Homestead_Snyder MIL MIL[ORM!!M.I0.:/We) I0.r.+Sna(A FOR31:11A
APPROVED BY•I(IC BMW OF.+nAtNN'IA.Zino PlISAIarl)BY 111E DEPA0.1YSVr(K LCX t G[WtLMMETT FQ:A'CE IC 11-I.1-_,.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couplet are limited to one homestead sundanl deduction.As the receipt of this deduction become::
more beneficial,there is more incentive than eser for homestead fraud.Iomestead fraud causes higher tax bills for all:therefore.
•• HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to remise the
benefit ant to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only he accessed by authorbed 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
Taxpayer Name Property Address
Snyder,Adam N/Cheri
- R2
IIAUBSTADI'IN 47639
10726
Adam N Snyder
10885 S 525E State Parcel Number Lesal Description
HAUBSTADT IN 47639-7843
26-23-01-200-002.086-024 004-02086-00 TWIN OAK
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Adam Aeon 5n r
to Address(number mid street,city,state,and ZIP code) - _ --- -- — SI-SeTme as property address
\b3R n S. 525 E . 1au-bs-I-ad-t 1 I Nl Hi(039
Spouse . First Middle Last
incr( Teresa Snyder
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
\o V3 S. 575 E. HaWesf IN 1-I r74039
Each undersigned certifies,under penalty of perjury.that the above and foregoing infonnation 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
•
� CLAIM FOR HOMESTEAD PROPERTY TAX
' CREDIT/STANDARD DEDUCTION
Staie Form 5473 (R6 / M3;
Presriibed by lhe Department o! Local Govemment Finance
INSTRUCTIONS: See reverse side !or fifiny insfmcfions
�� FORM YEAR
HC10 �
i' 1l�� �
�(We) �L����GCI��/ � � /'�� � ��GC.00L�/V JtY {i�
certify ihat on the 1 st day of March
�I(W occupied as our principal place of residence the following describe real property for which a Homestead Pioperty T� Credi� is hereby
I (We) owned ❑ !ve buying under contract /X,��`^�� �-�. .�,`'�,
J/ /�.qC[� \I (� ,. .
� Have a benefidal interest in ihe entity that is liable for the Oroperty taxes on ihe property and that owns ihe property or is�buying under a i
I( buying om m�Vaa, Fee Simple owners name
Remrders olfice where mntraa is recorded
Counry
Parcel number
oov-oao
i( any portion of Ne reside
of the propetly utilized tn �
Tamship
Is the
Rewrd number
fown, townshiP)
Page
propeM ❑ �bile Homo (I.C. 61.7-�
sWCtura w the Wntl na axceetling one (1) ave that immediatey surrounds that struCUre is used to Droduce income, describe Me uu and portbn
ice income.
� x* n�"a'��%"a."'i'""-'FS �.i—�:'§��ya��_y"t s- -�...4 xs,. . . _ •T, t
't9'ASSESSDRUSE�ONLY tr�r-�` '��`" TRUET�**�- �ASSESSED�VALUE�.�HOMESTEAD �` N�O£N;RES�DENTL4L - ��?
.:. ' .• __.aN �Uas`°�4'tr'�S�'.�F._.R'"$i�..� . • �, AT,�100Ye OF`TTV - VALUEzs� _ ��i.VALUE�`p;,,'�y � '� —u
�. s t . �'c.:•c� VALUEr'�,� � �-.dr.._ ,ti .s�?nt ..� a.
Land not exceeding 1(one) acre immediately ' ����.�`����` '�'- a
surrounding residential improvements. ( � ���T`„g,??���'� ;��
r;����: �. ,�; .
Other land (p) - °�'` .K
`.�tr's � -_�-'''y�[�
Tclal land (line 7 plus line 2) (3�
�. r� c�s,���,* t�
Dwellin9 (4) ����� ' x�,.,-� +
Residential improvements or Mnuaily ��"'` '�"' �'�'�
Assessed Modla / Manufadured Home Garage �5) ���� s¢'u
Z�����3�� �-���.`
�'si✓ b `"�' t�s '!
;,��r �€i
Otherimprovemenis (6) +��.,,,� +
�� :��
TUaI improvements (line 4 through line 6) (7)
Tdal value (line 3 plus line � (g�
I hereby certify ihe above is We, corred, and Sgnature otAssessor Date signed
comptele.
Verilying action - Sigrmture oflwtlimr Date sgnetl
��s`�".-', ��-�m-'.. -,_ � ���:'r"�-.r�ie��-_`�.-�r1:�.'�.'��. `�:;;STANDAR�;DEDUCTION�ALI:OWANCE t;���'eu'�: vP'����1�' -.����25'��m`s'.`�'-�'�'_°ns
20_Pay20_
Lesser of 1/2 HOmestead
vauanon or E35.W0
5
SgnaWre of Fudittor � Date signetl