Homestead_RLS Farms LLC et-
clan FORM!IN*,ta:/t-MI TREASURER FOAM CIA
.lrrrnsEOBYSI stEMaaDOFAna a ar:Satr PRISCIUBIDBV 111E DEPARTMENT OF LOCAt GOVE112011flaT PV:ANCE IC a-1.1-22-1.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standani deduction.As the receipt of this deduction bermes
_ more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher las bills for all:therefore.
1 0- HE.\ 1344-71109 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to tecehe the
benefit and to provide additional identifying information necesnry to allow county gos'emment to better monitor homestead
filings.This information will he kept confidential and can only he accessed by authorized county officials.The Ikpanment of
Local Government Finance will me this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
RLS Farms LLC
RI Box 353
Haubstadt IN 47639
9600
RLS Farms LLC
do Robert J Elpers
2537 W 1200 S State Parcel Number Legal Description
HAUBSTADT IN 47639-8739
��t�nt�t�t t�� 26-22-15-200-000.272-024 004-00272-00 E NE 15411 40 AC
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PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
obert J = L/of �5
g Address(number and strut,city,state,and ZIP code) - -- Stone as property-address -- - — —
e2531 w r).oO s Hvg4stae/i- .1l0 y7b39
Spouse First Middle Last
Mailing Address(Number and street,city.state.and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
slate
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 Signature Date
°' CLAIM FOR HOMESTEAD PROPERTY TAJ
- '� CREDIT/STANDARD DEDUCTION
,� ' ` S1ala Form 5473 (R8 ! 7-07)
P�escnbed by Ihe DepartmeM of Loml Govemment Firiance
INSTRUCTIONS: See reverse side /or filing insWctions.
� LS
� , ' C�-�r�
u-
� i
: F i� �. �I.:
AUG � 7 2008
� M'e) / certiiy th�dl�$rl ilie 1�t�day o�b,tai'c�i� ��
I(4Ve) occupied as our prin � I place of residence Ihe fdlowing described real propeAy for which a Homestead Pmperty Tac Credit is hereby daimed:
�I(We) awned ❑ Are buying under contract
Have a benefidal interest in the entity that is IiaWe fa the property taxes on Uie propeAy and that owns the property or is buying under a contract.
It buymg om m�lrap, Fee Simple owne(s name
conUad is recortled
Record rumber � Paga
c:ounry (� I Twmship Tsin ist ' (cdy, town. fo:mship)
Parcel number L I descn Gon Is �he properry" ueslion:
� - Real property ❑ Mobile Home (IC 6-7.7-n
If any o of ihe residential stnxWra a 1he land nd e�cceeding one (1) acre Ihat imm�tl iat ly surtounds �hat tura is used to pmduce inmme, descnbe Ihe use antl portion
o� llte rty ttiGZed to produte inwme. //ii�
Y�
�'G-aa-i�aoo -000.a�a-a��
,_ . . . .. . .
.,. . �
Land not exceeding 1(olre) aae immediatety ` `' i+Y. .":.' ;
surtounding residential improvemenfs. (�� .�-a� ' �
Other WrW (Z� '
Tdal land (line 1 plus line 2) (3�
ResidentlalimprovementsorMnually �e11i� �4� i���," .�xs'-"�.�. �t�'4'
Assessed Mobile I ManutacWred Home . -- = •
Garage �g) �,r;.
}.
Other improvemenLS (6) � • �
Tdal improvements (line 4 fhrough line 6) �7)
Tdal value (line 3 phs line � �g� .
I hereby certify itte above i5 We, correG, arW SignaWra of Pssessor Date signed (month, tlay, yea�
complete.
Veitying aclion - SignaWre of Fwditnr Date signed (mmN, day, yea�
� . - � � � • �
"' — �aY 2�— 45,000 for 2007 pay 2008 42,000 for 2070 pay 207 7
Lesserof t/2 qq.000 for 2008 Pay 2009 47.000 for 2017
Homestead Valuafion �Y Z��Z 5
w 43,000 for 2009 pay 2010 40,000 payable after 2072
SgnaWre oflwditor Date signed (rrronN, day, yee� �