HomeMy WebLinkAboutHomestead_KastCLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR _
CREDIT/STANDARD DEDUCTION HCto
State Form 5473 (R5110 -01)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS, Sao rpvp.r-qp side for flh,,rt insfmcfinrtc
..'CERTIFICATION STATEMENT-�..
jL-4 JL-d
I (We) A4- ft ISO Z:E car I ti that on th st day of March, 20
hi PloArt?( redit is hereby claimed:
I (We) occupied as our principal placeu residence the following described real property for which a
❑ l(We)owned ❑ Are buying under contract
Oave a beneficial interest in the entity that is liable for the property taxes on the property and/ fk owns t., i der a contract.
RA CT R ECORD ED 7-
If buying on contract. Fee Simple owner's name
Recorders office where contract is recorded Record number Page
PROPERTY. DESCRIP-Tldhl'.`.,
County
Township
Taxing district (city, town, township)
APcel number
IJO
Is the property in qu on:
C I property ❑ Mobile Home (LC. 61.1 -7)
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
PROPERTY -.OWN Ed BY CLAIMANT I N OTH ER COtATI ifS
County
Township
County
Township
I hereby certify the above statements are tnue, correct and complete.
Signatur o claimant
Ulf
''�ess (number and street, city, state, ZlP code
. II
11W
TANDARDMEDUCTION ALLOWANCE
20 _ Pay 20_
Lesser of 1/2 Homestead
Valualion or $6,000 S
Signature of Audhor CAJ X4142�w� Date si ned
�gi.TRLJE4AX--,�-�
ASSESSED VALUE
�'wHOA
r
�.AOWRESIDENTIAL, '�
ASSESSOR USE ONLY4:'
-3L
4'
-
VALUEZ.F4W,
'V- ',�WALUE'
�m
4&0'
k*7
Land not exceeding I (one) acre immediately
14
surrounding residential improvements.
Other land
(2)
4
Total land (line I 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 plas line 7)
(8)
I hereby certify the above is true, correct. and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
TANDARDMEDUCTION ALLOWANCE
20 _ Pay 20_
Lesser of 1/2 Homestead
Valualion or $6,000 S
Signature of Audhor CAJ X4142�w� Date si ned
SLATE FORM!)W IM1:(L+vl IRIFASUILR POKY TS-IA
.ATFRT'ED aYMh 01.WARD OF?al F%v PLMAInaa,BYl'ltLOFPA0.hn.'\TCif L(RAL C VERYXENT fa:AseF IF 64.I-214I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and mxried couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than e'er 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 eligible to recebe the
benefit and to provide,additional identifying information necessary to allow county government to better monitor homestead
lilings..Dpk information will he ILIA confidential and can only be accessed by authorized county officials_The lkpanncnt 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
Kast, Mark A/Jaime A
No Location Descrip
Haubstadt IN 47639 RI
7397
Mark A Kast
313 S West State Parcel Number Leval Description
HAUBSTADT IN 47639-8153
26-18-36-404-000.229-009 013-00229-00 PT SE 36-3-11 .50 AC
X —
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Mark AFn+holly Kcts+
rag Address(number and street,city,state,and ZIP code) Same as property address--' - — - ' -- -
Spouse First Middle Last
Tai me Al isa kas+
Mailing Address(Number and street,city.state.and ZIP code) Same 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.
Owner I Signature Date
PART 4:ADDITIONAL INFORMATION
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