Homestead_Scherer STATE IIRN O!w,R/v10 IR:AStRiM HAY IS-IA 0
.\R01L'FDn15r.\ii 3O'Rn OF MI II NIS_l.rr RPaYRmLDmuwmrstmatvt OF LOCAL COsns t2.1 rL'aMt Kbi.t"J.I
Gibson County Auditor .. IMPORTANT NOTICE TO HOMESTEAD PROPERTY'OWNERSc::
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 incentive than ever for homestead fraud.Homestead fraud Causes higher tax bill-for all:therefore.
• ILEA 1344-2009 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
F I L E T filings.This information will be kept confidential and can only he accessed by authorized county officials.The Department of
L\ Local Government Finance will use this information to create unds that will help county officials eliminate homestead Baud.
PART I:PROPERTY INFORMATION:-
Taxpayer Name Location Address
_ MAY 7 2012 Scherer, Kristy A
C. .M
1376 W CHUKAR HOLLOW
HAUBSTADT IN 47639
73(8IBSON COUNTY AUDITOR
Kristy AScherer Illlnlll1llllill IIIIIIlIf1oc1111lIIIIliQIIIII_IIIIIIII I1111111H01111111111111111
1237 W 1200 S
HAUBSTADT IN 47639-8729
IIIIIIIIIIIIIIIIIIIIII'IIIIIIIIIIIIIIIIIIII'I"IIII'I"II'IIII' State Parcel Number Legal Description
-- - -- --- 26-18-36-300-002:473024—HUNTERS-CROSSING.2L01.219__
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:TA.CP.AYER INFORMATION- _ .
cr I Fiat Middle Last
—
KYisn �yScher
Mailing Address(number ands cct,city,state,and ZIP code) l2`Samc as property address
\3--10 ■N onv..L0J7 1A-o\\a lv
Social Security Number(last 5 digits) Driver's License/Slate ID Number (las:5 digits) Other(please specify in Part 4 below)
2 310 23 39 _ I155 . sue
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) 0 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)
I I I I I I sate
. 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 ma 'be liable for back taxes and substantial financial penalties.
Owner I Si lure Date Telephone
At
5/5/12—"grouse Sigature Date Telephone l
Or \
•
r J
PART 4:ADDITIONAL INFORMATION
❑
��
"'" CLAIM FOR HOMESTEAD PROPERTY TAX
� STANDARD / SUPPLEMENTAL DEDUCTION
S` Sfate Fortn 5473 (R12 / 609)
; / arescnbed oy ihe Devartmem or �om� covermmem Fnanca
INSTRUCTIONS: See raverse side Iw filirg inshucfions.
FORM YEAR
HC10
� M�e) certify ihat I(we ocwpied �as qmy (our) prindpal
place of residence or am (are) buying the foll desuibed real properry for which a Homestead Property Tax Stand��dycNeNi.4hereby daimed
untler mnVact on ihe date ihis applintion is , (date of filing): ��
� � �,�,e� � ' GIBSON COUNTY AUDITOR
❑ Am (are) buying under recorded conVad
❑ Am (are) entitled to occupy as a tenant-stockholder ot a cooperetive housing wrporation
� Have a benefidal interest in the Wst or the right to occupy the property under the terms of a qualified personai residence Wst
Ta�ting disVict (fily, fown. WwnShiP)
Remrd num6rl
Paye
�'f(�I U—� ��M—�%�a�u� ,3—Li�� IsNePmPertyinqu�tion:
�.•�T � Rnal ProD�Y ❑ AnnwAy assessr� mad'le home (IC &7. f-:
of Ne p�O ��uOT¢ed to pmCUm inmme. ���1 emeeditp one (1) aae �hat immediately SurtourMS Nat sWtn�R is u58d N produce Lxwne. East'Me Ihe use aM portmn
Counry
Twvnship
I hereby certify ihe above stetements are Uue, correct a� complete.
Land
acre Immediauty
Otherland
Tatal land (line 1 plus line 3)
ResldentiallmprovementsorMnualiy �����9
/lssessed Mohile / Manufaclured Hortre Garege
Other improvements
Total improvemen6 (!!ne 0 through line 6]
Total value (line J pl`s Ilne 7)
I hereby certify the above is we, cortea,
and complete.
Veilyi�g aam - Sig�anne o1 Auditor
i�)
cz>
(3)
(4)
(5)
(6)
County
20 _ pay 20 _ Lesser af 60% of the assessed value ot the homestead or $45.000
NWwilhstaM"cg any oUxrpro�isinn. Ne sum o/Ne tledccIIOru proMM'm IC G7.1-f2 to e rtpbDe home ihat a $
nof assessed u real poperty or lo e men�dxNred horne Nat a not essessed as real poperty mey not erceed
TwmsNp
n=eo yy�� (monN, daY. Y��)
signetl (rtronN. CaY. Y��)