HomeMy WebLinkAboutHomestead_Keller U
STATE FORM MOO(L/AIM , T[EASLAf3EORMTSIA
.., - APPROVED BY STATE BOARD OF ACCOUNTS.2109 PRESCRIBED BY TIE DEPARTMENT OF LOCAL COVIXNMEYTFDIA`XE IC 4.I.1-z2-S.l
Gibson County Auditor" 1 IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
-101 N. Main Street 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 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.
FILED flingt and to provide additional identifying information andca neny be callow-county ized count oto fficials.ciaer Trl The De homestead
filings.This information will be kept confidential and can only be accessed by authorired county of5cials.The DepamnrnTOf
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
I • :PART 1: PROPERTY INFORMATION -
APR-6 2011 Taxpayer Location Address ,
C. n - Keller, Gary:A/Kathy L
422 S WEST
GIBSON COUNTY AUDITOR • HAUBSTADT IN 47639
3012
Gary A/Kathy L Keller II 1 11111-III I VIN III II I I-BIIII III II IIID 111111 II I I1-I I 111111111111 ill
422 S West
Haubstadt IN 47639-8155 - -
PIII'Iii'IIlliIilII 'lI'Iliml illIII1IIIi1llillllllltiitrlllll State Parcel Number Legal Description
-- —_ — — — — 26-23-06 301-000.286-009 �PT W 6 4 10.50 AC
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.
r,1 • - • 1 PART 2: TAXPAYER INFORMATION
Ow_. I First - c , Middle Last
7a
er . ,, • item • ��lf '.
Mailing Address(num and street,city.state,and ZIP code) ca Same as property address •
' .,
Spouse r First i - Middle Kr: , / r (� Last
Mailing Address(NUmbesndiveet.city,state,IndZlPedde): __ ----_..__--------__ •a.'I�:$amc perty 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-fmancial penalties.'
Owner I S'..: a��'.4 / / /_ Date
:PART 4: ADDITIONAL INFOR:\1ATION
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