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Homestead_KrusedCLAIM FOR HOMESTEAD PROPERTY rAX 4 FORM YEAR CREDITI'STANDARD DEDUCTION IN z State Fonn b 73 (R614-03) Prescnbed by the Department of Local GoJemmem Finarice INSTRUCTIONS: See revorsc side for tilimi imsfmctiims ED CERTIFICATJOVSTATEMENT:.. 1.d y >-.: APR 7 2'ubj I (W, certify thin on the 1st day of March, 20 I I (W,:,) occupied as our rprninVal place of residence the following described real property for which a Homestead Property 1�w �jiSe%ahv claimed: ❑ l(We)owned ❑ Are buying under contract GIBBON CUUNTY AUD gct. 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 c"T19 CONTRACT! RECORDED;", If buying on contract. Fee Simple owners name Recorders office where contract is recorded Record number Page t STAN DARD. 0 EDU CTION ALLOWAN CE - 20 _ Pay 20 Lesser of 112 Homestead S Valuation or S33 .000 Signal MAjI L U County ;'iIRROPERTY.'DESCRIP.TION County Township -s*t Cou tuber and street. city, state, ZIP code) Township Taxing district ( :kS-Z�' VALUE.... itt- ,VALUE W Land not exceeding ljone) acre immediately P Legal description Is the prope? inpuestion: �)R at property ❑ Mobile HMO (I.C. 6-1.1-7) If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that stakture is used to produce income, describe the use and portion of the property utilized to produce income. t STAN DARD. 0 EDU CTION ALLOWAN CE - 20 _ Pay 20 Lesser of 112 Homestead S Valuation or S33 .000 Signal MAjI L U County Township County Township I hereby certify the above statements . are true, correct and complete. S" ture kcIa;&ant tuber and street. city, state, ZIP code) TAY t STAN DARD. 0 EDU CTION ALLOWAN CE - 20 _ Pay 20 Lesser of 112 Homestead S Valuation or S33 .000 Signal MAjI L U -TRUE-.TAX-'— ASSESSED E HOMESTEAD �.,l jNOWRESIDENTlAQzi`--'-!, t T joo*%TOFT'W� VALUE,,,, �v�t' :kS-Z�' VALUE.... itt- ,VALUE W Land not exceeding ljone) acre immediately .... .. surrounding residential improvements- V_ Other land (2) Total land (line I plus line 2) (3) 'ur Dwelling (4) Residential improvements at Annually Assessed Mobile I Manufactured Home Garage (5) Other improvements (6) _V-; 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 Assessor Date signed complete. Verifying action - Signature of Auditor Date signed t STAN DARD. 0 EDU CTION ALLOWAN CE - 20 _ Pay 20 Lesser of 112 Homestead S Valuation or S33 .000 Signal MAjI L U STATE FORM 5]56.(U/8-10) TREASURER FORM TS-IA APPROVED BY STATE BOARD OF ACCOUNTS TOW PREYRIFDBY THE DEPARTMENT OF IOCALCAS'EL MENT MANCE IC 611-n-61 Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS • 701 J 7 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes Pdn n, 670 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 • benefit and to provide additional identifying information necessary to allow county government to better monitor homestead p filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of NOV9 2 11 Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. - PART I: PROPERTY INFORMATION C. .r% e.-..y ��\1 Taxpayer Name Location Address _ . GIBSON COUNTY AUDITOR Kruse, Jason R/Sarah J 206 E APACHE DR PATOKA IN 47666 656 JasonRKruse 111 0111.01101111101110111 1011111110101011011_II 1111111_11110011011.101011011 206 E Apache Dr PATOKA IN 47666-9005 III'Illll111111111u11l111 1 lltltt11111iilii''iVi1'111111111llll State Parcel Number Legal Description 26-04-25-302-000.598-020 HUDSON FARM EAST 1PT/2PT/5PT • / 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 INFOR:MATION__-- Ow..r 1 J First Middle Last PS SO r‘ R1 AAA Kruse • Mailing Address(number and street,city,state,and ZIP code) [^l II,� © Same as property address )0(0 E Ap4C.�2. N` I �0.tokcn , I// 476t Spouse Firstl Middle Last c 1 S Ne Kruse. JA Rah Mailing Address(Number and street.city,state,and ZIP code) © Same as property address 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. OwneyJignatl Date PART 4: ADDITIONAL INFORMATION