HomeMy WebLinkAboutHomestead_Kiesel (3) sun POEM AOM fib IDfASUREA FOR43IA
.AIMPOVED BY[trlE Bn•ID OF.arcYa:ct.w. PLEARIBFD BY lilt DEPARINeC FLOCAL CiwrrxMENT FD:M1NCE M<I.1"4.1
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 M this deduction becomes
_ more beneficial.there is more incentive than ever for homestead fraud.Ilomestead fraud causes higher tat bills for all:therefore.
® HE.\ 1344-2009 requires tavpascrs who receive the homestead standard deduction to verify that they are eligible to Iceche the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing,This information will he kepi confidential and can only Is accessed by authorized count'officials.The DeTannnit of
Local Government finance oill use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Kiesel, Olivia
206 Vine ST
- - - - - _ Haubsladt IN 47639
8207 _ _ _
Olivia Kiesel
PO Box 91 State Parcel Number Legal Description
I-laubstadt IN 47639-0091
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26-19-31-303 .00.235009/013-00235-0o ORIGINAL PLAN 233/234
PART 2:TAXPAYER INFORMATION
Owner I - First Middle 1 Last
Olt U tck m . � 1 5e i
�g Address(number and street.city,state,and ZIP code) -_- - -- - ❑-Same as property oddress ' —- . - " - -
yvb 'vIw 54 PD, 8bK ci) HaIA cbs+a d--f )Z/t . LhCs 39
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property addnas
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
Sas
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 properly. 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
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
i' State Form 5473 (R2 / 5-92)
INSTRUCTIONS: See reverse side for filing instructions.
FORM
HC10
YEAR
CERTIFICATION STATEMENT ^
���
i @aJ) DUI
I (We) 1-eft orirt st day of March, 19_
/ �(„�� ��,OJl�1C y
I (We) occ d as our principal place of residence the following described real property for which a Homestead Property 77X Credit is hg5eby claimed:
_
❑ I (We) owned ❑ Are buying under contract f _ 7_/1 , _ , ((_ _U
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that.�!tp'dh Peerly:61_,, b"uy"i'ng�an�er a contract.
CONTRACT RECORDED
If buying on contract, Fee Simple owners name
Recorders offce where contract is recorded !
Record number
Page
. r y
PROPERTY DESCRIPTION - ' t
County
Township - -
'
Taxing district (city, town, township) '
1
P I number
9l
Legal description t l
- 35 -0
3
It 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 uulized to produce income.
e
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County
Township
County
Township
S nature of c nt
. ereby certify the above statements are true, correct and complete.
'
Address (number and st t, city, state, ZIP code)
��lo Ulne S�
ASSES OR USE ONLY
TRUE TAX
ASSESSED
HOMESTEAD
NON - RESIDENTIAL
VALUE
VALUE
VALUE
VALUE
Land not exceeding 1 (one) acre immediately
(1)
surrounding residential improvements.
Other land
(2)
Total land (line 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
$
Valuation or $2,000
Signature of Auditor
Date signed