Homestead_Rinehart STATE oxu 535N 4113/,11,3 TRSASURGR!Ord r5IA
.Vntr■rm':1vE t5O KOOF.•a(I R M.Yw ryn_SCRmED BY mG OVARIMINT Of ll%:LLCm}x su%r FINANCE Ir b-urat
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS. •
101 N. Main Street Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes
Princeton,IN 47670 more beneficial.there is more reenlist than ever for homestead fraud.Homestead fraud erases higher etc bills for all:therefore.
• - ILEA 1344-2009 requires taxpayers who receive the homestead standard deduction to serif),that they are eligible to nreise the
�1 benefit and m proside additional identifying inlihrmtion necessary to allow county government to better monitor homestead
FILE dints.This information will be kept confidential and can only be accessed by authorized county officials.The Depanmem of
.teal Goverment finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART.I: PROPERTY INFORMATION,
— MAY 10 2012 Taxpayer Name Location Address
Rinehart, Kevin R/Libby
c.�.ln
10387 S PHEASANT RUN
GIBSON COUNTY AUDITOR HAUBSTADT IN 47639
7295
Kevin R Rinehart
II IiiII�liii /limn[f f111 mil DIfllI_II 11111111 11111 CI 0111111[IIII II
10387 S Pheasant Run
HAUBSTADT IN 47639-8619
'IIttIItIIIIIIIIIItt1I111I'11I"111II1'11'l"11l'I"'1111'1ttIltl State Parcel Number Legal Description
26-18-36-300-002.201-024 °HUNTERS CROSSING 2 LOT 5
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,
1 .1 � .
.r 1 First Middle Last
Mailing Address(number and street,city,state,and ZIP coA ErSamc as property address
D38 S. 'teases-- kA_Af wbs3/414-I- IJ �t7439
Spouse First Middle Last
I.:, b)0y Ayer , R; ae.-1 A et,F'+
Mailing Address(Number and street.city,state,and ZIP code) 'Same as property address
\ u3zi S. Pkt(s,,A+ Qkid Alulslza,1- 1-1-14.3c1
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 tore P Date
•
rt, CLAIM FOR HOMESTEAD PROPERTY TAX
' CREDIT/STANDARD DEDUCTION
� Sta�e Form Sa73 (Rfi / 4-03)
Prescnbed by �he Department o( Local Govemmen� Finance
�
INSTRUCTIONS: See revcrse side for filing fnsfrticfions.
Y� FORM YEAR
I Cto
I(We) ^ cerG at on Ih 1st ay arch,
I(VJe) occupied as our principal place oi residence lhe following d cnbed real property r which Homestea r ac ' '
� I(We) owned ❑!ve buying under contract ON COU TY a,UDITOR
� Have a benefidal interest in lhe enGty that is liable for the property taxes on ihe property and that ovms the property or is buying under a conUaU.
If buying on contrscl. Fee Simple owners name
recorded
Record number � Page
Caunry To.vnship T�ng d'c� (city, fown, township)
Parcel numcpIer Legal description Is the property in question:
. �`� O eal properry ❑ Mobile Homo (I.C. 67.1-7�
H any ponion of 1he residential sWcWre w the land nm exceeding one (1) acre that immediatey surtounds ihat sW ure is used to produce income, describe the use antl portion
ot Ihe properry Wlized to produce income.
ca'� -�€'- 3G - 3o0 -oa�.�o% oa 5�
1�`�,0�0
.�
r �.s'��- " r� "�' j�t�, rug�'.-3`-'�s' 'ar�ttti -'Sr'" " � - y,,,.�.a � . . ,,,,r, ,. � . ��.. ��..
_'�-w�'"�.�*��.�ir � �... .�s�.�„-x„=,x.STANDARD:DEDUCTION'ALLOWANCE�'-s.��"��5�?�t�-'m5-"�x�'s."�i�'�"'�±?�'+.�°`3_.`�.,5'�`rs�+
20 _ Pay 20
Lesser of 1/2 Homestead
S
va�uanon a 535.000
Synature of Audilor ' Dale signetl
��