Homestead_Koberstein I
'flit 10KM a+IR1++n1 TREASURER W0.V 7S-/A
.ArrnNEO BY CEVE BOARD OF ACCYCNIA.A1A PRr9NBFD BY 111E DEPARMEYT OF LOCAL OOSRRNMrAT FINANCE IC 4-11-r-TI
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 1341-2009 requires taxpayers who receive the homestead standard deduction to verify that they are clicible to receive the
benefit and to provide additional identifvinc information notary to allow county government to better monitor homestead
filings.This information will he kept conlidential and can only be accessed by authorized county officials.The Depanntent 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
_ Koberstein, Merle W/Darleen C
R 2 Box 2910 take RD
Princeton IN 47670
21•e __
— _-__ -- - __ _ _ _ —
- Merle W/Darleen C Koberstein
3804 E 50 N State Parcel Number Leal Description
Princeton IN 47670-8907
26-12-02-300-000.803-004 002-00803-00 PT SW 2 210 15.153 AC
J n I I ut I l I I I t III t I ttIt Ir I n I I fit I to III nn I a I I It I t I
C-1 D-7
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Arl 1 a -rsle/17
-- Stu (number ad tc city-ste;and-ZIP cock)
_-_ [are as property address—
Spouse First Middle / Last
Des. 1eevt C / Cr54/h
Mailing.Address(Number and street,city,state.and ZIP code) rEtrne as property address
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 Signature Date
•
ea CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R21 5 -92)
ray r
INSTRUCTIONS: See -reverse side for filing instructions.
CERTIFICATION TATEMENT .-
certify.
7e) occupied as our principal place of residence the following described real property for which a Homestead
tZ
FORM YEAR
31995
claimed:
l(We)owned ❑ Are buying under contract -
Have 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.
- CONTRACT RECORDED
If buying on contract. Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
' PROPERTY DESCRIPTION
County
Townshi
o
Tai lrict
ity, town, township)
Parcel number
-�o8c�
Legal descripti
�c,J.aa -io Is. c.
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structur54 used to produce 7 me, describe the use and portion
of the property utilized to produce income. '
Signature of Auditor
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
reby certify the above statements are true, correct and complete.
Signature c imant —
Addr s m rand street, city te, ZlP code) �
7
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL.
VALUE
Land not exceeding I (one) acre immediately
surrounding residential improvements.
(I)
Signature of Auditor
-
Other land
(2)
Total land (line I plus line 2))
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pfrs line 7)
(g)
-
I hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19 _ Pay 19
Lesser of 1/2 Homestead
Valuation or 52,000
S
Signature of Auditor
D -
Date si ned
.3 5
