Homestead_Richter (3) SIAM FORM Lw,RI/NtN1 MASDRIR FORM Tilt
AC/ROVED BY'ElIE WARD OF 1M1Y KATE.wn PRry(RIBT ON 111E DEPART-HEN TOE LOCAL GOVERNMENT FINANCE d'Vt.t:V.\,
Gibson County Auditor -
IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N Main
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes f1
more beneficial.there is more incentive than ever for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
® HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to receve the
benefit anti to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept conlidavial and can only be aececsed by authorized county.officials.The Depanment of
Local Government Finance will use this information to create tads that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Richter, Michael A/
R2
Ilaubstadt IN 47639
10989
Michael A/ Richter
2797 E Warrenton Rd
Haubstadt IN 47639-7959 State Parcel Number Legal Description
1t1u11ut1t11tu t11R�t1u1un11tlntlrIt�tlnit�ttlntltItltl 26-23-15-300-001.803-024 004-01803-00 PT SE SW 154101.00 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
t�Y1�c�avl A `- ,'C'1-l4e r
g Address(number and sum,city,state,and ZIP code) —- - - - Sic as prapeity oddness - - --- --—
9 7 9-7 g Al cren I n 5R J . T1attb SJ-ad1 rkt 471o39
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 Si attire Date
•
'y� CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
_� ; CREDIT/STANDARD DEDUCTION HCio
State Form 5473 (R2 / 5-92)
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INSTRUCTIONS: See reverse side !or /iling instructions.
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. �: � ".", , �..:-'-.`- ., ._„CERTIFlCATIONSTATEMENT`: s`�:,n,;_ ... �.. � ,. . ."•, .�
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I(We C � G e c i that on [he 1st d y of March, 79_
1e) occupied as our principal place of residence the follovring described real propeny for which a Homestea�l, pro�pe�y £au��t is hereby daimed:
l! C �
�I (We) owned ❑ Are buying under contract
:
❑ Have a beneficial inrerest in ihe entiry that is liable for the property taxes on ihe property and that ow �.the propeLry.or is tiuy' contraa.
.�'�" UDITOR
GIBSO�; w"..
� - �� . CONTRACT RECORDED °,- y_. - ,. `' � - � -
If Duyirg on contraa, Fee Simple owners name
Recorder's oHice where contract is recortled Record number Page
r�
Caunty �\ Township T3<iMJ EiSMq (Gry, town. ip) r�
vl ,f Qi�i a
Parcel numbe Legal descnption
o -�' v3 -�a
If any portion ot the residential s[ruaure or the land noi exceeding one (1) acre that immediatety surwuntls t�ai structure is usetl ro produce i�ome, describe Ne use antl ponion
of the pmpeny utilizetl to protluce income.
/
� TRUE TAX ASSESSED HOMESTEAD NON•RESIDENTIAL" ,.
'� ASSESSOR USE ONLY "._ � VALUE - VALUE � VALUE '"' . VALUE :�- � � . .
Land not exceeding 1(one) acre immediatety � ° .
surroundingresidentialimprovements. (�) � -rr'� � '
Otherland � � °
(2j , , :
� a: e�
Total land Qine 1 plus line 2� (3)
Dwelling (4) . - � , � :E'.
Residential improvemenis � . , .
Garage (g) � � � � `
Other improvements (6) �
Total improvements (line 4 thiough line � (7) I
Total value (line 3 p6s line � (g)
I hereby certify ihe above is IrUe, CorreCt, and Signature of Assessor Date signed
complete.
Verityirg aaion - Synature of Autlitor Date signed
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� � STANDARD DEDUCTION ALLOWANCE" .,"`.-w, ��. � '
19_Pay79_
Lesser of 7/2 HomeStead
Valuation or 52.000 5
Signature ol Audit Da e signed
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