Homestead_Weiss CTATE FORM!)!M Oe/v..) ThLAS i[EA FORM—IA
AMa.ED BY CrkM BOARD OE AMCNTA Wv PAEnI mm BY air DEPARTVENT(F LOCH.rovaaYWNT FINANCE IC Ii-U4.I
Gibson County Auditor
101 N Mein 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 dedtriion becomes
more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1314-2009 requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to recene the
benefit and to provide additional identifying information nectessary to allow county government to better monitor homestead
filings.Ibis information will he kept cnnlideminl and can only Iv accessed by authorized county officials.The Ikpartnent 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
Weiss, Kelly J/Debra S
CP
Ilaubstadt IN 47639
10986
Kelly J/Debra S Weiss
2584E Warrenton Rd State Parcel Number Legal Description
Haubsladt IN 47639-7961
26-23-15-300-001.507-024 004-01507-00 PT N SW 15 4 10 2.20 AC
lillilItiiliIIiell111IIIIIIi11111I111'I 111.11111111e11111 D-9
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_ PART 2: TAXPAYER 1NF0R\1ATI0N
Owner I First Middle Last
e.11 l`w'- __ _ f e- - .S aQ(c5�
tg Address(number and street,city,state,and ZIP code) - ❑ Same as property addres,- _ - - --�-
CQ58Y £'. &3cx'cre i4on Pco
Spouse First Middle - Last
rp eh(-Q- 6u. e lie- Lys
Mailing Address(Number and street,city,state,and ZIP code) n [] Same as property address
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
_ .
•
M•°� CLAIM FOR HOMESTEAD PROPERTY TAX �-
d�i. 4'
� � ` CREDIT/STANDARD DEDUCTION
.. �-;
:� State Form 5473 (R2/1-90) ' "
�'°�° � INSTRUCTIONS: See reverse side lor liling instructions. ,
CERTIFICATION STATEMENT
Y (we) ��,���t-j� I_�
I(We) occupied as O(�i��rincipal placev
Property Tax Credit is hereby claimed:
that on the 1 st
'�'� � ' �
� �' �F � :I'�
�—
NIAY 0 8 �go�
�!7
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the foll ing described real property for which a Homestead
I(We) owned ❑ Are buying under contract
�Have a beneficiaFinterest in the entity that is liable for lhe property taxes on the property and that owns the
property or is buying it under a contract. '
,
CONTRACT RECORDED
If buying on contract. Fee Simple Owner's Name "'
Recorder's office where contract is
PROPERTY DESCRIPTION
Township Taxing District
Legal Oescription
If any portion oi the residential structure or the land not exceeding one (1) acre that immediately surrounds that struc-
ture is used to p�oduce income describe the use and portion of the property utilized to produce income.
-(X�l, d%6�
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
nty Township Cr�unty Tnwn_ ch��
I hereby certify the above siatements are true. correa and
Address (Street, number, city. state and
�
ASSESSOR USE ONLY � TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
- ' VAIUE
Land nofexceeding 1(one) acre immediately
surrounding residential improvements (�)
Oiherland (2)
Total land - line (1) plus line (2) (3)
Residential improvemen[s- Dwelling (4) - - - -
Garage (5)
Other improvements (6)
Total improvements - line (4) through line (6) (7)
Tolal value - line (3) plus line (.7) (8)
I hereby certify ihe above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature oi Auditor Date Signed
_ 1989 Pay 1990
Lesser of 1/2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 7991 1997 Pay 1992
Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or $2,000 Valuation or $1,500
79—Pay 19—
Lesser of 1/2 Homestead
Valuation or $1,500
of Audit Date Sigr
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