Homestead_Titzer (3) SLATE FORM!JYIRfl nrssua".RSV 31A
nrrRtwEO BY MATE BnVOM'MNTUTJ.9v PREAWBRJ BY TIC DEPAATVE NTOFUAAL CSN'ER.VMFA'T FINANCE K It-rat
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 ewe for homestead fraud.Homestead fraud causes higher tax bills fix all:therefore.
® REA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the
benefit and to provide additional identifying informaton neersarc to allow county government to better monitor homestead
filings_This information will be kepi cnntidemial and can only be 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 fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
.Hebeeed, Paula C
1 1_�7N 12449 S Brook DR
�T LZ I IAIIBSTADr IN 47639
11003
Paula C Titzer
12449 S Brook Dr State Parcel Number Legal Description
HAUBSTADT IN 47639-8001
26-23-16-100-001.927-024 004-01927-00 COUNTRY AYRE EST 215
IsitilltitlilloottlitIoltoloilelltull 11111111,1111,I NI
D-9
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
t► f� Id Z£It_
Ig Address(number and street,city,state,and ZIP code)_ Same as property address --
•
aI-149 S . gE.--.1.)IZiv c_- Ni l 4Vc,3C
_
Spouse First Middle Last
S Uy V2W 1■ Z �
Mailing Address(Number and street,city,state,a d ZIP code) Same as property address
94111 s. ` gi\a •- },A,,its -la 4 469
PART 3:CERTIFICATION
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 financialJpenalties.
+/
� CLAIM FOR HOMESTEAD FROPERTY TAX
CREDITISTANDARD DEDUCTION
t Stata Fortn 5d73 (R6l a-03)
' Prascribed by tha Department o1 Local Govemment Finance
INSTRUCTIONS: See ieverse side hr �ling instrvctions.
FORM YEAR
HC10
�C i� a9
'3� . . • . _ . �� 1.:.: .. . : . .
�iWe) _ P � 9 l.. P P cert�aPNn tsi� rch, 0_
I(We) occupled es our ri ci I of residence tha folio,win ndescribed real ro ert or which a Homeste Pro gy e e aimed:
� I(We) owned ❑ Are buying under contraa YJ��Q ����
/ �py
Have a benefidal interest in the enliry Nat is IiaWe for the pmperry taxes on the propeAy and ihat owns the properry br i�b�i�er a conVacc.
If buying on convacl, Fee Slmde owneYS name
ofiice where conUaU Is racarded
Counry
If any portion of Ne residential sUVCWre or the land not
of Ne property utllized in produca income.
Record numbar �Pege
town, township)
�� /� I Is ihe property in quesllon: _
❑ Real pmperty ❑ Mabile Hwne (I.C. 61.1-�
(t ) acre ihat immediatey wnwnds mat struaure is used to produce incoma, descnbe me use antl poNon
� �� -�� i� -�� -�o� v�� oa s� �
� �� ''�s'�'ti' "'��''���'4`� �}� } S'TRUE:TAX,.���� ASSESSED,VALUE HOMESTEAD . ' ��' NON=RESIDENTIAL't� -�
�k;i? '' �ASSESSORUSEONLY.�.4''�=�`� `�s _3�'>` VALUE�'F'%t -AT:;100%OF�TTV 3 �r?.VALUE�,c-. ���:Y-'�,?�'�VALUE - �.'=
�?_. ��r :�?s3'F...a '�7.�1623 �r��.ffSi'�.�,:4 1 ., �.ie _ ._...�s .b. ._ . s... r _ . � x_._.
surrounding res dential imp v mtents�iatety . �� � .;�� � f�y�� +$ s�'�i
, . ...�. h t...^
Otherland y "' �'„� .�� .-
( ) .- � � F�(:�-�<<
Tacal land (Ilne 1 plus tlne 2) �3�
Dwelling (4) °+�`'� �� !r =��' K t''v�:t �c r^y::
Resldenllal (mprovements orMnua�y ,.--...k,,?�„.�;ng._ , _;� ,{�",,-,_;
Assessed Mobile / Manufactured Home � � .-, ;,. a .x� � :
Garage �5� =" , ,� �
�x ' t ''z., �%": --'.' :. i •'"
c �-
O�per improvements (5) . . :
Tctal improvements (line 4 through lirre 6) (7�
Taal value (line 3 plts line � �g�
I hereby certify �ha above is We, Corred, and � SignaNre of Assessor Date slpnad
complete.
Verify'u�p ecUOn - SlgnaWre of Auditar Data slgned