Homestead_Kruse SUIT FORM!Kt. l'
ll /Wt TREASnlcA1O&M Ta-IA
nrrxnvto arT.Tt ALOADOIF ACCOCATA:AA PLWf'lamar TIE DFPARTVE4T OF LOCAL fiWaNMml FINANCE IC.-1.1-r4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead atandard deduction.As the receipt of this deduction becomes
- more beneficial.there is more incentive than ever for homestead fraud Homestead fraud causes higher tat bills for all:therefore.
® HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are elitibe to reecehe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept conlidential and can only he accessed by authorized county ofcials.The Depanmmnt 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 Property Address — -
C& R Realty LLC
R 2 Box 126
_ Princeton IN 47670
1727
Larry H Kruse
315 Hawthorne DR State Parcel Number Leal Description
Princeton IN 47670-3356
ltlt tllt ttlt�lttlrttlli 1111111111111111 Iltirittr11t1 26-12-06-402-004.201-027 NORTHBROOK HILLS V153 .
/
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
L fl
AtIV A koLD KiLS
_
v ig Addresss(number and affect,city,state,and-ZtP code) -- — -- — -- —-- —- -Same as propeny address ---" — '— ' -
d315 goat THo 2av E DR . . P Rz a cE ro w , jnl 10 l0 7 6
Spouse First Middle Last
TE1 ESA Sii-E KRusC
Mailing Address(Number and street,city,state,and ZIP code) 0 Same as properly address
315 14-AtirtiOgive De P Rr a Cc TON/ Win/ 4'7 6,/0
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 ignature Date
° CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
` Sate Fortn 5473 (R8/7-07)
•� Prescnbed by Ure Departmerrt of Lacal Govemment Fina�e
INSTRUCTIONS: See revarse sida for filing inshucfions.
N� FORM YEAR
�� � C10 �.
�
/ / t
I(We) �ii/�1-/ /'7 t Q%LQ1.00i. /�11.d-L� certi n the 1 t of March, Zb
I e occu ied as o rind I lace of residence the fWbwin described real ro �`
�' � Y
-(W ) p pa p g p perty for which a HomeC'sIBSON P� ��s hereby daimed:
�1(We) owned ❑ Are buying under contract COUNTY qUD170R
Have a benefidal interest in the entity Mat is liable fw ihe property taues on the property and that owns ihe properly or is buying under a contrad.
If Wiying on coniract, Fee Simple ownefs name
Recordefs of4ce wl�era conVad is
Counry
Parcel number
If any
of ihe
couo�y
Retord number � Page
Twmship
�descriplion Is Na property in quesl[dn:
�� �y�, �//.s � �-i �Real property ❑ Mobile Home (IC 61.1-n
�iderNal sUUdure w Ihe land not exceedirg one (1) acre Ihat immediately sunounds Uial re is used to ptoduce Incortre, describe Ihe use aM port'qn
�o produce inmme.
��O - /o? -�G - "�j o`d - Oo'S�o1U/ - Qo2�
Toxnship
1 hereby certify the above sfatements a2 We, cortect and complete.
sVee4 �y; sfafe, ensLPcotle)
County
SignaWAr�e of� da�imarrt J/
l:/!� /�
�17G 70
�_ , . . .� . .
��•..
Landnotexceedingl(orre)acreimmediatery (�� :;f f;'�.���i,�.,,�. :; ��
surrounding residential improvements. y 4{y t Y- �, r�:
OthetWnd _ -;.•;,P::;'S;�:�:
�2) -
Tdal land (line 1 plus line 2) �3�
Dwelling (4) '� ��� �:: � � .� �
Residential improvements or Mnualy ,r_ -b ... ss . z' - --. �.-- . .:=.
Assessed Mobile / Manufadured Home _ �.��i= :-�. � � r�%
Ga2ge �5) �}� :�:ya�,. -r �_ ' . n :,
Otherimprovements (6) -.,p.� -
Tdal improvements (line 4 fhiouqh Gne 6) �7�
TUaI value (line 3 plrslrrre n �g�
1 hereby certify Me above is true, corred, and SignaWre ofAssessor Date signed (mmN. day, yea�
complete.
Valiying adon - Sigrature of Fwtlitor Date signed (monih, day. yea�
�.-� � � • �
�— PaY 2o — qs.ppp (or 2007 pay 2008 42.000 for 2010 pay 2071
Lesser of 12 qq.ppp for 2008 pay 2009 41.000 for 2011 pay 2072
Homestead Valuation S _
w 43,000 for 2009 pay 2010 40,000 payable after 2072
SignaWre oflwdtur Date s9nad (month. daY vea�