Homestead_Schultheis (5) •
CI Mt[ORNI R 1ayr1 IAYINIEA FORM 75TA
.APPRm'EO BYAVLY4Xn OF Al :N1A bra PIFs1Wm BY 1110 DFPART1ENT(w LOCAL r tYMBN7 FIANCE II'H.1-"-AI
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 is more incentive than ever for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
HEA 1344-21109 requires taxpayers who receive the hotneste d standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information nere•a •to allow county gmemment to better monitor homestead
filings.This infntmalina will he kept confidential and can only he 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, Edwin R/Jeannie A - -- _ _
R2 Box 112
Itaubstadt IN 47639
11085
Edwin R/Jeannie A Schultheis
1244E Warrenton Rd State Parcel Number Legal Description
Haubstadt IN 47639-7938
�t�n��ur�t��nu��l�t�u�nt��t�nu��t�n�nl,uliln�t��ul 26-23-17-200-000.870-024 004-0087400 PT E NE 174101.1944 AC
PART 2:TAXPAYER 1NFOR>MATION
Owner I First Middle Last
d i/V R oy ro
- — -- - - SG d(JL rHE I S --
g Address(number and street,city,state,and ZIP code) Same as pperty address
12 Li E VYARRe 7ofv RD. pf}vbsr4sr 2- N 14 76,39
Spouse First Middle Last
TeR /V Al e ANN Scliuknit eru'
Mailing Address(Number and street,city,state,and ZIP code) El.Same as property address
1244 E. wARRen•ToAl RD HAohsrAdT SN y7639
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
FOPA1 MC 10 1979-
PreSCriDM By State BoarE ol Taz Commissioners
To Be FileG in Duplicate
CLAIM FOR HOMESTEAU PROPERTY TAX CAEDIT fOR YEAR 19�
SEE BACK FOR FILING INSTRUCTIONS
�;W �-- ^� r�— � • certify that on the 1st day of
arch, 19 %�1 I, (We) occupied as our princi I place of residence the tollowing described real property for
which a Homestead Property Tax Credit is hereby being c�aimed: s�3�� �� ��Q ��Q—a�C�
a� —of
I, (We) ❑ owned �Q �►��g7� _Q�
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in_���� County � Township
Taxing District (Gii�y, T.ewa, Township)�
i � i r—� i -
Parcel Number
or legal description shown on tax statement:
Pf. E.z �Y£ y ��- v-io ���a
If buying on contract: Owners name �'� °�mw° owner�hRc�,�,r;var �7yT� /�fi/Yl`
Contract recorded in Recorders Office - Record
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,abov� nt is true, correct and complete.
2n�u-e. Q� „� .
l'-�_ AI� �f,u��i�' /i ! �O X // 'Z Ni9�sh <T,q,1T /N. �i %
`�'�l �
'SignaWre Street AaEress Cny. State ana Lo �e
' 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 1(one) acre me i� ly�
surrounding residentia�pr�vem�fts �sn
Other Land � � t�
Total Land JUPJ '= 1979
Resitlential Improvement� Dwellin
/ 9
//T y'' � (�L�Q<f� age
'�/ otal
�� AUDITOf�
Other Improvements �
To� �mprovements - Line (6) plus (7) equals (8)
I i�oy certify the above is true. correct. and complete:
ol AsussOr
True Cash
Value
(1) ,j'oo
(2) '
(3) .5 o O
�a� b',�ao
(s) 3a o
(6) 3' � </o
(�) / I o
(8) g 7SV �
• \ : L � �iG�
Assessed
Valuation
.
���������
�j��j����
_ -.
_ '
--:� �
�=�y-
Dare
Homestead
Valuation
Approved: ��Q�� Date: � �� � /