S
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDEN'fIAL
. . � � VALUE VALUE VALUE VALUE .
Land not �exceeding 1(one) acre immediatety
surrounding resideniial impmvements. (�) � �-
Other land (2)
Total land (line 7 plus line Z� (3)
Dwelling (4) � -
Residential impmvemenis
Garage (g) - � �
Other improvements (6)
Total improvemenis Qine 4 through line �� (7)
Total value (line 3 p�s line � (g)
I hereby Cehify Ihe above i5 lrUe, correcl, and SignaWre of Assessor Date signetl
complete.
��tyirg action - Signamre of Audimr Dare signed
- STANDARD DEDUCTION ALLOWANCE �
19_Pay19_ .
Lesser of 1/2 Homestead �
Valuation or 52.000 S
Sgnature of Autlitor ' Dare signea
1