Homestead_Heldt •
MAIL FOAM!)•MIB:/NMl TREASURER fORLM 73-IA
APPROVED BY.t LIE BOW)Or YYTR:.T,.`1.M PRr9( IBFD BY 111E DFPAarNEYTOF LOS&WEBBMD.'i rlsN.CE 0.'♦1.1-r-AI
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple.are limited to one homestead stzndani deduction.As the receipt of this deduction becomes
more beneficial,there is more incentimc than n er for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
HEA 134:-2000 requires taxpayer.who receive the homestead standard deduction to verify that they ate eligible to recene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filin)_>.This information will be kept coat:muiat and can only has accessed by authorized county officials.The Depannlent 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
c 5U hi
Heldt, Steve/Kim gUnO
RI Box 1?3 FAA-
Francisco IN 47649
2127
Heldt Steve/Kim
5260 E 50 N State Parcel Number Leal Description
Francisco IN 47649-8914
26-12-01-400-001.508-004 002-01508-00 PT E SE 1-2-10 5.00 AC
Itlttlltttltiltttlttll,I,,IIIItItI.,,t.Ilrl..11llttll III C-1 D-7
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Skuon i 2,1 cy A/c/elf
-•it-.\dJrc>;im;rrbcr ad street,city,state,and ZIP code)-_ - - ® Same as property addre-c-. ----- _ _ --_ __
S-loO C 50 AJ F2n ucisco 7N 4176 f 9
Spouse First Middle Last
A nibePly /lane • Heild-
Mailing Address(Number and street,city,state,and ZIP code) ®Same as property address
5260 o C $o N Pre%-A ices c c- /A y 76 Fy
Each undersitmed 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
•
N� } CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (11418 -00)
INSTRUCTIONS: See reverse side for filing instructions.
F1 EF
ORN
OCT 16'�t4
ti
YEAR
I (We) Tb% 0_V AX , �X.9�s2 -S Lin - m � - certify that on the 1st day of March, 20_
I (We) occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
i(We) owned El Are buying under contract
lave a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract. -
It buying on contract, Fee Simple owner's name - -
Recorder's office where contract is recorded - Record number Page
'c-�'c:Y36,� -- -y.a fear.,,•'``'",,,,
^..PROPE_RT( OESCR_IPiTION� -,' -iii.
County
Township Tadn dis trict (" ,town, township)
Parcel number
Legal description
C) 8
Signs um f d ' ant
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
7WT?.._�.d.�: •- rwOPERTY,?O,WNEDB kCLA1NViyTIN
OTHER,.COUNTIES�- „�,�?�-rc_�-
„` �.�= r�s�'- f�.'_.Ti'v�,
County Township, -
County
Township
I hereby certify the above statements are true, correct and complete.
Signs um f d ' ant
(number dstreet ,state, ZlP code)
Wss
-
0�8E ONLY`N
- %TRUE'TQX
ASSESSED VALUE
°HOMESTEADE%NON�'-
ESIDENTIAL
_ASSESSOR
M� VALm `UEr'•4T'100OF,trTi�f
V�
aVALUE s
3
'A n. -.
.Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
11)�-
•'m�'d�"_ .,-` -` -+- ”
Other land
rkr,,�' t"
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
Residential improvements
-� l
Garage
(5)`,..-�,C:
ix Ku��
Other improvements
(6)'+r=
"
X3'_1?
v"' 2�
Total improvements (line 4 through line 6)
(7)
Total value (fine 3 pits line 7)
(8)
1 hereby certify the above is We, correct, and
Signature ofAS ssor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
°,;'-•° ttsc?' 3iC-. 7STANDARD`.DEDUCTIONrALLONJANCE
20_ Pay 20_
Lesser of 12 Homestead
$
Valuation or $6,000
Signature of Auditor
Date signed