HomeMy WebLinkAboutHomestead_Schultheis (7) StAlE FORM!3 W OC',Ant MASIIEEA FOAM 3-IA
ArrRrA'ED BY MATE BMRnnr ACM:NTS.a,n PRF31UAm BY P1E nEPARMtYr OF LOCAL CIN'ELMMFT'T FENCE IC♦1.1r'a.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there k more incentive than e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they ate eligible to recd.('the
benefit and to pntvide additional identifying infomlatwn nece-san to allow county gosemment to better monitor homestead
filings.Ibis information will he kept confidential and can only be accessed by authorized county officials 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
Schultheis, Donald E/ aG SQ C /BOOS
-12 Box 101
Haubstadt IN 47639
10912. —
Donald E Schultheis
2650E 1200 S State Parcel Number Leaal Description
Haubstadt IN 47639-7928
IFIIrILF11FIIFFFEIIFLIFtlit•llFLiiililLILILLILiuIluiul 26-23-10-300-000.869-024 004-00869-00 PT SW 10410 1AD
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PART 2:TAXPAYER INFORMATION
O//( //JJ w////nnn��j�er I First Middle �yl/ Last
--
ng Address(number and street,city,state,and ZIP code) ❑ same as Property liddress- —
2d5oG 12o4 /r<, 1. T- :� V9Lfy
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 1 Signature Date
•
•
FOPM HC 10 7979 To Be FileO in DuDlicate
PrescriEeE By State BwrG of ta. Cammissioners
CLAIM FOR HOMESTEAU PROPERTY TAX CREUIT FOR YEAR 192�
SEE BACK FO FILING INSTRUCTIONS
`(We certify that on the 1st day of
March, 19�, I, (We) occupied as our princi al place
I, (We) ❑ owned aD�,��D ���_OO
0 are buying under contract �y/ q h
❑ have a beneficial inter st in the taxpayer oSlo -�,3-�Q-3�- �Q. p�p9 �O� �
Property Description in���+�-�-�-*� County Q� Township
Taxing District (Eity; �ewn, Township):��,.,.��-.-.�
Parcel Number I�� I� I��
If buying on contract: Owners name ��re simo�e
or legal description shown on tax statement:
i
Pt. Swv /o-y-/o �a-z,..�
Contract recorded in Recorders Office - Record No
If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
structure is used to produce income, describe the use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property: County Township
�hereby certify the above statement is true, correct a complete
�
� l,O�c�C�( c�/'�1'.,�./�w._.: 9�/�i�,�t�� � S�y� .3s
SignaNre TS��eet ACEress � G�y. S�ate anE Zip Coue
' Individual either owns or is.buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land not exceeding �one�acre�irnmedately�
surrounding residential improvements
Other Land �����'� 2 5 i9l9
Total Land �
Residential Improve�ie_ rit� � �
��� Dwelling
AUOITOR Garage
Total
Other Improvemenls
Te' Improvements - Line (6) plus (7) equals (8)
I-�Dy certify the above is true. correct. and complete.
NssE550r
True Cash
Value
(�) Soo
(2) —
(3) So 0
(4) / / �7 S'�
(5)
�s� i i a s-o
��� / � 9 0
($) / .� / �/ o
Assessed Homestead
Valuation Valuation
s-a y-�y
Oate
- ACTION BY AUDITOR -
��� Date: � ' z S"
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