Homestead_Seib MATE FORM!Kt.IR'l s,Yl TRFASUIQ 1:011.4 75-IA
APITOVED BY.Rsit Bn1RDOr Axnavlx.`nn PRE34Pro BY Till D rarom.rr OF I CAL CMtR.W.Gh MASC.w.-,t-r-,'
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 ner for homestead fraud.Homestead fraud causes higher lax bills for all;therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are clicible to recehe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be Ley confidential and can only R accr_sed by authorized county officials.The Depannml 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
Seib, Ronald/ Martha /0037 5 35-�
Haubstadt IN 47639
8371
Ronald/Martha Seib
10037 S 350E State Parcel Number Leeal Description
Haubstadt IN 47639-7873
11111111111111111111111111111111111111111111111111111111111111 26-19-34-400-000.896-024 004-00896-00
000896-00 PT SE 343101.50 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
eoN4co GG/)It°Eix/c E SE'S
rig Address(number and street,city,stare,and ZIP code) ZSame as property address. — --— — -
Spouse • First Middle Last
1`14terith4- TONE sE/6
Mailing Address(Number and street,city,state.and ZIP code) Same as property address
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is elieible 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
0
FOaM HC 10 19�
Pres[ri�en By 9ale BoarE ot ia. Cammissione�s
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19_Z�
io Be PiIW in Wplicdie
SEE BACK FOR FILING INSTRUCTIONSDD �_DO�i-O�
�(We) -��Y - j�-��'� ����� certify that on the tst da�y of
�� arch, 19�, I, ( e) occupied as our principal place of residence the following described real property for
w h i c h a H o m e s t e a d P ro p e r t y T a x C r e d i t i s h e r e b y b e i n g c l a i m e dd:/ /�� / .r�S �/��_��
I, (We) �owned of�+-����/ ��-Q!�• 7
❑ are buying under contract
❑ have a beneficial int rest in the taxpayer
Property Description in
Taxing District (Grty�Towrr; Township):
Farcel Number
If buying Ofl contract: Owners name ��� s""o�e owne�l
nty � �/�' ""°-�� Township
.�, _____ -�
or, legal description shown on tax statement:
�T, �S'E"�� 3`f-3- / o 12c�-C_
Contract recorded in Recorders Ofiice - 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 above statement is true, correct and complete.
Individual either owns or is buying under a contract that provides he is to pay the property taxes
on ihe residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 7(on� acr� imm tel
surrounding residenti�m overr►$nts �
Other Land N�
rota� �and JUN � 179
Residential Improvements Dwelling
4-
arage
' AUDITOR Total
Other Improvements
��'-' Improvements - Line (6) plus (7) equals (8)
by �e.�tiTy the above is true. correct. and complete.
( 1 / n.L—
Signamre ol
True Cash
Value
(il S o 0
(2) _
(3) S D O
ca� 3z 7 9 0
(5) —
I6) 3�7�0
���� —
�s) 3�.��1 0
- ACTION BY AUDITOR -
Assessed
Valuation
/ �' O
i
����������
_•
�°�a
- 7 �o�
Homesiead
valuation
s =� s�— ��
oa:e
Date: —(� - / ,�9