Homestead_Unfried alATE FORM'!w,IR21 MEASURER FORM 75-IA
ArFRtn En BY STATE afWUVtW MTV y%TS 9n PALSY-MUDBY TEE DFPMneFIT OF LOCAL CAVERNMENT FINANCE IC 6-1.1-224
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 ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verity that they are eligible to receive the
benefit and to provide additional identifyirc information nectson.to allow count'government to better monitor homestead
filings.This information will be Lept confidential and can only be accessed by authorised county officials_The Depanntmt of
Local Government Finance will use this information to create testis that will help camp'officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Unified, Terry H/Lucy M I t� I- S a5-0 £,
__I„v_v-4&fzsr---
Ilaubstadt IN 47639
10914
Terry H/Lucy M Unfried
HWY 68 East State Parcel Number Legal Description
Haubstadt IN 47639
26-23-11-100-001.056-024 004-01056-00 PT W NW 11 4 10 4188 AC
D-9
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
—revrY N. (,(n-(-; eOt -66 err t/in-{4” it Pt-
�ng Address(number and street,city,state,and ZIP code) _- - ne as property address -
112-L7 4 S, 3Sb e. FIALA 6srn-br ,
Spouse First Middle Last
Luca y (An*i COL--
Address(Number and sweet,city,state.and ZIP code) I�i Same as property address
IIa.-R- q SI 3s) cI L�d
—
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.
r I Sign tore Date
ill v
d..�p•, CLAIM FOR HOMESTEAD PROPERTY TAX �� _ FoRM Y AR
:�-y : CREDIT/STANDARD DEDUCTION � � Hcio � �
�i��' State Form 5473 (R2/t-90) '
'°�• INSTRUCTIONS: See reverse side for filing instructions. , DO �_D/D$�– O�
CERTIFICATION STATEMENT '
II (We)\'��1' (����.�I
I(We) occupied �s our principal p ce of
Property Tax Credit is hereby claimed:.
certify that on the.1 st day of March , 19
the follow escribed real property for which a Homestead
(We) owned ❑ Are buying under contract
�- Have a beneficiai interest in the entity tha4 is liable for the property taxes on the property and that owns the
property or is`buying it under a contract. ��� ��
CONTRACT RECORDED
on contract. Fee Simple Owner's Name
Recorder's office where contraci is recorded
County
• PROPERTY DESCRIPTION •.
Township Taxing District (City.
Legal Descriptiorj'� � �. � � �n �, ,�
�`.:�iV i �: 1�90
� ' .
If any portion of the residential structure or the land not exceeding one ( t) acre that 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
o.s� -ooi
IN OTHER COUNTIES
� Township
I hereby certify the.above statemenis are true, correct and ' � n ture •��
complete.
Addre s�treetr{umber, �t �state d ZIP cqde) � 3
q� o OCuJfJ
ASSESSOR USE ONLY � TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE
NON-RESIDENTIAL
VAIUE
Land not exceeding 7(one) acre immediately
surrounding residential improvements i�)
Oiherland (Z)
Total land - line (t) plus line (2) (3)
Residentialimprovemenis - Dwelling -(4)- -- -- - - - - - � � - '- - �
Garage (5)
Oiher improvements (6)
Total improvemenis - line (4) through line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is true. Signalure of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
7 989 Pay 1990
Lesser of 1/2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
7990 Pay 1997 1991 Pay 1992 79—Pay 19—
Lesser of t/2 Homestead Lesser of 1/2 Homestead Lesser of 7/2 Homestead
Valuation or $2.000 Valuation or 51,500 Valuation or 51,500
�nu�rQ �( \ y'�/\ � n� ^ � Da Signed
L 1 /I Y I /%,�n - 9 0