HomeMy WebLinkAboutHomestead_Krieg (3)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
r State Form 5473 (R2 15-92)
6
INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT
I (We) r certify that on the 1st day of March, 19_
I (We) upied as o r dncipal place o idence the folio g described real property for which a Ho T retry claimed:
(We) owned ❑ Are buying der contract p
FthelL EnLe,a
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that o r co ntract.
i
CONTRACT RECORDED
If buying on contract, Fee Simple owner' s name
Recorder' s office where contract is recorded /r' GIBSON
R6hVrd6uki1d&IT0R 1
Page
PROPERTY DESCRIPTION
County
Township
Taring distill dry, town, township)
argel ben O
� II O
Legal description
It any portion of the residential structure or the land not exceeding one (1) acre that immediately sun ounds that structure is used to produce income, describe the use and portion of
the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County Township County Township
e of claimant
ereby certify the above statements are true, correct and complete. 1
/
rAd (numbe sheet, city. stare, ZIP code) L K
ASSESSOR USE ONLY
TRUE TAX
ASSESSED
HOMESTEAD
NON-RESIDENTIAL
VALUE
VALUE
VALUE
VALUE
Land not exceeding 1 (one) acre immediately
(1)
surrounding residential improvements.
Otherland
(2)
Total land (fine 1 plus line 2)
(3)
Dwelling
(4)
Residential improvements
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct, and
Signature of Assesor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19
Lesser of 1/2 Homestead
Val anon S2,000
Signature of Auditor
Date sign
STATE FORM 9ywtlC/% l rarASIM PoR431A
1 xA IMPORTANT NOTICE TO DEPARTMEYT Of LOCAL GOVERNWNT FINANCE IC
OWNERS za
Gipson County Auditor
101 N Main
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ner 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 nece.ar•to allow county govemment to better monitor homestead
filings.This information will be kept ccmtidential and can only he acrg_sed by authorized county officials.The Depann.ntt of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
• Taxpayer Name Property Address
Krieg, Tracy J/Kyla D
504 li Maple
Francisco IN 47649
1289
Tracy J Krieg
504 E Maple St State Parcel Number Legal Description
Francisco IN 47649-9284
111ttILrrLlltrtlydlJtJJrtrr111L111JrtIlLtttlttlrtlltl 26-13-20-103-000.154-005 012-00154-0000LLINSADD5
x
•
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
I e4 4 V2 E
tg AddTis lnutnber mid it act,city, idlee'a-dziP code)'-- — - — -- -- -Slime as property uddrsss— _- ' - -— - -- —
5�( L. 4 4,LE 5�.. Pc -neiseo, I Le 7 (2 9
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ( ,S11(ne as property address
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.
OssiSignature Date
-
PART 4:ADDITIONAL INFOILMA'I-ION
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