Homestead_Goedde (2)�
CLAIM FOR HOMESTEAD PROPERTY TAX FORM
CREQ|lDSTANDAR0QEDUCT|ON
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State pmm5wn(Rm/**x) L-----_—�--J
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Prescribed oy the Department m Local Government rinwc�
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,uo____
'r`"/ occupied as our p"�ipm place of residence the following described real property for which aHomestead Property Tax cr t is hereby claimed:
[]|(Ne) owned []A� buying under contract HUh
Have a beneficial interest in the entity that is liable for the property taxes on the property and that <`,`e property o/is:/?ino under a.uvntrum.
If buying on contract, Fee Simple o�ees name
Recorder's office where contract i,recorded
If any portion of the residential structure or the land not exceeding one
of the Property utilized to produce income.
Reoord number I Page
Twing district (city, tmim,
Perry in qtksfion:
� �' T= X Real property El Mobile Home (I.0 6-1.1-7)
that immediately surrounds that sTructure is used to produce Income. describe the use and portion
III
County
ToAnship
I County 1:o'-ship
I hereby certify the above statements are true, correct and complete.
re f mant
Add ber and street, ct . ty, state, ZIP code
III
Lesser of 112 Homestead
Valuation or .000 $
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Pi
Otherfand
(2)
WN
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
Residential improvements or Annually
Assessed Mobile I Manufactured Home
Garage
(5)
009v
Other improvements
(6)
Total improvements (fine 4 through line 6)
(7)
Total value (fine 3 plus line 7)
(8)
1 hereby certify the above is true. correct, and
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
Lesser of 112 Homestead
Valuation or .000 $
•
STATE FORM 3,a.IC t!+.) lREAnllra PORN 75-IA
APPROVED BY SI•TE:WWI)01-AM iN•t._OM IREXArBmoY Mr Of PART/EST OF LOCAL CIYSLR.YMQO FINVCCE ICLI.I ra.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than exer 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 am eligible to meehe the
benefit and to provide additional identifying-information necessary to allow county government to better monitor homestead
filings_This information will he kept confidential and can only he accessed by authorized county officials.The IXpanment of
Local Government Finance will use this information to create tools that will help c.xnty officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Goedde, Kevin D
1003 Sarah ST
• I I aubstadt IN 47639-8165
7271
Kevin D Goedde
1003 Sarah Ct State Parcel Number Legal Description
HAUBSTADT IN 47639-8165
ltltt�ittr1t11rrrt 11r1t1i 1111111111111111111 1t11 111111111 26-18-36-401-000.615-009 013-00615-00 WEST HGTS 4TH ADD6
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
cdii✓ C-/o r-i.d=
• g Address(number and street,city.state,and ZIP code) - ----- - --Same as property address— `—-- --• —- --
/003 SAize4 J C! /41a15-��t__T;Li 97( 3
Spouse First Middle Last
Mailing Address(Number and street,city.state,and"LIP code) u Same as property address
Social Security Number(last 5 digits) Drive's License/State ID Number (last 5 digits) Other(please specify in Part 4 below) .
sou
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 s•c may be liable for b •Ic xes and substantial financial penalties.
ncrl S',na r / Date
(
PART 4:ADDITIONAL INFORMATION
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