Homestead_Schmitt (13) Stitt FORK.53ra ,RN.-eel WARIER KIM 73-IA
ArrWn'EI,BY SI'OF anV O MMYX.NI t 9r etaS[FIBED BY ntr DEPMIMR OF LetAL COVEINMACT FINANCE IC 4-I.1-L4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 IndividuaLs and married couples are limited to ore homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than e'er for homestead fraud Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who remise the homestead standard deduction to verify that they are eligible to rrceue the
benefit and to provide additional identifying information necesary ro allow county government to better monitor homestead
filings.This information will be kepi conlidential and can only be accessed by authorized county oficia6.The Department of
Local Government finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Schmitt, Matthew E/Jill A
12472 S 40 W
Ilauhstadl IN 47639
11113
Matthew E/Jill A Schmitt
12472 S 40 W State Parcel Number Legal Description
Haubstadt IN 47639-8717
�1�n��nt�t��tnr��t�t�n�u�r�nt�ur���u tilt rt�t��t�u� 26-23-18-100-000.265-024 004-00265-00 PT S NW 18410 1.2302
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
a Lk ) eel C. rei C�
fg Address(number and street,city,state,and ZIP code) --- — g Same as property address - "-
Spouse First Middle Last
An trl ,m: t 1
Mailing Address(Number and street,city,state,and ZIP code) 111..S1-as property address
1a `{ � • S , CIO
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
��ST�"°- CLAIM FOR HOMESTEAD PROPERTY TAX
� �� CREDIT/STANDARD DEDUCTION
•:• ��_�i'� Siate Fortn 5473 (R2 / &92)
�i'�:7s7�'
INSTRUCTIONS: See �everse side lor liling instructions.
FORM
HC10
YEAR
O
- CERTIFICATION STAT ENT. �
I(VJe) at on the 1 st day of March, 79_
I(We) occupied as our principal place of residence the follo ' describe real properry for which a Homestead Pi erty Taz Credit is hereby claimed:
❑ I(We) owned ❑ Are buying under contract
❑ Have a beneficiat interest in the entiry that is liable for the property taxes on the property and Ihat owns the properry or is buying under a contract.
CONTRACTRECORDED -
If buying on contraa. Fee Simple ownefs name
Recortler's omce where contrad is recortled Recard number . Page
PROPERTY DESCRIPTION �
Counry Township � Ta�dng isi c� (ciry, t wn, rownship)
Parcel number Legal description .
_ �
If any po "on of the residential siructure or the lantl not exceeding one (7) acre that immediatety sunountls that siructure is usetl to produce income, describe Ue use and portion of
the pmperty utilized Io praduce income. '
�'G- �3 �� �c� - aao. ��s-a�.� _
PROPERTY OWNED 8Y CLAIMANT IN OTHER COUNTRIES
Counry Tovmship - Counry Township
Signature ofdaimant
.. �ereby certify the above statements are true, correct and complete.
Address (num6erand street, city, sfate, ZIP cotle)
ASSESSOR USE ONLY �UE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE� VALUE VALUE VALUE
Land not ezceeding 7(one) acre immediatety � (� �
surrounding residential improvements.
Otherland (2)
Total land (line 7 plus line 2) (3)
Dwelling (4)
Residential improvements
Garage (5)
Other improvements (6) •
Total improvements (line 4 through line 6) (7)
Total value (line 3 plus line 7) (8)
I hereby certity Ihe above is true, correct, and Signawre of Assesor Date signea
complete.
Verifying acuon - Signature of Auditor Date signetl
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19 _
Lesser of 1/2 Homestead c�
aluation or 52.000
nat of Auditor Da signed