Homestead_Kroeger •
STATE Foust 51509(lil&10) IEEASCRIER BOCH TS IA
APPROVED BY STATE BOARD OF ACCOUNTS.?W PRESCRIBED BY THE DEPARTMENT OE LccAI.GOVERNMENT FINANCE C6.1.1.224.1
Gibson County Auditor INIPORIANT NOTICE TO HOMESTEAI) PROPERTY OWNERS
FF1��IF001 N�I5�'�'rT' t Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes
1 v `�I N .76, more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore,
.--, HEA 13442009 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
MAYg Zc'I I Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
, PART l: PROPERTY INFOR\1ATION
C.11•
Taxpayer Name Location Address
COUNTY AU9 TOR
Kroeger, Judy F
GIgSON o CR 260 w
_ PRINCETON IN 47670
1505 • . • •
Judy F Kroeger III IOilIIOHIOIII0101110ftft Uhl/lira illimi_Ill Ill 01_III I:IIIO HO1101OII 10111
3201 W Mockingbird Lane
PRINCETON IN 47670-8119
11111111"111111111111111111111111111111"11111111111111111111 State Parcel Number Legal Description
26-11-11-300-004.054-028 /PT SW 11 211 .916 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.
Fill t 2:T SPA 'ER INFORMATION•
Ow..er I First Middle last- --
UO — �f - 14 roe9ec
Mailing Address(num ends city,state,and ZIP code) l J{I Same as property address
3Z 0/ tD. f 1 i ock vj h, rem LA na
$ First Middle Last
Ternitred k r o e.9 ec
Mailing Address(Number d suet city,state,and ZIP code) are as property address
32 .D !(Number /21Oeginq bird 1-6t ns tLLLWWYYYY���
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
F .wfullyy,he or she m.y b• liable for back taxes and substantial financial penalties.
FOIfM HL 10 1979 �
RewribeA By Staie BaarC o� Tax fqmmi55ioners
CLAIM FOA HOMESTEAU PROPERTY TAX CAEDIT FOR YEAR 19-Z�
To & FileE in Wpliwte
(� 'i3 p2 SEE BACK FOR FILING INSTRUCTIONS r „�n� ���-}��"��
d" ` , AXJ�� �� �
Q . E �, �. a��� "" °
(We) � certify that on the 1st day of
�March, 19 �� I, (We) occupied a our p ncipal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed: � ��—� j ��l� �/
i lJ J
I, (We) ❑ owned �e,Q��j�
❑ are buying under contract � T
❑ have a beneficial inte est in the taxpayer
Property Description in � County �7 0��� Township
Taxing District (City, Town, ownshi : � ja-r�-�
Parcel Number or legal description shown on tax statement:
O,t � w'�,� i, -�- i� . 9 i� fI
If buying Ofl contract: Owners name ��re slmo�e owner)
Contract recorded in Recorders Office - Record No. Page
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 of the property utilized to produce income
Any other counties in which individual owns or isb�uying real property: County Township
�i e certify the abov st ment is true, correct and complete
_ � �%
`ignature Stre Aa ress iry. tate n0 2ip Coae
' 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 •
Resitlential Improvements
True Cash
Value
��� �/� o
(2� �
�3� `fL o
Dwelling �4� ��
Garage �5� ��
Total (6) '��
Other Improvements
T�`mprovements - Line (6) plus (7) equals (8)
I nereby certify the above is true. correct. and complete
Signawre al
�r::w
� �
i �
- ACTION BY AUDITOR -
Assessed
Valuation
17��
-�'ID—
Homestead
Valuation
�"=�
- �!o — %
Da:e .
Date: �'