Homestead_Seibert (7) star HAMOrt*IXe/s.4P TpLs :RA FORM 731A
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101 N County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N Main
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction become.,
more beneficial.there is more incentive than e'er for homestead fraud.Ilomestead fraud causes higher tax bills for all:therefore.
FIFA 1344-2009 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to receive the
benefit and to provide additional identifying information nece.san'to allow count'gosemmertl to better monitor homestead
filings.This information will be kept confidential and can only he aceeswd by authorized county officials.The Department of
Kcal Government Finance%sill lac this information to create awls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Seibert, Eileen R
— RI Box 283
llaubstadt IN 47639
9553
Eileen R Seibert
12197 S 50 W State Parcel Number Lesal Description
Haubstadt IN 47639-8721
lillll'f rrif liIf lI Ill lf Ir rIll lllf lrll llrlrflll lflfflllEllrrfll 26-22-13-200-000.774-024 004-00774-00 PT NE 13411 2.50 AC
X
Spouse First Middle Last
t.,.%,,,, A, sc.;b e.,_.,/-
Mailing Address(Number and street,city,stale,and ZIP code) ❑ Same as property address
/z / 5 2 I Co w
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.
•
•
�•�•• CLAIM FOR HOMESTEAD PROPERTY TAX
d� 4 CREDIT/STANDARD DEDUCTION
r�,�-`
� State Form 5473 (R2/1-90) -
�' '°�: �� INSTRUCTIONS: See reve�se side for filing instructions.
TION STATEMENT
9�
FORM
JUL 6 ,1992
a
I(We) __�� ���1�n7� �i' r� certify that on the t�¢�F �r��qvZ
AUu��
(We) occupied as our principal place o residence the following described real property for which a Homestead
Property Taz Credit is fiereby claimed; . �'�e) owned ❑�Are buying under contract
� Have a beneficial interesi in the erStity that is liable ior the property taxes on the property and that owns the
property or is buying it under a contract. �-
� CONTRACT
If buying on contrac[. Fee Simple Owner's Name
Recorder's office where contract
PROPERTY DESCRIPTION
(City, toogn, township)
m•• v�.}.w �
Parcel Num er Legal scriptio
��'-oo��`F ��_I��_ 13- - II a. s.o� � _
If any poRion of the residential structure or the land not exceeding one (1) acre ihat immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
;aunty Township County . � Township
�� �
hereby certi(y the above statemenis are irue. correci and SignaWre
omp�ete.
�ddress (Streei, number. city, state and ZIP code)
R,e i Bo p a.�a f}w��5 t�� 2.r y�63s
ASSESSOR USE ONLY � TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
� VALUE
Land not exceedingl (one) acre immediately
surrounding resideniial improvemenis (�)
Otherland (2)
Tolal land - line (1) plus line (2) (3)
Resideniial improvements Dwelling- (4) -
Garage (5)
Other improvements (6)
Total improvemenis - line (4) ihrough line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is true. Signature of Assesor Date Signed
correct. and complete
Verifying Action - Signature of Auditor Date Signed
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990 1990 Pay 1991 1991 Pay 1992 19 — Pay 19 —
Lesser of 7/2 Homestead Lesser of 1/2 Homestead Lesser of 7/2 Homestead Lesser of 1/2 Homestead
Valuation or $2,500 Valuation or $2,000 Valuation or 51,500 Valuation or S1,500
Signature of Auditor I� � ,�/� ^ I Date
i__ �dsl �I_,