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Homestead_Sollman (13) MATE FORM TIM IR.I NINI mANREA FONTS-1A
VER(A'ED BY STATE DOW)OEMRRe\TS.EON PRESl11BEm BY Ole DEPAAfl t OF LOCAL GOVERNMENT FP':STE IC NEI!:4I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes •
more beneficial.there is more incentive than suer for homestead fraud.Homestead fraud causes higher in bills for all:therefore.
• HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information 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 fiaud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Sollman, Edward L
1903 IS SR 68
llaubsmdt IN 47639
10896
Edward L Sollman
1903 E SR 68 State Parcel Number Legal Description
Haubstadt IN 47639
26-23-09-100-001393-024 004-01393-00 PT NW 9 4 10 .73 AC
D-9
PART 2:TAXPAYER INFORMATION
Owner I First' Middle Last
Edward Leo Sollman
®tg Address(number and itruct,city,state,and ZIP P code) 'Same as property address
Ig03 E. 5R (2W
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
•
�••�•n
a/'>" ; CLAIM FOR HOMESTEAD PROFERTY�TAX
. CREDITISTANDARD DEDUCTION
�� State Form 5473 (R2 / 5-92) �
�ii7 � .
INSTRUCTIONS: See reverse side for7iling instructions.
FORM
HC10
���L
YEAR
9y
) v„�.(,7 «�J�IXIY/l(�Vy ��• �- . certify that on the 7 st day of MarcR. 19 /=1
') occupied as our principal place of residence the following described real property tor which a Homestead Prope�,�ax Credi is hereby daimed:
""' 1r�-- ..✓_.
I(We) owned ❑ Are buying under contract, � . . . AUDIj��R 11�
❑ Have a beneficial interest in the entiry that is liable tor the property taxes on the property and ihat owns the property or is buying under a contraci.
- . . . _ CONTRACTRECORDED � - " -
I: buying on ContracC Fee Simple owner's name . , � , '
Recortler's oRice where contract is recortled Recortl number Page
Counry
PROPEflTY DESCRIPTION
Ta�ting diStriCi (ciry, tOwn, town5hip)
Par i number Legal description
(� 0 y-(� I'3g3 -� lt%!u' l--�l /O , 7,3f}G
If any portion of the residenual strucNre or the land not exceetling one (1) ave that immetliately surmunds that structure is used to produce income, describe the use antl portion
ot Ne pmperty utilized ro protluce income. .
�/_-.� 3 �9_ /�-DU/. 393- D� 5� "
PROPERTY OWNED BV ClA1MANT IN OTHER COUNTIES
Counry Tawnship County Township
.� :by certify the above statements are true, correct and complete. Signamre ot claimam
Aadress (numberandslreet dry, stafe, ZlPOOde) �
3 L
ASSESSOR USE ONLY TRUE TAX ASSESSED MOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately � I
surrounding residential improvements. (��
Otherland (p)
Total land (line 1 plus line Z� (3)
. Dwelling (4)
Residential improvements
. Garage (g)
Other improvemenis (6)
Total improvements (line 4 through lina � (7) �
Total value (line 3 pbs line � (g)
I hereby tertify ihe above is ime, CorreCi, and Signature ol Assessor Date signed
camplete.
(g action - Si9na:ure of Auditor Date signed
L
19_Pay79_
lesser of 1/2 Homestead
Valuation or 52.000
STANDARD DEDUCTION
S
SgnaNre at Auditor � Date