HomeMy WebLinkAboutHomestead_KriegCLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
C.
CREDIT/STANDARD DEDUCTION HC1'0 ji -4
State Form 5473 (R5/ 10-01 U
Prescribed by the Department of Local Gmernment Finance
INSTRUCTIONS: See reverse side for Filing instructions. JUL 2003
ERTWICAWN
I (WedS uqp I I %zk , ai� QA.A -K certify thavoriffie'-Ist day of March. 20_
1 (We) pied as ou nciAl Yam of residence the following d ad real property for a Homestead Property Tax Credit is hereby claimed:
ow'ned
�(Z W1, 1:1 Are buying under contract
Wave a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
_NTRAcTj'RECORDED
If buying on contract. Fee simple owners name
Recorders office where contract is recorded Record number Page
R6P-ER1W,'bW9E6-,WY `CLW1MA-WTJN'6TH
0 E RTjrJdE1tC FiFP-T[-(j-N
County Township
County
Township
r claimm
Taxin dist town, township)
I '�:r'*T'
0
Parcel number
Legal dawn
Land not exceeding I (one) acre immediately
Filitho property in question:
O' D, - 0069
I Sat
I
&Z!I property
0 Mobile Home (I.C. 61. 14),
If my portion of the residential structure or the exceeding we (1) acre that immediate) f sumciunds, that s is ' produce income, describe the use and portion
of the property ufikzod to produce income.
Other land
(2)
9
oa) 0o-5-
R6P-ER1W,'bW9E6-,WY `CLW1MA-WTJN'6TH
LE
County Township
County Township
I hereby certify the above statements are true, correct and complete.
r claimm
(number and street, city, state, ZIP code)
LE
E
HOMESTEAD
O�NRESZE— WrM
r
.UE
0
VALUE
0 " 'A—
I
Land not exceeding I (one) acre immediately
surrounding residential improvements.
Other land
(2)
mA `75
701M
Total land (line I plus line 2)
(3)
Dwelling
g
Residential improvements
i4°4
Garage
(5)
Other improvements
(6)
-AN
Total improvements (line 4 through line 6)
(7)
Trial value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
STATE FORM 53300(5311-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS.MP PRESCRIBED BY THE DEPARTMENT OF LOCLLCONTRWENT FINANCE ICI-1.145-0.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main$tfeet Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes
Princeton,IN 47670 more beneficial,there is more incentive than ever for homestead Gaud.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
®/ �� filingst and to provide additional identifying confidential itial and can necessary my be to allow county izedreount officials.ciaer monitor homestead
on of
filings.This information will be kept confidential and can Doty 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 l: PROPERTY INFORMATION
MAY 2011 Taxpayer Name Location Address
C 9' Krieg,Gregory IC/Shirley A
�IBSON OOONT D R FRANCISCO IN 47649
,
4549 II- 111 _m _ IIInflil im il.
lhI_ _In _ _IIIs_III-II Gregory KKrieg
PO Box 222
FRANCISCO IN 47649-0222
IIII'I IIII'iIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII State Parcel Number Legal Description
26-13-19-202-000.044-005 /OLD PLAN 14 PT/15 PT
y
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.
Ow.._. First Middle Last
r eoc eh+ ) A r !--,:all)M '- Ad s( and L city,state,and ZIP code) I] Same as property
t .aaa Fr ,t nC i OCo .T-l0 q-(7(pLf / 0(0 &.SeconM
Spouse First Middle Last
Sh∎ R1cq . Ann l� c ■ e5
Mailing Address(Number and street,city,state,and ZIP code) . I []Same as property address
-PI OS 2 i aQ Fin AC t SCO -(-tic174Llq into 10 690,0ncA
•
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 -
_Allalaidil.. PART 4: ADDITIONAL INFORMATION -
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