HomeMy WebLinkAboutHomestead_Kinser STATE FORM!!,1.11C),-0.1 TREASURER FORM ta-IA
Al./ROVED BY ASTE EICHP.D0f AOCTX.NIA.31W FU9NIAm BY DIE DEYMTMLC OF LOCAL nostEsNrm FOSANCE IC 41.1-2:-II
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 exer for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
4
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
Mimes.This information will be kept confidential and can only be accessed by aurhorved county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead Gaud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Kinser, Izola B
614 E Broadway
Princeton IN 47670
479
Izola B Kinser
614 E Broadway State Parcel Number Legal Description
Princeton IN 47670-1918
11111II111�1II11I1t1..• 11111 III11I1111II1.11I11I1•• 26-12-07-204-001.477-028 019-01477-OO ARCHERS ENLG8 PT
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PART 2:TAXPAYER-INFORMATION
Owner First Middle . Last
�. a �
�h6 Andreas.Cr mt and st get,city,state,aril GIP code)– - - —_..– — —_ _ —_ c as property address
Spouse First Middle Last
Mailing Address(Number and street,city,state,and'LIP code) ❑ Same as properly address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
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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
0
F00M HL /0 1979
PrtscriOeC 8y Sta�e Bw�O of iaK Commissioners
To Be File� in Duplicaie
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19� �
SEE BACK FOR FILING INSTRUCTIONS D/Q _ 014 P?rf� DO
( r !
� (We) � � .
March, 19 I, (We) occu
which a Homestead Property
as our prk(cipal place of residern
Credit is hereby being claimed:
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description i
Taxin9 District (City, Town, Township):
Parcel Number
If buying on contract: Owners
��J certify that on the 1st day of
the following described real property for
Township
or legal description shown on tax statement:
U�c� �� . � `�Z l l ��Z
Contract recorded in Recorders Office - Record No. Page
If any portion of the residential structure or the land, not exceeding one (1) acre tha[ 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.
�. � �, .�i . _ �
Sl�ee� AEOress
County Township
P� --,: ,..�� ��.. 4 �6 �E�
Cr,y. Sta�e an 2ip Coee
' Individual either owns or is buying under a contract that provides he is to pay the property taxes
on lhe residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1 (one)_acre_immediately
surrounding resideTial i provements�
Other Land �� � _. � � �
Totai Land
I=!�? a ;;13�: �
Residential Improvements '
�I f�-,. ,. '
. .i
�FJBIi��
Other Improvemenis
True Cash Assessed Homestead
Value Valuation Valuation
(�) ��90 —2�0
(2) _ o —
rs� �S90
Dwelling (4) T"'I ��
Garage (5)(°g��—o—
Total �6� � ° ` "
T��Improvements - Line (6) plus (7) equals (8)
I no�eby certify the above is true. correct. �rtp complete.
Signamre of nssessor
(�) — ° —
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- ACTION BY AUDITOR`=
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