HomeMy WebLinkAboutHomestead_Koberstein (10) SIAM.FORM:We.ICr swr nu-Aslant FORM 71-IA
AFIFSWED BY slot LIMBO Of MY1.Ylt,2t/n FUSCRIBITI BY nn DEPARTMENT OF LOCAL CAVELVMrKT FINANCE It'II.1.1-124.1
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 eser for homestead fraud_Homestead fraud causes higher in bills for all:therefore.
® HEA 1344-2019 requires Iatpaycrs who receive the homestead standard deduction to verify that they are eligible to recene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
Miami.This information will be kepi confidential and can only be accessed by authorized county officials.The deponent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Koberstein, Linus L Trust
219 S Stormont ST
Princeton IN 47670
3063
Linus Koberstein Trust
219 S Stormont ST State Parcel Number Le2a1 Description
Princeton IN 47670-2229
I I rlr III I III I I I I I I I I I I t I III 26-12-07-402-001.508-028 019-01508-00 PAXTON ADD 7 PT/13
I r t F t t t t r ttrtt r II r tt t t PT/14/8/9 PT/15/16 PT
N.
PART 2:TAXPAYER INFORMATION
Owner I First Middle v/ Last
L.zivu s L eesz-,PSTE.Zti Trusr
- •s Address(number and streepcity,sate,and ZIP code] Er Same nc property addtec. . . ..
ai 9 S. <STo rMon % ST• Pr/iii tr-on / 1- -v V?6 7e
Spouse First Middle /I// Last
Lo (' ett-a_ J e0ker3Y- e,n
Mailing Address(Number and street,city,state,and ZIP code) /-nn ['Sane as property address
4 1 Q z . 5Tormvn r Sre /'iner�`oit/-7-4- 477G7o
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.
tDate(Tv I Signature
is
•
d�....n.
.� �, CLAIM FOR HOMESTEAD PROPERTY TAX
� CREDIT/STANDARD DEDUCTION
S , State Fwm 5473 (RS / 10-0t )
Prescribed by the Departmem at Local Govemment Finance
INSTRUCTIONS: See reverse srde lor (ling instruc�ions_
. " . � - � CERTIFICAl10N STAiEMENT "�
FORM YEAR�
Hcio
���
_ ,_ nnn9
I(We) \/_T� M.Lt� /� l��/� 1� ��� cert;fy that on Ihe 15�dL6y of M ch,
I(We) o upied as our principal place of residence the followin�cribed real pmperty for which a Home � d Property Cretlit is h y aimed:
/
L_ (VJe) owned ❑ Ne buying under conlracl J ��`� T y AUDITOR
GIB..ON
�Have a benefidal interesl in the entity ihal is liable (or the property taxes on ffie pwperty and that owns ihe property or is buying under a contracl.
�.._i� ��:���:�p �`.�'4 �. . ��"' -��.CONTRACT'RECORDED�?;:,. � . � �. ` � -
Ii buying on contraa, Fee Simple ownefs name
Rerordefs otfice whera wntrad is recorded Recora num6er Page
:g s �.,"•��= `". : ., • '' � � - , -PROBERTY-�ESCR
Counry Tavnship Tacing
Parcelnumber _ Legal,A�scnD��o / p i
%/ O
If any po ion of e revOenUa sWdure w!he Wnd not excaeding one (1 aue that immedia ely :
of the property utilizeA lo produca inwme.
�1 `-.� ,i-_�-..�:.�-
(ciry, fown, bwns� �-
property in pueslion:
❑ Real property ❑ Mobile Homo (I.C. b1.1-7)
tha� structure is used to produce income, desuiba Ihe use antl portion
�- �`-`�-' � v � = u , ' �-� - - �'PROPERTY.OWNED BYCLAIMANTiN-0THER'COUNTIES f �`"'? ��' � �-� 'r� "
County Twvnship County Tawnship
I hereby certi(y the above statemenls are true, correct and complete. Sig t of c: ant
"'dress (num6uandstreet ciry, stare, ZlPCOde)
�, Y' n+ox s T
���43�`ASSESSORUSEONLY � =eTRUETAX -ASSESSEDVALUE ��HOMESTEADti 5 �.NONRESIDENTIAL � .�
x
' '`:�?�-�"�.._.i�� :tt�i-�i�.. . -��'' ,, . . .VALUE�. : �AT-t00Ye.OF�.TN � `VALUE�� -r ,_. ` � VALUE�- 14i a:
Land not exceeding 1(one) acre immediately y <�� -t = -�'� `',�
r . c
surtoundingresidentlalimprovements. ��) -:�i._��; �
'• .^:.: �i-: i �"':". f
Other land (p) � - ., ;,�--,c.,,:-�.
Tdai land (line 7 plus line 2) (3�
,�� y,� � .
Dwelling (4) -. , + 2� t � _ y.5, �F � � ,
Residential imp�ovements - ��°�':" r a z �Y�-.+�'�.:`�-G
i + 3�+�- ri`e �>'FCR
Garage 5 .te< v��r:4°��'Y�, �'s'{? :
( 1 : y,lr..•.„�`:�,,,_.,..�,F:xs,j:;.:
; ,,, . . ,
�'
Olher improvements (6) � ��` i�.
t,i t i..
Tdal improvements (Irne 4 fhrough line 6) (7)
Tqal value (line 3 pha line n (g�
I hereby certify the above is W e. correG, and Signature o(Assessor oate sgned
complete.
Veri(ying action - SignaNre oflwditor Date sgne0
`'z --.N�s�.iTS'== �r"`:..�.:.�37 -1 ;..'•�`�< .�.-�'.e:STANUARD.DE�UCTIONALLOWAHCE --+�: :"r..:.a.�. . - �'- � ':?i1. ",-,F�_;::
20 _ Pay 20 _
Lesser of 1!2 Homesiead
V�ualion or 56,000 S
SgnaWre oi Auddw Date signed