HomeMy WebLinkAboutHomestead_Krieg (6) „ STATE FORM MOM re-It) TREASUFFAroLNTS1A
APPROVED BY STATE BOARD OF ACCOUNTS 2009 PRESCRIBED BY TIIE DEPARTME\T OF tint(iOMISMENTFLYANCF.IC 61.1.224.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS•
101 N. Main Street Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
Pfinceton, IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore,
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
filings.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 tools that will help county officials eliminate homestead fraud.
• PART I: PROPERTY INFORMATION” . .
Taxpayer Name Location Address
Krieg, Minnie R
504 S STORMONT
Princeton IN 47670
1003
•
Minnie R Krieg I II�I�I I I1�111[I I11�II�II_ II�II�I I II-II I IIIIII_IIII[II01011 I�III�II0hI0Hill[II II.II
504 S Stormont
PRINCETON IN 47670-2526 .
"'IIImIIluiIIIiilIiiIIIllll iIiIiIlllll " I II' Illlh State Parcel Number Legal Description
--- 12-07-404-001.622-028/MONROE HOMES 13 —
JUN 14 2011
GIBSON COUNTY AUDITO
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 '
Ow®I First Middle '
1/<& ,
Mailing Addre`sss(number and street.city.state,and ZIP-code) I -Same as propMy addresf/ •
fa 5- NX1rigai / Ri/g f--fait) J/t) 77d7
.
Spouse First - Middle Last
— Mailing ddress Numb aaria strec.ci stns,and uP code --- -- - -
g ( 4 ry ) .. - a.prupeiry adY-v�s--_—.-^—� _ --
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) u Other(please specify in Part 4 below)
, I I I I I I I I I state
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 PROPERTYTAX
CREDIT/STANDARD DEDUCTION
Stele Fortn Sd73 (R6 / d-03)
Presaibed by itro DepartmeM of Lxal Govemment Finance
INSTRUCTIONS: See �everse side /orfiling inshuclions.
1 � �
V � { �
R ; � � .,`�:,
�_ ,�
JUL 1 0 209�
� . - �
04 �
��e) certi(y that on �t!he9:���sl day o( March, 20
I(We) occupie as our principal place o es' en e following described real property for which a Homeste�d��f���ty i��r��it isi�e2�yRdaimed:
� I(VJe) owned ❑ Are buying un er iract
' Have a benefidal interest in the enfiry that is liable for the property taxes on Ihe property and that owns ihe property or is buying under a wntract.
II huying om m�irad, Fee Simple ownefs name
Recordefs office where conVaa is recorGed
ca,�ry ) Ta,�,�mo
Parcel n ber Le9a
� _ i��a-Jo
If any portion o11Ae residenUal sWdura w Ne lan no�
ol the pnroperty u6Gzed to produce inmme.
/ �C�.�(/ �
�/ - /a_n �_ ��
County
(dry, town,
cnpuon �s �rye p�l
���_/s3
exceeding one (1) aae Ihat immetliately surtounds that
I hereby cerlify Ihe above statements are W e, corred and complete.
Address (numbe� aiM sfreeL city, s(ata, ZIP code) ��
F
Coumy
claiman�
.�_
Record num�er � Page
al Droparty ❑ Mobile Hwno (I.C. 6f.1-�
is used b praduce income. descnbe the use and portbn
Township
;'� �y�ASSESSORUSEtONLYs`��r��k����U6TAX�y'r�.�;yASSESSEDVALUE HOMESTEADf'x' `�NON�-RESf NTIAL �
%��,.�i} �.�- -�'�''x.z._'.�.a-Y..,-L� Y°, ... _ . �rx< L �'`'?� � VALUE�-n.1�' ATa100%.OF`TN � 3�-`VALUEf�� �' ..F`�F _ e s" � �
t�G r��'�_.-.. r��.-. __-...a �.-..�' .. .r.r�.�. �.�'S4.t' 4!'.<,-. .....,.wz x'.&rt.'-���U�...�M
Land not exceeding 1(one) aae immediately ;�.S'Y��'j-"F� s �� 78
surrounding residential improvements. (�) ��s,�� _��*�� ^�����
�'.�
-���.i� ;�4T; v .
Other land �.-�,
(Z) �;�' ��_ _is
TUaI land (line 7 plus Irne 2) (3)
«,
Dwellin 4 :�:��'�'A-� ":L � ���f�
� 9 ( ) � �-.c ..'�:��t:�zs:3i�,�'T�'�
Residentiel improvemenfs or Mnually
Pssesaed Modle / Manufaclured Homa Garage (5) 4� ,� ',��'jr�= '� ���
ac"u+Y �` .F' �. a,r, �.i�
^-"x:4':is, ��� '_
Otherimprovements (g) `c.3�-":�y'�k:" s,.;
,�',s�=+�g'� �
Tdal improvemenfs (line 4 through line 6) (�)
Tual value Qine 3 plus line � (g)
I hereby certify Ne above is W e, corred, and Signature o�nssessor oate signed
comptete.
Verifying action - Signature oflwditor Date signed
� �' 'yy.:al° rd'�•k"'c.'p�y+ �i:�,.x`�:!y�.=�STANDARD:DEDUCTIONALLOWANCE'S'wir.bs�-:�t.:v'��`�*.az"7?L:"�s.'"'�"."A�1§�.:,""y'„�:���,'�`�'.'mesc..va
�'�a�'��..r�_n�.,.,3t'.o.rtcnY7k �. *, i H�^�.
20 _ Pay 20 _
Lesser ot v2 Homestead g
vauanon a 535. WO
Signatura otAudhw ' Date sgnetl