Homestead_Tepool tl\iE FORM'i?•IR-I••■ TREASUILR FOLM TS-IA
AT MIMED BYC15tIBMRDM'VYYR'.XIc]nn plrYTIDrDRY 111EDEPAR➢ILYr(W LOCAL COERNMrrd FIANCE ICH.1-_kt
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 deducion becomes
more beneficial,there is more incentive than aser for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
FIFA 1341-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the
benefit and to provide additional identifying information necesary to allow county government to better monitor homestead
filing 'Otis information will he kept cnnlhiential and can only he accessed by authorivnd county officials.The tkpann.ent of
Local Government Finance will use this information to create axils that will help county officials eliminate homestead fraud.
PART I:PROPERTY INFORMATION
Taxpayer Name Property Address
—. Tepool, Annalee R
R I Box 275 B
Haubstadt IN 47634
11133
11J�`
Annalee R Tepool
455 W 1250 S State Parcel Number Legal Description
Haubstadt IN 47639-8716
I IIl rlltllIIIIiiii..1.1.11.11.1.111.111..1..111.111.1.illltll 26-23-18-300-000.391-024 004-00391-00 PT SW 18410 .812 AC
Spouse First Middle Last
n
fee p(44-t‘ ?ego° 1
Mailing Address(Number and street city,stale,and ZIP code) Same as property address
—
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is tme 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 ‘... 11 [hie
7
,_ . _V_�s--�_. �-^-. �
d��a, CLAIM FOR HOMESTEAD PROPERTY TAX
:':� y : CREDIT/STANDARD DEDUCTION
� State Form 5473 (R2/1-90)
�' '°�• �� INSTRUCTIONS: See reverse side for liling instructions, ;
I (We)
�
principal piace of residence the following described real property for which a Homestead
Property Tax Credit is hereby claimed: � I(We) owned ❑ Are buying under contract
� Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
property or is buying it under a contract.
. , •
If buying on contract, Fee
Recorder's office where contract
CONTRACT RECORDED
�me ..
PROPERTY DESCRIPTION
, Taxing District (City, town, township)
Parc I Number Le�l scription
�o�-o �ql-oh +.Sw �8-�f-/o .$l2a-c.
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
�/_�_�_�� ��,�-�a�.34r-aa5�
,
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
. . ' ' VG�IIE
Land noi exceeding 7(one) acre immediately '
surrounding residential improvements (�)
Other land (Z)
Total land - line (1) plus line (2) (3)
Residential improvements Dwelling • (4) • - -
Garage (5)
Other improvements (6)
Total improvements - line (4) through line (6) (7)
Totai value - line (3) plus line (7) (8)
I hereby certify the above is true, Signature ot Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
1989 Pay 1990
Lesser of 1/2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
7990 Pay 1991 7991 Pay 1992 19—Pay 79—
Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or $2.000 Valuation or �7,500 Valuation or $1,500
Signature of Auditoy� ' \ �^ J '��
� ,� .w_.�,�_�, I l �7 �1�,C,� i,