Homestead_Kendle 51AT5/ORM 51KI11:fl-17+1 rRFAnIRER NNW is-IA
APPROVED BY ChaE BMW Of 4vv*sn.3• PRh[ttmBED BY TEE DEPARTMENTOFEMTL tutor,lrN,ra::KEtc '.1-_rl
•Gibson•County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead ssandanl deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than eser for homestead fraud.Homestead fraud causes higher tat bills for alt therefore.
HEA 1344-2609 requires taspa.cn who receive the homestead standard deduction to■erify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings This information will be kept confidential and can only he accessed by authorized county oficial,.'Ihe pepaetnlcni of
Local Government Finance will the this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY LNFORMATION
Taxpaver Name - _ Property Address - — — -
Kendle, Rosemary
128 S Adams
Princeton IN 47670
3320
Rosemary Kendle
128 S Adams State Parcel Number Legal Description
Princeton IN 47670-2206
I l I I III I I III I II I 26-12-08-301-001.448-028 019-01448-00 HIGHLAND HOME 39
to II utIt II uI rn III t
n t nn nnl ii n n
PART 2:TAXPAYER INFORMATION
Owner I First Middle rl t /,Up Last
e Address(number and street,city, ._ _ — - 2� -—
—� �'._ ( ry,state,and ZIP code) ,l/I anme as property addr¢'.
/AE 6I l e , PoLuT&v , /4 41(010-aaoL it
Spouse First Middle Last
Mailing Address(Number and street,city,state,and 1 r ) ` ®� Sane as property I
Social Security Number(last 5 digits) Drivers License/State 'um. ast 5 digits) Otb'er(P b pecify in Part 4 below)
s. / Jj
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 Dale
•
FOflM HL 10 1979
PrescriDeU By Sutt BoarE af Tax Commissioners
To & Filed in Duplicate
CLAIM FOR HOMESTEAD PROPERTY TAX CREUIT FOR YEAR 19_� ,/
SEE BACK FOR FILING INSTRUCTIONS p�q �Q��y Q�OO
,� (We)
�iarch, 19_�, I, (We occupied as our princip .
which a Homestead Property Tax Credii is hereby
I, (We) �bwned
q7 are buying under contract
❑ have a beneficial interest„in the taxpayer
Property Description
lace of residence
being claimed:
Taxing District (City, T�ship): � �=�
Parcel Number
If buying on contract: Ow�ers name �'� �'"'v'a °w"e��
Srtify that on the 1st day of
ng described real property for
� -
.� . .
or legal description shown on tax statement:
�1.��f/ �s�-..c. .3 S
Contract recorded in Recorders Office - Record
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
Any other counties in which individual owns or is buying real property:
hereby certify the above statement is true, correct and complete.
�
County Township
' Individual either owns or is buying under a contract that provides he is to pay the property taxes.
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre immediately
surrounding residentia(�l improvem�s � �
Other Land Fr"`� 8
11
Total Land
Residential Improvements JUN = � ���9
Dwelling
/ Garage
� , � (�ti�Q,�tal
Other Improvemenis � AUDITOR
Tr�-� Improvements - Line (6) plus (7) equals (8)
I�by certify the above is true. correct. and complete.
AssessOe
Approved
True Cash
Value
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(3) / yOD
(4) �T�
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. — -
- ACTION BY AUDITOR -
Assessed
Valuation
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Homestead
Valuation
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Date: v�/ � �7 /