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Homestead_KobersteinI,'��) . _ zT� ClAI[�1 � N�•:.�t�=J � �=�lY T�X �"�ti �-�,�,� ���,R �9�? . � S_ &ACK �C� rILI�iv It:�TcC,•=iIC;i3 . ' ' • ' - ' �Kn 6�R$TC/N �l I7A/'l1 �., �- DO11 Rt� �� � �`i'y :�=- � =:,° ' -` . ~ =�Dc� � �� ^� C� S° = i � '-^ � '. �-" :7 LS�°i :. i � y, (r�) �: �� � c..� � �',' . = c.��. a �-�� _� ?�-� '� `�' � s :^ :�� r=�:y �� �,..�; . '� �r G'=) ��=-� .. _• - ; :. . ❑`���;s.��= �.� �0�=aagy�°. � �� a�°^_== � i.--°�� j.a �^_ �.�aw- . • � c_—.o�y L,��_ =ci. in � i f.�SO /� �-� y 1� -- "''—=-� = �==5'� T;�z, :� :;:_�:: �RTbll �- 7Yu P ' _ ___� , ^u_ I I I . I � C �__?'� `�__—' % -..']Gw.'l G7 -?� �_- __: V �T Nia- N�r'� a�-a-�o �.�oa�. , � -_ -=__� CZ .___-�-i.• Or.. —� ra:= f=m �?° oc,=-) • �-?= �_� �+1 �_'` '_� � S �__' �° � ==3 i1'J. "rt� -rc Zi�r '^"�..�"1 0' :.^° �°_`nc--'=�� ��.��'° C� i..."_ }�.=."'7 :� P'=��� 'C.._r- �1� �t°- .�_� � — • y_ S L:5°�' "J �_ :.:�:'_°� - ="-' _ _" �-r,===-='y >-.��__s �__ s=-�--'; • . . � � � ' ' - _ -^=-�+ :-� � � °� :� �_ i-�° i � - . • � �� i:Z7 ��� L^L':-� 221 L.:'1�'1 irG�T�..^.'+=1 Q+.0 Cr �S �.� S°=�� �_ -- �. ' ��-'7 =.7.�-+=-' . 1 3rDC'_ S.�'�°'�...57� 1S �..."l.1°� 'L''...`T'"°-'� � �`ler_� . . j }`='°--�r C-`_i-=+� i� .. . . . • � ' . _��'��s • 5=°-t Is::_s.s . . . • . Cry � S�_ za3 Z? *�s.:i. --.,� s,�^ oc.-^s cr s icr:� �^.= a c^�j �..iL-`_ �zc� � s�_r.ay �-...� I ���S GII i�� Zv-:ri-r-�.e� C kLS d L'E' i-iai iT-ere�� SII i`O L�'_-3V�� _� ' �. � . � . ' . . � rl»� �.::��f.S �:J�� �i'�Y � . . . '. ^�"+� "`-SA� .. . . �•�ti..o 'cr:. ^_: ='^� .'°7 i � _� �- Y..:�_'�1 _' . . _�� ' ='n �..=.T1°-°-'�-'-� �; � ��'=� i�3 . � l�� = �� . � q r-�= -�_�� I.':��ro'i�.=—:S �.. '.�' a ��-2�a -, i3) !y) 33� t�) P���-��i V'_=^'1 /�% ����//��/���% �: .;� � iim� •:ry %��7/%��l/;��!/s Y.a== �i ��� �� � ( Q %����/�i � ��/�%� . m-�� 1C� ��. �oZ� '�. ��1_ �T, �__:, � �� %%////: � ' - V_�^='S - .L`n_ (b) t_s i7) �'.=?s i°) (3) ;������ Z --_.t "�_'Y =- `-`"'---c� s ==� "`-^�-=' a'-�l ^--�. �Q_' �- '"--- °= -=°-�s� � . - i:•=�ION 3'{ t;t�iT(13 - � -: — - c'� Gibsor County Auditor 101 N. Main SVeet Princeton, IN 47670 r� FII,ED APR 19 2011 _ c.�.m " V — GIBSON COUNTY AUDITOR 4071 stnre ronn� �. ° inrws�wnwcrn.0 Individuals v�d married muples a`e limimd ro one Mmecteall standacd deduaian. As [he receipc af this deduction becomes mare brneficial, IAtrc is more in<rntive IFw� net fot homatnd Gaud. Homes�rad Gaud rauses WgLe[ ux hills for all; �hercfore, HEA 1341-?009 �cquims tarzpayrrs wiw�rccei�e the homestcad stavdard deduc[ion to �'erify cha[ [he}' azc cligihlc ro recene ihc benefit and to�prm'idc additionnl idrntifying informaiion nttcssary w elloa cawly ga'emmecl lo'bcucr monitor hmnestcad. filings. Tttis informatioo will be kepi wnfidrntial and can only M accessed by aut6orized mmry ofTcials. The Departrnrnt of l.acal Grn'emmrnt Fi�nm will use lhis infortna[ion,ro crta[e tools.[hat will helo counb� afficFnls elimirete homestead fiaud. Taxoaver Name Koberstein, Richard L/ Donna E X " � Location Adtlress 1105 E 150 S PRINCETON N 47670 �� R��,a�d �, oo��a E Kobe�ste�� - — IIII�fIIIII��If11�101 �fll�I�If��1111�In�ali��ll�il�li�1011�lllll�lll�lll 1105 E 150 S PrincetonlN 47670-8716 ��IJ���II�II��IIiI"�IIIII�'�IIIIP"�IIII�III�llllnl����l��l�l State Parcel Number Leaal Descrii zs-iz-zo-zoaooz.aa�-oz��T W NE 20.2-10 1.7lOAC. , I �i� III iii— i • This form MUST be returned to County Auditor's office. ; Please do NOT send this form back with your tax payment to the coun{y treasurer. �>c,hc�r� � ��� uling Addless (n�ba az�d streel, city, stau, end Z[P cade) � � - � lsos �rvice�ow cial Security N�ber Qast 5 digit5) Drivets Licensel5tate ID N�ber (lazt 5 digics) Address (IJumber and street, city, state, and 7.IP cnde) Number (last 5 digiu) � � � u� Same as pmperty address fiTi i � Xo�b��ste�� , � Sarne as pmpeny address �w �/h6�io I Othcr (pleau spccify in Part 4 bclow) � '� I N �_._ I � I undersigned certifies, under penalty of perjury, tha[ the above and foregoing information is we and correct and that he or she is eligible to :e the homestead standard deduction on this property. Each undetsigned also understands that, by claiming addirionaf 6omestead.deducrion +fully, he or she may be liable for back taxes and substanaal Snancial penalties. �. �1 Signatum � Date Telephone � � ? � �