HomeMy WebLinkAboutHomestead_Schultheis (6) •
STATE FORM,35N(R)/8-10) ixF.O'RER FORM TS-/A
APPROVED BY SLUE BOARD OF AtTOIJNTS,SOi PRESCRIBED BY 116 DEPARTMENT OF LOCAL GOSfl MEYT DRAWN IC 6-1.133$I
Gibson County Auditor IMPORTANT NOTICE TO HOIST STEAD PROPERTY OWNERS
101 N. Main Street Individuals and married couples am limited to one homestead standard deduction. As the receipt of this deduction hest,es
Princeton,IN 47670 more beneficial,there is more incentive than ever 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 are eligible to receive the
T� \ benefit and to pro ide additional identifying information necessary to allow county government to(better monitor homestead
filings.This information will be kept confidential and coo only tie-access.
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 I: PROPERTY INFORMATION
APR•0.6. 7911 - TalipaverName Location Address
C . Schultheis, Richard Lee/Rita .
X111z4s 150w
GIBBON COUNTY AUDITOR ( HAUBSTADT IN 47639
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9773 '
t.
Richard Lee/Rita'Schultheis -- : - - - Hui tI�I1C BIM III II III RI II IIII BII III 111 II1II�'ll�1II I °°1' �I1I II I!II II°I�IlIII IIII-
11124S15ow Illllf
Haubsladt IN 47639-8754
Irrlillrrlr ill'li'I'I'Ililll'liili'I"illllllI"li'11I'I1'I1'lll1 State Parcel Number Legal Description
. - 26-22-12-100-000.872-024✓PT NW 12 4 11 5.8501 AC
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. - This form MUST be returned to County Auditor's office.
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Please do NOT send this form back with your tax payment to the county treasurer.
PART`12:T'ANPAYER INFOR,NIATION
Ow.. . I / /.' First / Middle-- `/)�' /,Ju T. _ -. _ Last .
COY/ Oli qv l� ec �/ ' �/C e1 // �'e !f `^ .
Mai Address(number and street,city.state,and ZIP code) (] Same as property address J
J//e, I/S /-r° V/ /La 6,f mo d/ Z9 u 7‘ 37 7c c 6
Spouse First = Middle� Last
Mailing Address(Number and street,city,slate,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)
r 1 I— - I F1 _I1 sun _— -- - -
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,be or she may be liable for back taxes and substantial financial penalties.
Owner I Signature i - . / Date
�� CLAIM FOR HOMESTEAD PROPERTY TAX
: " `� CREDIT/STANDARD DEDUCTION
- S1ate Form 5073 (R8 ! 7-07)
•� �su � Prescnbed by Ihe Deparimerrt of Loral Caovemment Finance
lNSTRUCTIONS: See revarse sidelorTiling instructions.
FORM YEAR
HC10
�
I(We) /WV� JW �-(.K '�' /C..(�7GZ 1�// �/�TX O/,�J certi(y that ont��e) �1�st da''y ot March, 20
I(We) occupied as our prinapal place ot residence the tollowing described real property tor which a Homestead Property s� taee�t � daimed:
C/
�I(We) owned ❑ Are buying under contracf GIBSON COUNTY AUDITOR
Have a benefidal interest in the entity Ihat is Iiabie for the property taces on ihe property and that owns the property or is buying under a contract.
If buying om m�trap, Fee Simde owners nama
Recorder's of5ca where conitaq is recorded
number
Tamship
Legaldescription
Tacing dibtricl (cify, fown,
Is the
If any poNOn of lhe residen6al sWCWre or Na land not exceeding ona (7) acra Ihal immediately surtounds Ihal
af Na property uUGzatl In protluce income.
Record number � Page
property ❑ Mabile Fbme (IC &7. 7-n
is usad tn produce income, describe the use aM pohion
�_ � � � .� � �
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Land not ex�ng i(wre) arfe immediatety { � i�", _-
surrounding residential improvements. � . - - ' - -
OMer land �y) � � � � ,
T�al land (line 7 plus line 2) �3)
Dwelli'g - (q) .. . . .
Residential imprrnements w Mnually " " - �
Assessed Mobile I Manufaclured Home _ . � �' ..� � . � ..
Ga2ge (s) -. .r��_.����.. � .
Other improvements (6)
Tdal improvements (line 4 fhiough line 6) �7�
7clal vaiue (line 3 phs line � �g�
I hereby certity the above is We, correG, and Signature of.4ssessa Da1e signetl (monN, day, year)
comp�ete.
Verifyirg adion - SignaWre of fwditor Date signed (monfh, tlay, yea�
= pay 20 _
Lesser of 1l2
Homestead ValuaGOn
or
45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
44.000 for 2008 pay 2009 47.000 for 2071 pay 2012
43,000 for 2009 pay 2070 : 40,000 payable afler 2012
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