Homestead_Knapp SIVE FO10i'350 Ut:' savl TREASURER roam 754A O
APPROVED DT MATE arson)OF ArYTLNTS._n„ PRFnrnED BY T111-OEPAATMEMT{f LO1:LL R_NMEAT MA\CE IC 6-I.I-22-t.1
Gibson County Auditor
101 N Main RI PORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to or homestead sundanl deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than e'er for homestead fraud Homestead fraud causes higher tax bills for all;therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verity that they are eligible to receive the
benefit and to provide additional identifying information necesan'ro allow county government to better monitor homestead
filingw.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create routs that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Knapp, Donald H
2302 li Riverside Drive
Evansville IN 47714
1078
Donald H Knapp
309 S Seminary State Parcel Number Leea1 Description
PRINCETON IN 47670-2121
IrlTtllrt rirllrrit lr111rt ter t rr rt����r�rrr��tr�r�rrr����rr t�t� 26-12-07-401-003.618-028 019-03618-00 PT SE 7210.24 AC
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.
PART 2: TAXPAYER INFORMATION
Owner I be I iA L First 41°102.0W middle ��Pre P Last
•ng Address(number and street city,state,and ZIP code) [J Same as property address
S q 5E.Aki o,ae-1/41
Spouse First Middle Last
Mailing Address(Number and street,city,state.and ZIP code) [3 Same as property address
Social Security Number Mast 5 digits) I Driver's License/State ID Number (last 5 digits) Other(please specify, in Part 4 below)
iate
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
•
} CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
/ Sute Fartn 5473 (R6 / 4-03)
Prestribed by the Department of Lacal Govemment Finance
INSTRUCTIONS: See revcrse side !oi Iiling insliucfions
EORM_ ., ,� r YEAR
J�, ,'HC10� -; i �
�""� n o �i
� � �
JAN p g 2004
t-
I(VVe) CC/ certiry;that on:the 1st"day ot March,-'20_
uloav�v �,v.
1(WQ) occupied as our principal ptace of residence the foll ' g described real property for which a Homestead Property T�c Credit is hereby daimed:
I(We) owned ❑ Are buying under contract
Have a benefidal interest in the entity that is liable for the property taxes on the property and that owns the propeRy or is buying under a conVaU.
I( buying om m�VaG. Fee Simple owners name
Rewiders ofice where conVaC is recorded
County
Tamship
Record number � Page
�r �/� �` eg Apti IsNepmpe question:
QU �� 7 Q% �Q ,a� �Rey yoperty ❑ Mobile Hwno (I.C. 6f.f-7�.
o/ tAe resiEential sW cWre or the land not exceedinp one (1 J arre that immediatery sunounds Ihat s Gure is used lo produce income, desuibe Ne use antl portion
v uti�¢e0 tu produce irimme.
Tawnship
I hereby certify the above sfatemenls are We, covecl and complete.
ress (num6er and s6aef, cdy, state, ZIP code)
309 5• 5ein;��� v S�..U�N76 �o
Land not exceeding 1(one) aae immediately
surrounding residential improvements.
Otherland
Tdal land (line f plus line 2)
Dwelling
Residentlal Improvemenfs or Mnuatly
� �� / ���� H� Garage
Other improvemenis
Tdal improvements (line 4 through line 6)
Tdal value (Gne 3 plts line n
I hereby ceAify Ihe above is We, carred, and
completa.
(�)
lz)
I3)
i4)
(5)
(6)
1�1
18)
SignaNre of Asussor
County
daimant
Date signed
Date si9ned
���'� `� •���oc�f���'�"`, ,�'';,3�=:`STANOARU:DEUUCTION�ALCOWANCE,,"��-�'"" -` 'k�' � " -"�
-� i- -_�s..�:inin'#.sx'��5�`a�'i„z-.,�-'�?.�._�.���s''..i��z�'.,�"a...:.a
20_Pay20_
Lesser of 1/2 Homestead
$
VeIUeUM Or 535.000
SgnaWre of AudHw " Oate signetl