HomeMy WebLinkAboutHomestead_Kohlmeyer St E FOR • , r W.1 MEASUar8 roam V N! )MR_ am t].tt
APPROVED� PORTANTrNOTICE TO DFPARTMENTEW LOCAL
PROPERTY 0.OWNErRS t. R r
Gibson County Auditor
101 N Main
PRINCETON IN 47670 Individuals and married couple are limited to one homestead standard deduction.As the receipt of this deduction become,
more beneficial,there is more incentive than ever for homestead fraud.Ilommead fraud causes higher tat bills for all:therefore.
®
HEA 1344-1009 requires uvpayers 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
filings.This information will be kept confidential and can only be accessed by authoriacd county officials.The Department of
I.ocal Government Finance will use this information to create tools that will help county officials eliminate hmmestead fraud.
I PART 1: PROPERTY INFORMATION
A j Taxpayer Name Property Address
A I i il
•,
Kohlmeyer, James UMarcia J
APR 7 2010 1618 Petersburg Rd
Princeton IN 47670
2304 77/0-a., /e/ ,
James L Kohlmeyer 0I8SON COUNTY AUDITOR
1618 Petersburg Rd State Parcel Number Legal Description
PRINCETON IN 47670-8664
26-12-06-302-002.055-028 019-02055-00 NORTHBROOK HILLS 9
I I I II rte Il II eiI li III elI m II nt II terI n I rte II r II nt' t I
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
J AMOS L
_ .eg Address plumber and street,city,stare and ZIP code) - — ilL41/YIE-Kil
ns proper nddrecs
/die N /14 1 f✓ sr *id;(&cT,� . ,j/ � 76g0
Spouse First Middle Last
Msue/A Dh2dress g Mailing Address(Number and street,city,state,and ZIP code) Same as property address
///6 /i/, /OAP/ tci MA N6 F7?,✓ ,r3/R il 76 70
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
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.
Own Signature Date
Ill
�, CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
/ 54�te Fortn Sd73 (R6 /4-p;{j
Prescribed by Ihe Department of local GovemmeN Finance
INSTRUCTIONS: See reverse side lor filiny inslrocGOns.
��� FORM
HC10
YEAR
1(We) A—MVl �L Sl�l Q 1�S2 .-� �.1(�Il ,�. �, � 1� I 9� �.1
certify thal on the 1st day of March, 20_
I(VJe) occupied as our principal pla f resid nc e following described real pr erty (or which a H estead Property Tac Credit is hereby daimed:
�I (VJe) owned ❑ !ve buying under contracl
' Have a benefidal inlerest in the entity ihat is liable for Ihe property taxes on ihe property and that owns the property or is buying under a contraU.
If buying om m�traq. Fee Simple ownets name
ofice where conVact is remr4eA
County
Parcel
Tamship
Legaldescriplion
distriV (dry, (own,
Is the
Record number � Page
_L_J� �� �E��l i J I '--T'P°°' DroDertY ❑ Mobila Homo (/.C. 61.1-7)
Hany poftion el ll�e residential sWCtura w Ne Wnd not a:ceeding one (7) aae Nat immediatey surtounds Ihat sWCture is used to O��uce income. describe Ue use and poNon
oF the property utilaetl to produce income.
Caunty
Toxnship
Counry
I hereby certify �he above statemeots are We, Covecl and tOmplete. SignaNre o( claimant
f�dress (number aiM s(reet, city, sfate, ZIP code) ,/7 � �-- �_—
.'
��� �
�
� :'
�;�yrs`" a:_^�2:�Y1._ ..°�':� eT i��`-r,ia;F��+a-i � . �,hr9 . . . � . . y , ��y . . .
TRUETAXt sf ASSESSED VALUE SHOMESTEAD'�'� NON=FtESIDENTIAL n
� �ASSESSOR USE ONLY3* �-�'�' � t t� � o � -•-v5 �,�y_ s; .�,
�v.,�'. �..:3'is.Y«ss�Y?� 5r S`.s ��_+sm.t�� �"'�+-VALUE�£:z}u7 _ AT:100%OF}_m.�c3'd��iVALUE� � �VALU�'sr�,��
Land nol exceeding 1(one) acre immediatey � , ��j,��`j� ���,�
suvounding residenlial improvements. ( � ,���.�,�`i����c����3
�. _'�;`r���'
Other land (p) a�" � t€ .�
r�`�fi��� �''-�
Tdal land Qine 1 plus line 2) (3) �
'�`� iii c3 ��..
Dwelling (4) � �x'� �`'�������
�- ��i'i�'�>��.���
Residential impmvemenfs or Mnualty .
Assessed Mobile I ManuFacNred Home Gara e O � k "r-, �` .. �' �'�s.�'�
9 5 �� 4 < _}
.':s: ' - +�="�
. -..vn . n.._:�
'-� '3k
Other improvements (6) • � ��,���' �r � M ^'�
7,..nx+ �
Tdal improvemenfs (line 4 through line 6) (7� �
Tctal value (line 3 p(w line n (g�
I hereby tertify Ute above is We, corred, and SignaWre otASSessor Data signed
complete.
Veritying action - Signature olAuditor Date signed
�',•-±��°-���k�'t?-�i5c'��F-�i",+�[.�=`�r��i's�.+�a.�s—,':�STlWDARD:DEDUCTION�ALLOWAl10E��,`:�'s'.��`�'s�i� "G ••'"`-'S, � ," 4' 'x=°' -
� '�. °.`��''s�.:er-���F",r.���..'?.�"�-�e
20_Pay20_
Lesser of 1/2 Homestead
vawauon or 535.000 $
SignaWrao(PydRw " Dates1 netl
l�� � O