Homestead_Niederhaus (4) C
..TAIL ORM.'_!W,C/.lot tR`ASUalt IOtM IS-IA
...rnoEO nl'iI'_Bogen OF'S l4Nn.:on flOsCROLD HY Tfn.mPARMLV OF 10CM.COYURMOSI FIXVKE IC.1.l44.I
L Gibson County Auditor
101 N.Main Street IMPORTANT NOTICE TO HOMESTEAD PROPERTY OW NERSs
A. Individuals and married couples ale limited to one homestead standard deduction. As the receipt of fhb deduction become,
Princeton, IN 47670 more beneficial.there is more mcrnmc than ever for homestead fraud.Homestead fraud causes higher ms bilk for all:therefor,
IIEA 1344-2109 requires taxpayers who retie the homestead standard deduction to verify that they are eligible to receive the
F benefit and to prmide additional identifying irformanon nercsserr to allow county government to berm monitor horrcacad
1YpL_�, filings.This information will be kept confidential and can only be accessed by aut prized county of icu6.The Department of
Local Gm'cmrxnt Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION;: •
NOV 19 2012 Taxpayer Name Location Address
-- C.1
William illiam D/Julie D
C 2370 E WARRENTON RD
I-IAUBSTADT IN 47639
01660N COUNTY AO TOR H
- - - - 11226 _ , -- --- — — — ^______ ______ _ _ _
_1_ _
William D/Julie D Niederhaus Nil 1011 =1111 III IIII[III11I111111111111111111ICIIIilhIIIIII 101111111111
2370 E Warrenton Rd
Haubstadt IN 47639-7965
t11IIIt11It11tir111IiIltiii i1ll1t1ltr11llrt IIIIIII11IIIIIIIII State Parcel Number Legal Description
26-23-16-400-000.467-024 RIDGE MANOR ESTATES 1 LOT 7
D-9
0
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
—_ .PART 2_TAXPAYER INFORMATION ._.-Ouner I. First Middle l Last
Mailing Address(cumber and street,city,state.and"LIP code) I Sung as properly address
<2_370 S: W aireA C Y—�
-
Spouse First Middle /� // - Last
Mailing Address(Number and street,city,state.and ZIP code) Same• as property address
.2370 1 4r/ar . 2al__
-•
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
• p
•
i ii�>r,
E -,. o
/eA \ CLAIM FOR HOMESTEAD PROPERTY TAX
�� CREDIT/STANDARD DEDUCTION
; �1 Slate Form Sai31R2 / 5-921
- ��i. �
INSTRUCTIONS: See reverse side lor liling inshucfions.
. - , ' • ' . '' r � . . �- � ' CERTIFICATI
•
�
: '; � '�:
t �
� j �,.
�'`���[��1��'�'
VEAR
I(t"!e) \ l certlly I on�i��ay oi March, t9_
�'e) occupied as our principal place of residen Ihe foliowing describe real pwper�y for which a a �R Credit is hereby claimed:
11
U I(We) owned ❑ A�e buying under wntraGl
❑ Have a beneficial interesl in the enti�y Ihat is liable br the proper�y taxes on �he propeny and Ihat owns ihe property or is buying under a coniraci.
� •;'a°�� � � - � • CONTRACTRECORDED � � .
II ouyfng on coniract. Fee Simple o.vner's name
Recortler's oH�ce w�ere wntract is �emrdetl Recortl number Page
� ' ! �' - - � -' � PROPERTY DESCRIPTION � � �
Couniy TownShlp Ta�irg OiSlriCi (Cily. lown. fownship)
Pa�c=1 number � Legal tlescr�pt�on
�-0.�.< u� - -/ D � '� � t�.
i any ponion ol the reS�Cential stmcWre or �he land no� evceeding one � t I acre Ihal fmmed�atety surmunds ihat stmnure is use0 to protluce income. tlescribe Ihe use and portion
ot ;h_ pmoeny u�ilized io produce incume.
Ti.fi�//C
'� ASSESSOR USE ONLY � � TRUE TAR �' ASSESSED � HOMESTEAD NON-RESIDENTtAL
. - VALUE VALUE VALUE VALUE
Land nol esceeding 1(one) acre immedia�e�y .
surroundingr?sidemialimpmvemema ��� �
Olh=r land IZ) . •`:.,. .' •'
Total land (line 1 plus line 2) (3)
. . � .�y ;:�::1i::' .
Dwelling (a) _ �- . •.. .:. � , �M'�i �,
ReSidentialimprovemenls � ' � ` {�'`�
. i.l � � ; i :� t'ilt ?
Gara9e (5) • � . , j .. , ��.si �,. .
d.r�:.i"'�- ,
O�herimprovemenis (6) `�''�,"'��'�' �° -
r ,:J.�+
Tmal impmvemenis (line a thmugb lina b� (7)
To1a1 value (line 3 p�s line � (g)
I hereby cedily �he abo�e is Irue. correc�. and Signamre ol Assessor Date signed
compleie.
Verifying acUOn - SfynaNre oi Autlilor Da1e signed
�
t9 __ Pay 79 _
Lesser of U2 Homeslead
Vaivation or 52,000
SgnaWre ol Audilor
STANDARD
3