Homestead_Koberstein STME FORM!!*aIR:1,441 TREASURER PORN:3-IA
,rritcsEO Or MAIL RO5RO OFAn1RL'ta.vw Ptl9FNBm BY nil OtPARTx1E5TOF LOCAL CAm4YNrwr FINANCE ICV1.1-Za.1
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 ever for homestead fraud homestead fraud causes higher tax bills for all;therefore.
® HEA 1344-2006 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the
benefit and to prp'ide additional identifying information necesry ro allow county eocemment to better monitor homestead
filings.this information will he kepi confidential and an only be accessed by authorized county officials.The I)epanment of
Local Government Finance will use this information to create tcola that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Koberstein, Alvin/Dorothy Trust
214 S Stormont ST
Princeton IN 47670
2492
Alvin/Dorothy Koberstein Trust
214 S Stormont St State Parcel Number Lezal Description
Princeton IN 47670-2230
IIIIIIIIIIIIIIIIIIIIiii nur I I I n I t I n I I t I I III I n I t I rr I I 26-12-07-402-001.504-028 STORMONT ADD 23 PT PT SE 7-2-10
.1987 AC
N
PART 2:TAXPAYER 1NFOR\'IATION
Owner I ¢¢�� Tt Middle Last
•
/� � J a!/ --.. -
T AAdrtss(number and • [;city,sate;and ZIP coder - - --- ' --- - IlEinmc as proparty address— —---- - - --
4/ys.4CO3-•••••••••4- • to -- h *717'
�,�
Spouse :i�LQ��"vw'u-�/l' First in Middle rl [� _ . e.lA) Last
Mailing Address(Number and street city.state,and 'code) r N 767e/0 Same a property address
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 1 Signature • Date '
ill
POAM HC 10 1979
PrewiGetl By Slate Baa�O ot ia. Commissianers
io Be Filed in Du0lica�e
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19_ZL
✓
SEE BACK FOR FILING INSTRUCTIONS Q/Q�� Q�SDy- OO
�/ � �
�'(We) �-wM ����- l� certify that on the 1st day of
March, 19 �, I, (We) occupied as our principa lace o�# residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial inter st ix�� n�theo t�payer
Property Description in
Taxing District (City, Town, Township):
Parcel Number
If buying on contract: Owners name �'� 51np1e °""efr
��--�-e--� Township
or le al description show� on tax statement:
� • � � `Zc.� �2
Contract recorded in Recorders Office - Record No
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 oi 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.
'Signawre
$h2E� AQtlR55
County
Township
ana
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 residential improvements
Other Land � �
Total Land � � �
Residential Improvements Dwelling
JUN 2 5 i979 �
GarSge
Other Improvements ��j� AU/�I
ii
- — Improvements - Line (6) plus (7) equals (8)
—�•�eby certify the aboy�is true. correct.p3nd complete.
Signamre o� assessor
True Cash Assessed
Value Valuation
(�) ���
(2) — O —
(s) .,2 �DY7
� � �
• �i�Z. •
_ ' i
- - � �
Homestead
Valuation
6— /�-29
oa:z
Approved: ,,�a��? �� Date: �LL��
/ �