Homestead_Kruse (3) alAlE FORM!)!I.iR:/W+1 WRIASURrll FORM 1IA
.APFRO,EO 9YMAIL Wan)lN.NYY IoNTI.aVN PLFYRIBFD BY IMF DFPMn rt.TcF LOCALIXWERMMra-r FINANCE IC 6-1.1-22-1.1
Gibson C ty Auditor
101 N Main n IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple are limited to one homestead srandaai deduction.As the receipt of this deduction become_
more beneficial.there is more incentive than e'er for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
0 IAEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to reeeei'e the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only h accessed by:mlhoriied county official..The Depannmt of
Local Government Finance will use this information to create tads that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Kruse, Eric
RI 13ox 3
Fm ' o IN 47639
4083
Eric Kruse
3140 S 450E State Parcel Number Lezal Description
Francisco IN 47649-9103
�� �� �� ���� �� ��� �� 1 26-12-25-300-001.498-004 002-01498-00 PT W SW 25 2 10 1.61 AC
Ito fur nt n lulruu u u 1 D-10
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
Ele tc_ ZEE se-
m Address(number and street,city,state,and ZIP code) -- - Same as property address - - - - '-- _
3/40 S 4I50 Fanasaz, , 1AI q7G L/9
Spouse First Middle Last
LliuRR A me -Keusc
Mailing Address(Number and street,city,state.and'LIP cote) same as property address
3/'/0 S 4/50 C a'accisCO , /N `! 7&99
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is role 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
S .
II
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
o State Form 5473 (R215-92)
INSTRUCTIONS: See reverse side for tiling instructions.
FORM
HC10
YEAR
CERTIFICATION STATEMENT
I (We) certify that on the 1st day of March, 19_
1 (We) occupied as our principal pla e o residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
I (We) owned ❑ Are buying under contract !r{ 1
El Have beneficial interest in the that is liable for the taxes the that the
a entity property on property and owns property or L g Bndpr, ontV ctK
A. .._/.
CONTRACT RECORDED I
If buying on contract, Fee Simple owners name
C
Recorders office where contract is recorded
u
PROPERTY DESCRIP N
County Township
Taring tri (dry,
t —township;
r o��Legal description
�.fl
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to prod" income, describe the use and portion of
the property utilized to produce income.
-601 -9W 6o y
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County
Township County
hip
Signature of claimant
�ereby certify the above statements are true, correct and complete. —`
(number and street, city, slate, ZIP code)
iAddress
_1e7 cx3o2 /`nn+.sca )vO y7Gy
ASSESSOR USE ONLY
TRUE TAX
ASSESSED
HOMESTEAD
NON - RESIDENTIAL
VALUE
VALUE
VALUE
VALUE
Land not exceeding 1 (one) acre immediately
(1)
surrounding residential improvements.
Other land
(2)
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
Residential improvements
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
I hereby certify the above is true, correct, and
Signature of Assesor
Date signed
complete.
verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19
Lesser of 1/2 Homestead S
V ation or S2,000
Signature A
Date,cigned
g,(�, 00