Homestead_Schroer ▪ FORM RM M ME/SUM t4,e/yarME/SUM MIN MINTS-IA
▪ R IMPORTANT NOTICE TO HOMESTEADEP PROPERTY OWNERS
Gibson County Auditor
101 N Main
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever for homestead fraud.Iomstead fraud causes higher tax bills for all:therefore.
—r HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verity that they are eligible to reecho the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kepi confidential and ran only be accessed by authorized county officials.The Ikpartntnn of
Local Govemment Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Schroer, Brian E/S Lynn Souders
WARREN' Rd
Evansville IN 47711 �l /
3477
Brian E Schroer
4553E 1300 S State Parcel Number Legal Description
EVANSVILLE IN 47725-7825
26-23-14-400-000.794-024 004-00794-00 S S SE 14 4 10 2.50 AC
IrluIIii Ilrulr,lilt1.1.lnrllnln1111111 lu I.I...11ll 11111 D-9
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:TAXPAYER INFORMATION
Owner I First Middle Last
' ) r IGIn Eric. 5c_E\ coer
c\ •ng_Address(number and street,city,state,and ZIP code) Same as property address
'1553 - E 13oo-S Ev6lnsvi/le- J—N HYi35
Spouse First Middle Last
5h Lynn Schroer
Mailing Address(Number and trees,city,state.and ZIP code) 12t Same as property address
X553- E / 300 S E in svi // !A 4/ 7702-s
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.
�l�"`�T"'°°- CLAIM FOR HOMESTEAD PROPERTY TAX
�' CREDIT/STANDARD DEDUCTION
1� Siate Fortn 5473 (R2 / 5-92)
„—
v
INSTRUCTIONS: See reverse srde /or liling instructions.
FORM Y AR
HC10 O �
� TIFICATION STATEMENT [G -
i(We) certiry that on the 1st day of March, 19_
I(VJe) occupi as our principal place of residence the following describ , tor which a Homesie��Yop�T�Q��dii is hereby claimed:
❑ I(We) owned ❑ Are buying under coniract �� /�
❑ Have a beneficial interest in the entiry that is liable for the property taxes eCRih property and that o�✓+ns the pr y o buyin d contract.
G!BSOV COUNTY AUDITOR
CONTRACTRECORDED -
If buying on conuact, Fee Simple ownefs name
Recortler's oHke where coniract is recortletl - Record number Page I
PROPERTY DESCRIPTION
Counry TownsNp Taxing district7dry, fown, township)
Parcel number . Legal description
���i�l'OC) S .S ��- ' - � � - O
If any poNOn of the resitlentlal structure or the land not exceetling one (1 j acre �hat immediatety sunounds that siructure is usetl ro protluce income, descnbe ihe use and portion of
the Oroperty utilized ta produce income. .
�G -�3 �s� -ocn. �9�0��
- PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
Counry Township Counry TownShip. I
Signature of claimanf
�ereby certify the above statements are We, correct and complete.
Address (number ana siree7, ciry, sfate. ZIP cotle) '
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 7(oneJ acre immediately �� �
surrounding residential improvemenis.
Otherland (2)
Total land (line 7 plus line 2) (3)
Dwelling (4)
Residential improvements I
Garage (5)
Other improvemenis (6)
Total improvements (line 4 through line 6) (7)
Total value (line 3 plus line 7) (8)
I hereby certify the above is true, correct, and Signature of Assesor Da�e signed I
complete.
Veritying ac6on - SiqnaWre o( Audimr Date signed (
STANDARD DEDUCTION ALLOWANCE
19_ Pay 79 _
Lesser of 1/2 Homestead ' S
Valuation or 52,000
Signalure of Autlitor Date signetl
-as-oi�.