Homestead_Ross • Snit FORM MN..IR_/..r•1 MEASURER FORM S IA
.M PROVED nYs,stE OCIASU Or.MYYRENTs. n_ PIRMlrIro BY nlr DEPARTMENT OF LOCAL GOVERsMEFT FINANCE n'N.1-2:4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standanl deduction.As the receipt of this deduction becomes
_ more beneficial.there is more incentive than eta for homestead fraud. tn
I Ioeslead 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 medic die
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
tilitnsc.This information will be fiery confidential and can only to accessed by authorized county ofcials.'llm Department of
Local Government Finance will Inc this information to create touts that will h:Ip county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Stunkel, Kristy D aQ$ S 3kit Aye
—
Haubstadt IN 47639 V
3136 �yp�6,
Kristy D Stunkel W" V
` d State Parcel Number Legal Description
HAUBSTADT IN 47639
D 37
26-19-31-304-000.356-009 013-00356-00 E PARK ADD
_ _ .__7(______x -_ - _ _ . _ ___ . _
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.
PART 2: TAXPAYER INFORMATION
Owner I J First Middle Last
hr'iS-1- T y llAwn 5'170, lit!
ii!.
g Address(rimer and street,city,state,and ZIP code)
0 eme as property address
0% S. and Aire P, . Box 9� Nabs-eel+ IA) H 7 (0 3 7
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ri Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
- - _ sae _ _ _ _
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.
Owne I Signature Date
•
CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
CREDIT /STANDARD DEDUCTION f rl D�
State Form 5173 (RS 14-03)
Prescribed by the Depm4nent of Local Government Finance
INSTRUCTIONS., See nitamnsae/orli+a:tbructiorm. AUG 142006
zzeCERTIFICATION STATEMEN_T_K:-
N�
l (We) certify WASvgtt' 4 Y
,I.,((We) occupied as our print' place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
I (We) owned ❑ Are buying 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 under a contract.
:= `.i 3••:' _ 3x'Fix:u`� v`- ,a" h�<CONTRACT.;RECO_R_DED'�
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If buying on conuact. Fee Simple owners name
Recorder's office where contract is recorded Record number Page
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, ERTY. OESCRIP, TtUN !is"�x= ��,x�kl.¢s.`?3'n --,;
County
Township
S` nature of laimant
Taing ' t "
ily rows, ownshi
00Ye 'OF�TT1!��,VALUEy�'+��«�'aVALUE
PP`g3c',cel number,
L I de Dd /
r.m_`��``�*�y,�pyr�r�i� „_,;,?;
Is the property i question:
Land not exceeding 1 (one) acre immediately
Real property
❑ MoWe Homo (l.C. &1.1 -7)
H any portion of the residential structure or the land not exceeding one (1) acre that inurediatoy
of Pral property utilized to produce income.
surrounds that structure is used to produce income, describe the use and portion
surrounding residential improvements.
a6 i9- a3/ -30 /1/-- 4 L-0.3a�
Other land
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County Township
County Township
I hereby certify the above statements are true, correct and complete.
S` nature of laimant
�'ldress ( numbu and street, city, state, Zip code)
�og s. a� A,c. Na.bS�cdt ti tier,
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TRUE TAX 43k
'ASSESSED VALUE
VAHOMESTEAD
NON= RESIDENTIAL :r
ASSESSOR USEOY
$
00Ye 'OF�TT1!��,VALUEy�'+��«�'aVALUE
Date signed
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r.m_`��``�*�y,�pyr�r�i� „_,;,?;
g��VAf.UE,•C`Xb�t„q''�"ATtt
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
(2 )
!r,
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
Aft ya4esy'_..
Residential Improvements or Annually
Assessed Moble I Manufactured F lon
Garage
(5 )
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of wditor
Date signed
r�at�` �`> R.. �STANDARD:DEDUCTION'AL'[OWANCEt �:��
3'u'.Za� 'Ali yx`x�R.S."it:.;,
20 _ Pay 20
Lesser of 1/2 Homestead
Val18boil or S35.DD0
$
Signature of Auditor
Date signed