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Homestead_Pfeiffer SIVVE FORM!Mt..IR_/.+nl nrAstara FORM 75-TA
.ArrWWED BY MAW BOARD M.VYY R'Nr5._no PILLICIUBEDIIT nit orpAKn FYr OF ttEAE tan<ies-su .EAM1TCE tes-m-:-LI
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 e'er for homestead fraud.Homestead fraud causer higher tax bills for all:therefore.
HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verify that they-are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This iNarnutinn will he kept conlidential and ran only he accessed by authorized county officials.The Ikpanment of
Local Government Finance will use this information to create tuVls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Pfeiffer, Randy/Susan
205 N M...
Ilaubstadt IN 47639
10860 5
Randy/Susan Pfeiffer
438 E Hirsch Woods Lane State Parcel Number Leal Description
Haubstadt IN 47639-8829
III I I I I I I I ' III ' III I III 26-23-07-200-001.813-024 004-01813-00 HIRSCH LAKE EST 8/9 PT
I n n1 I nn I I n u I n n1 I Inn t o u1 t NE 7410.50 AC D-9
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
' >
Susan ave P 7 r
ng Address(number and street,city,state,and ZIP code) Xi Same as property address - — — --
/3? 8 Lfxrscvn upoc$s Lvi
-
Spume First Middle Last
tunas Lee_: P&i /-r� If
Mailing Address(Number and street city,state,and ZIP code) IQf Same as property address
V37 S u)oods
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 PROPERTY TAX
' CREDIT/STANDARD DEDUCTION
Slale Form 5473 (RB 1403)
Prescnbed by Ne Department ol Local GovemmeM Finance
INSTRUCTIONS: See reverse side lor Iiling insliuctions.
FORM YEAR
� FiC�U�"+ �
� � �..� �' i.+.�
MAY :; �nnd
� �e) � � certlry/U��et=omthe,4st dayof fAarch � /
I(We) occupied our p al place of residence the follo ' descnbed real property (or which a Homestead Propeity Tai CreCit�is�fieieby claimed
� I(We) owned ❑ Are buying under contract
, Have a benefidal interest.in Ne entity ihat is liable (or ihe property taxes on Ne property and that owns Ne property or is buying under a conUact.
I( byvig on contrad, Fce Simde owners name
RemrAefs ofice where contraU is recorded
County � Tamship " g 'strict (riry, mwn,
Parcel number Legal description Is the property
•�� � �
�LJ
If any portim ol Ne resi0ential sWCWre w the IanA nd exceeding one (1) aae that immetliatety wrrounds that swc
of Ne properry uuT¢etl to produce iMOme.
County
-GY3� �/3 —Q�? f
t"ai`PROPERTY; OIM1INEDTBI!'CI'l,1A9.41JTe
ihip County
1 hereby certify the above statemenls are W e, correct and complete.
SVeef, city, sfate, ZlPtode)
Signature
Record numDer � Paga
al properly ❑ Mobila Homo (I.C. 61.1-n
is used to produce income, describa Ne use and porlion