Homestead_Weber (3) lislE FORM!IN.tr/',MI MASURER FORM 13-IA
.AFFIUA'E°DY St Of MHRD OF ACCOUNTS.21.w FRESAIBED BY m[DERARSeftOF'L* l rA52AV01EAcr FINANCE M 6-I.t.r4.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 IndividuaLs and married couples are limited to one homestead yandanl deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ever for homestead fraud.Ilomestead fraud causes higher tat bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information nemsary to allow county government to better monitor homestead
tiling,_Ibis information will he kepi confidential and can only be aere sed by authorized county officials.The Ikpanntent of
Local Government Finance will tee this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Weber, Ryan G/Jessica L
R2 '
-. / NCII , 47648
-
3492 /5336 (Zoos
Ryan G Weber NAUBSTADTI (L Liz(039
R242.AX 105 X 1533 5 loo S State Parcel Number Legal Description
HAUBSTADT IN 47639-7932
��t tt�t�tt��rtt��tt�tt�� 26-23-16-100-0022..171-024 004-02171-00 PT NW NW 164101.702 AC
1F1IF11.i F1F11IFF I11t 1t1ttlttt lit lt Ftt
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
gYPN (zGe PL-7 k..,..,Ec3 e
long Address(number and street,city,state,and ZIP code) 3{Same as property address
j533 g. (200 S1 i-4P o3Smt t .-r ) IN 1-17(c39
Spouse First Middle Last
Sr r, lcis, LNNN \,v`=3t�
Mailing Address(Number and street,city,state.and ZIP code) 0 Same as properly address
)6-33 C /Zoo 5 7 44Av jg g-rAflrr, /N L17C,3CI
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 financial penalties.
Owner I ature Date
V
� CLAIM FOR HOMESTEAD PROPERTY �AX
' CREDIT/STANDARD DEDUCTION
/ SLrte Form 5473 (R6 / 4-03) '
Prescribed by the Department o1 Local Govemment Finance
INSTRUCTIONS: See reverse side Ior liling inslrucfions.
FORM
HC10
YEAR
�(We) e� e.� �� �ertify that on the tst�day of�March, 20 _�_
i�
1(We) occupied as our pri cipal place of resi the following described real property for which a Homestead Property T�e Credit is�hereby da`imed:
❑ I(We) owned ❑ We buying under contract � �� 1�
, Have a benefidal interest in ihe entity that is liable (or the property taxes on the property and that owns the property or is buyingjunder a� �n L� `
�i T
If buyirg am m�tracl, Fee Simple ownets name
Recordels office where conVacl is recorded
� —�O ' /
�'ti: rTia'tn. _ �:y� -.'.,�i�..q.�.�:rti.-��i g
�viP-��,>.x:�_ . -_„v ss,i2-: -hF. �� ih?'r.%':h.
County Tamship
u ber �` Legal de�.
.W
If any porlion of t�e resitlential sWCWre a Ne land nOt
of Ihe propaAy utilized tn produce incoma.
�'' G�SSON CCL' :7Y f
Rewrd number Page
Tsing dislrict (ury, fown, township)
� y�! b i• i� ,IJ4 praDeM �n question:
��'��_ _ ❑ Real property ❑ Mobila HOmo (/.C. 67.7-n
ng one (t) aae �nat immediatery surtountls �hat swcture is used to produce income, descnbe the use and portion
1�1�,6cS0 �
W��
�
20 _ Pay 20 _
Lesser of 1/2 Homestead
Vaivauon or E35.000
Synature of fuiCiln
�
IDate/g�q-��ed�_�
L
:1 TI � �.�. �.�