Homestead_Niederhaus (5) STATE FORM!)!M IIC r'+nl TREASURER FORM TS-1A
.1rrROvtonv WTSTE nn‘RoormrrCXPNI".211,4 PI{LARIBW BY TIM DEPARTSCYrlf L(CAL tmvtr:IMm'FINANCE MLI.I-r-a.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than eser for homestead fraud Ilomestead fraud causes higher in bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receise the
benefit and to provide additional identifying infomlanon necesslry to allow county government to better monitor homestead
filings.This information will he eery c(mlidemial and can only be accessed by authorized county officials.The Depanman of
Local Government Finance w ill use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY LNFORMATION
Taxpayer Name Property Address
Niederhaus, Melvin E/Mary t
R2 pox 150
Ilaubstadt IN 47639
10983
Melvin E/Mary Niederhaus
2757 E Warrenton RD State Parcel Number Legal Description
Haubstadt IN 47639-7959
III IIII I III IIII III III I 26-23-15-300-000.757-024 004-00757-00 PT S SW 15-4-10 6.983 AC
t o ut t nn stunt tnttt t nt t tot to D-9
PART 2:TAXPAYER INFORMATION
Owner 1 First Middle Last
ilelv/ r� E . Niec>En ti �
is Address(number and street city,state,and ZIP code) 7Same as property address
x 157 E. le\lorreni on Road
Spouse First Middle Last
Mary A . r ederhaus
Mailing Address(Number and street,city,state.and ZIP code) B's Same as property address
d757 E. Warren -on Road
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.
OwnerI Signature Date
PART 4:ADDITIONAL INFORMATION
•
aa �'�°. CLAIM FOR HOMESTEAD PROPERTY TAX
�����e�+i; CREDITlSTANDARD DEDUCTION
;�sn.:;,• State Form 5473 (R2 / 5-92) '
��
�ai� _
INSTRUCTIONS: See reverse side for liling instructions.
FORM
HC70
Y AR
��� 1�� _ certify that on the 7 si day of March, 79_
ied as our principal place o residence tollowing described real property for which a Homesiead Property Tax Credit is hereby daimed:
U I(We) owned ❑ Are buying under coniract . . ����
� Have a beneficial interest in the entiry ihai is liable for the property taxes on the property and that owns the pr erty or i Sbuy�d r�.ontraci.
It buying on coniract, Fee Simple owners name
iiecortler's oHice where contract is recorded
County
Township
CONTRACTRECORDED
PROPERTY DESCRIP'fION
township)
�';�-n� ,� . �' s
Record Page
Parcel numher Legal tlescription (/
pC�u - 0� ?5?-�� � �
It any ponion of the residential stmcmre or the land not ezceetling one (1) acre that immediatety surrounds thai stmaure is used to produce income, describe Ihe use arW portion
of the property utilized to produce income.
-�-z -is .
-oa�.%s%�a�
- � PflOPERTY OWNED�BY CLAIMANT IN OTHER COUNTIES �
Counry T Coun Townshi _
:by certity the above statements are true, correct and complete. Signamre of Uaimant - ,
adress !nu}ber and street, ciry. sfate, ZIP code)
w 2� 0 G �
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately
surtounding residential improvements. (�) '
Otherland (p) � � , .
Total land (line 7 plus line � (3)
Dwelling (4) . - I .
Residential improvements .
Garage (g)
Other improvements (6)
Total improvements (line 4 through lina � (7)
Total value (line 3 p�s line � (g)
I hereby certify the above is true, correci, and Signature ol Assessor Date signed
complete.
mg aciion - Signamre of Autlibr Date signed
STANDARD
79_Pay79_
Lesser of 7/2 Homestead
Valuation or S2,000
S
SignaW re o� Autlitor \ ua�e signeo
�� n n � , �.t,c.�a_ � - a