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HomeMy WebLinkAboutHomestead_KriegCLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR CREDIT /STANDARD DEDUCTION Sbft Form 5473 (R7 I &M Prescribed by the Deperinlent of Local Gaveffirnerd Finance INSTRUCTIONS: See reverse side for filing instructions. I (we) �49-t!g AlMilm 4A LA certify that on the 11 144p_ I (We) oclmrpijd as o&,4;ndpaJ place oi(5;9anc�e the fbkjqQ described real property for which a Hornesbead Propeq,'�g ❑ I (ft) owned ❑ Are burying 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 urKler a oontracL 44; PROPERTY.DEwAIP"mc, COX7RACTAIX(MDIM Taffnihip TMdng district (cly, torn, lowtsirp) V-M LAO description q&VVQ� L5 the property in question: I - ❑ Reel property ❑ Mobile H. (I.C. 61.1 -7) fl eery portion ofthe residers strncUse err tha land riot exceeding ono (1) ace thal minedialely marourlds dal ffiucase is used to produce in , describe the use arld portion of the property talized to produce morne. it buying on m,uac7, Fee Single o*TmWa name A to 71P code) 14 ia-L� 4 7 3 surrounding residential Recorder's of where carload is reconled Record number Other land Page 44; PROPERTY.DEwAIP"mc, County Taffnihip TMdng district (cly, torn, lowtsirp) V-M LAO description q&VVQ� L5 the property in question: I - ❑ Reel property ❑ Mobile H. (I.C. 61.1 -7) fl eery portion ofthe residers strncUse err tha land riot exceeding ono (1) ace thal minedialely marourlds dal ffiucase is used to produce in , describe the use arld portion of the property talized to produce morne. 3 M - mtoparry owmEb BirmAmimt, tkbmm coumms Q 0 Vie.: Tmnship Lesser of 12 Hornestead County Township I hereby certify the above statements are true, correct and cornpliets- Vakkirtion or $35,OD0 of clement A to 71P code) 14 ia-L� 4 7 3 "A ,ASSESSOR USE '1711WE TAX ASSESSED Lesser of 12 Hornestead •WM Vakkirtion or $35,OD0 sqlahm 01 kxttor Land not exceeding 1 (onis) ace irrsnelclish* surrounding residential Other land (2) Tetal land (Ikm I plus &?a 2) (3) Dwelling Residential irnproveimnis or Annually (4) Assessed Mobile I Manufactured Home Garage rg (5) Other unpruvernents; (6) Tdal (rm 4 ftmmh line 6) (7) Trial value (Ikw 3 phs fine 7) (8) 1 hereby certify the above is true, coffecl, and SqMfureafAssessoli Date signed cornplete. Verifying acftn - Signature of AudiWr Urts signed .1, r ^^,�'--' STANDARD DEDUCTION ,ALLowANcE..�,.A{ ,,;,,ti 20_ Pay 2D_ Lesser of 12 Hornestead $ Vakkirtion or $35,OD0 sqlahm 01 kxttor Dole signed STATE FORM 53569(R315-10) - TREASURER FORM TS-IA APPROVED BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE 106-I.1-222-5.I - - IMPORTANT'NOTICE TO HOMESTEAD PROPERTY OWNERS 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 ever for homestead fraud. Homestead fraud uses higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive the homestead s...adard deduction to verify that they are eligible to receive the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filings. This information will be kept confidential and can only be accessed by authorized county officials. The Department of Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. - PARTt PROPERTY INFORMATION -- Taspayer Name Property Address Stale Parcel Number Legal Description: Toby D Krieg 31 I W.MAPLE ST 26-18-36-200-000.198-009 PT NE 36-3-11 .50 AC I-WUBSTADT IN 47639 \ ■ Complete and return to: I➢IJII0ll911➢➢➢11:_II© DUI®l➢IIQ➢➢mo IB©®➢➢ GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670 . 7 . PART 2:TA XPAYER INFORMATION i. • Amer t First Middle Last T 17Lan Vri e �j Mailing Atltlre (number and street.ary.state and ZIP code) me as property address - / vl i (,J. (flcpl � filu,h�sko0-`-; (1 -)029 Middle Last Mating Address(nurtb rand street,city,state and ZIP •tle) Same as property address i ( - PART 3: CERTIFICATION Each undersigned-cerifles,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 1 Si Date - - PART 4:ADDITIONAL INFORMATION. . FILED • NOV 1 3 2012 c GIBSON COUNTY AUDITOR - •