Homestead_Krieg SIMt IOR.M!IN IR r•+MI TREAA[FA FORM SIA
APPRIWED RV SIRIi.9Mm)OF MYTyNT C.2WN. P,ISCIUM nY lilt DEPARPerT OF LMAL IXWEIIYMrMT FINANCE M 6-I.I-r-1.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
•
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than tier for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 13-1-1-7009 requires taxpayers who receisc the homestead standard deduction to verily that they are eligible to teethe the
benefit and to plus'ide additional identifying information necessary to allow counts.government to better monitor homestead
filings.This information will Ise kept confidential and can only be accessed by authorized county ofcials.The Department of
Local Government Finance will use this information to create tools that will hap county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Krieg, Charlene
RI Box 45
Oakland City IN 47660
4268
Charlene Krieg
R1 Box 45 State Parcel Number Legal Description
Oakland City IN 47660-8631
1t1u11ut1t11ntliulintln luliuullunillin ullntrllti 26-13-11-400-000.829-006 003-00829-00 PT S SE 11-2-98 AC
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PART 2: TAXPAYER-INFORMATION
Owner I First Middle Last
r
•ag Address(number and street,city.state.end ZIP code)- - --- — - - 404ame as propeni address -
7a d e b e SC S -9 2i9-,iJ a _21:7,-) 076 6 Q
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) _ ❑ Same as property addreSs
Social Security Number(last 5 digits) R•- ens License/State ID Number (last 5 digits) Other(pleas •- 'Iv in Pan 4 below)
saw
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.
Own I Si nature Dat`e/
PART 4:ADDITIONAL INFORMATION
I
I
003-oo�aq
d CLAIM FOR HOMESTEAD PROPERTY TAX o YEAR
CREDIT /STANDARD DEDUCTION C�
,z State Form 5473 (R2/1 -90)
Ct�"?(VSTRUCTIONS: See reverse side for filing instructions. ��AY } O 1991 /2
A n m o CERTIFICATION STATEMENT
I (We)
that on the
9s9/
I (We) occuVied A)our principal pla64 of residence the following described real property for which a Homestead
11oroperty Tax Credit is hereby claimed: 0-1'(We) owned ❑ Are buying under contract
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
property or is buying it under a contract.
CONTRACT RECORDED
If buying on contract. Fee Simple Owner's Name
Recorder's office where contract is recorded Record Number Page
PROPERTY DESCRIPTION
County' Townshi Taxing Dis t ity, town, township) ' -
Parcel Number Legal Description
3 - oo$a - - oS C
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to:produce income.
-%3 - //- ao -6�0. 9a 9-<I�)
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township County Township
Ihereby certify the above statements are true, correct and y�ignature
complete. (�
Address (Street, number, city. state and ZIP code
S O
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements
Other land
Total land - line (1) plus line (2)
Residential improvements Dwelling
Garage
Other improvements
Total improvements - line (4) through line (6)
Total value - line (3) plus line (7)
(1)
1991 Pay 1992
Lesser of 112 Homestead
Valuation or $1,500
19 — Pay 19 -
Lesser of 112 Homestead
Valuation or $1,500
(2)
Signature of Auditor
p.
(3)
(4)
(5)
(6)
(7)
(8)
1 hereby certify the above is true.
correct, and complete
Signature of Assesor
Date Signed
Verifying Action - Signature of Auditor
Date Signed
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990
-ser of 112 Homestead
- aluation or $2,500
1990 Pay 1991
Lesser of 1/2 Homestead
Valuation or $2,000
1991 Pay 1992
Lesser of 112 Homestead
Valuation or $1,500
19 — Pay 19 -
Lesser of 112 Homestead
Valuation or $1,500
Signature of Auditor
p.
Date Signed/
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