Homestead_Kantner 51.0E FORM^'n inn w, TUSSLE/It%MI315
FRO EIMPORTANT NOTICE TO HO1ESTEADrPROPERTY OWNERS -Lr
Gibson County Auditor
101 N Main
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 eter for homestead fraud.Homestead fraud causes higher tax big for all:therefore.
HEA 1344-3009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recent the
benefit and to provide additional identifying information necessary to allow county government to better_monit r homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The tkpartmem of
Local Government Finance will use this information to create tools that will help comity officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name - Property Address
t
Kantner, Sheila L
405 W Clark ST
Princeton IN 47670
941 t
Sheila L Kanlner Jr.
405 W Clark ST State Parcel Number Legal Description
Princeton IN 47670-2101
I II III I III I I IIII IIII III II 26-12-07-301-001.101-028 019-01101-00 HALLS 2ND 40PT
t n nt t nut not t ut nu t t ut _ __ _
O
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
Spouse _ First Middle Last
\ Os, L lea, ufm ee
Mailing Address(Number and street.city,stale,and ZIP code) • ''Z1 as properly address
140 S \9.' ". Q\q t
_ .
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 Sign. Date
•
�^" �°, CLAIM FOR HOMESTEAD PROPERTY TAX .
;��� CREDIT/STANDARD DEDUCTION
�;�� State Portn 5473 (R2 / SA2)
��J
�a.
INSTRUCTIONS: See reverse side (or liling instructions.
'� e) ��/ /n/ 9�` �YNI G��1./� !4'�a/TN ��- ,
i) occupied as our principal place of residence ihe following described real property for which a F
U I(We) owned Q Are buying under contract
❑ Have a beneticial interest in the entity ihai is liable for the propeny taxes on the property and ihai
If buying on contract. Fee Simple owner's name ,
RetOrder's oftice where contrac� i5 recorded
CONTRACT RECORDED
PROPERTY DESCR
FORM YEAR
HC70
a�pp iW�si day of rch, 19 97/
�r�y T Credit i by claimeti
\,�pP
O�
i � �ing under a contract.
�l
0
Recortl number Page
Count � �� a . / Township [/� � �_ Taxing dis (ciryi (own, rown� ) / �
�i � ;�in/c�i v
Parcel number Legal descnption
/
If any pottion of Ne resitlential stmcmre or the land not exceeding one (i) aue that immediatety surrounds ihat strucmre is used to produce income, describe Ne use and portion
ot the property utilizetl m produce income.
County
OWNED BY CLAIMANT IN OTHER COUNTIES
ITownship Couniy
�rt,ify, ihe above statements are tme, correct and complete.
e�lb_ �� iNa.,��s„ �
(number antl streel, Cify, stafe. ZlP code)
i.t� - C�� P✓w.-c-�'-o.,�� �.Y�..
of
ASSESSOR USE ONLY TRUE TAl( ASSESSED � HOMESTEAD NON-RESIDENTIAL .
VALUE VALUE VALUE � VALUE
Land not ezceeding 7(one) acre immediately
surrounding residential improvements. (�) .
Otherland (z)
Total land Qine 1 plus line 2� (3�
Dwelling (4)
Residential improvements .
Garage (5� �
Other improvements (6)
Total improvements Qine 4 fhrough lina � (7) ,
Total value (line 3 p�s line � (g�
I hereby certify the above iSlrue, CorreCt, and Signature of Assessor Date sgned
complete.
�eritying action � Signature ot Auditor Date signed
19_Pay19_
�r of 7I2 Homesiead
VAluation or 52.000
of
STANDARD DEDUCTION ALIOWANCE
S
Date siqeed
l �