Homestead_Kinsall SLATE ion,.A'M i2'/Yrl 111FANrlR FORM TS-IA
.A•lRO.'ED BY Cr VIE G)V(DOW tat n]NTl.rm ?AFYIAmWD BY for DEPART NTOf ErX:AI rMcRNMfA'f FINANCE M r•I.I-L'-r.,
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 of this deduction becomes
more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
® HEA 1344-2009 requires tatpayers who receive the homestead standard deduction to verify that they are eligible to lecene the
benefit and to provide additional identifying infomntion necessary to allow county government to better monitor hontettad
filings.This information will he kepi conlideruial and can only he accessed by authorized county officials.The Depanntent of
Local Government Finance will use this information to create twls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
• Kinsall, Joe/Sadta
1102 Park
a— Princeton IN 47670
176
Joe/Santa Kinsall
11102 Park Dr
t Statr;Pai•ceI Numb e_al Description
Princeton IN 47670
/ 2ti- 04-0 OFr01095-00 MCKAW SUM 132/133/134
C—. _r-4�J
PART 2:TAXPAYER INFORMATION
Owner I taz First Middle Last
o l�/A �r r K NSA L
Address(number andstmet,coy,vte,end''aP code) _ _ .__ • Sums:.spraper,-:eddy s — ___._— .t _
�a a uJ, PAR '? Aye
?
Spouse First Middle Last
gARi 7",4 400 l<1tN S /I4L
Mailing Address(Number and street.city,state,and ZIP code) Same as property address
1A-E2 w Pf4RI< 4vr .
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 'A Date
7 •
RescriJN By Sua Box�O of ia. CemR3ssioners
CLAIM FOR HOMESTEAU PAOPEATY TAX CAEOIT f0R YEAR 19�
SEE BACK FOR FI�ING INSTRUCTIONS
�(We) � �-� certi(y lhat on the 1st day oi
� arch, 19�_ I, (We) occu d as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned b�ipr b��9�
❑ are buying under contract �
O have a beneficial interest in the taxpayer
Property Description in ��-��—�� County - ��-�-d-/�.- Township
Taxing District (Cit�-�ewrr, Township): �d��..—�+�
Parcel Number or legal description shown on tax statement:
��_ ��- _�. _ ��3Z
Ii buying on contract: Owners name
Contract recorded in Recorders Ofiice - Record
���
Ii any portion oi the residential structure or the land, noi exceeding one (1) acre that immediately surrounds that
structure is used to produce income,'describe the use and portion of ihe property utilized to produce income
Any olher counties in which individual owns or is buying real property:
hereby certiiy [he above statement is true, correct and complete.
�
svee� �aa.ess
County Township
Individual either owns or is buying under a contract ihat provides he is to pay the property taxes
on the residence, or has a beneticial interest in the taxpayer.
- FOA ASSESSOR'S USE ONLY
True Cash
Value
7U
Assessed Homestead
Valuation Valuation