HomeMy WebLinkAboutHomestead_KinsallCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
Slaft, Form 5473 (R7 I 5A1al
Prescritmd by ft Depariment of Local GuAwrimard Frheee
INSTRUCTIONS: See reverse side for Ming instnx:lbris.
W�I,A
DEC rQ 2007
I (We) v ( 4�m — cff*
I (We) occupied as our principal place of residence the blowing described real property br which a Homestead Property To( Credit is hereby claimed:
I (V*) owned ❑ Are buying under contrad
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.
CONTRACT,RE
11 buyrQ on ..b Fee Simple ownees name
Pacordeft office where contrad is nxxx d Rhhcord number Page
tmbTHERCOU1fFTES�!!1- - V.;
'PROPER" O"j3j By, cLAaAmT I A
—Township
%Ztvi .,. PROPERTY OEWJUPnON',:,
Township
tt�
TaNnship
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(number aw street o* stabs, ZIP
ff5 17),tbka- TV /V=76
marine I
Leo desaiption
Is the poper�
.
L.n question:
! -3 0 0 CC�
-o (3
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popefty, ❑ Mobil. Home (I.C. 6-1.1-7)
Carry portion of the rgiderxial hNhrchae w tlhe land non aueadohg dakely surrounds Mal sbucture
is used to produce lrxxome, describe the use and portion
property utilised to produce
Other land
tmbTHERCOU1fFTES�!!1- - V.;
'PROPER" O"j3j By, cLAaAmT I A
—Township
County
Township
County
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I hereby certify the above statements are true, correct and complete.
VAL
(number aw street o* stabs, ZIP
ff5 17),tbka- TV /V=76
'?;,Jr�;. -,i�,iASSESSOR USE ONLY
JRUEiTAX,
ASSESSEDMALUE
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VAL
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VALUE';
VALUE .. ....
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Land not exceeding I (one) am mynedately
Valuation or $35,0D0
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surrounding re-werrhal unprovements.
Other land
(2)
Tctal land (line I plus fine 2)
(3)
Dwe lling
(4)
%N
ResnJentialimproveinents or Annually
Garage
Assessed Mobile I Manulactured Home
"1 Q-
Other improvernerrts
(6)*
Tctal unprovenwrts (&* 4 through fine 6)
(7)
Tdaf value (Ikm 3 plw Em 7)
(8)
1 hereby certify Die above is true, correct. and
complete.
Sgrobare afAmessor
Date 8igrhed
Nftffying action - So w"a of Audwr
Date signed
STANDARD DEDUCT11ON X.LOVIANCE'
20— Pay 2O—
Lesser of 112 Homestead
Valuation or $35,0D0
SLATE FOIS1,3fw TREUTAG P01,04 13-1A
APIRrn'EO BY MATE BPVIO OFMRR.NTS.`nrr. PRrfr1UBtD BY Till OEPAATxmVTOF LOLA' c '??R1MFRT FIKAXCE n'Ll.l-2-1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead sundani deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ncr for homestead fraud homestead fraud causes higher tax bills for all:therefore.
® HEA 1344--7009 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to receive the
benefit and to provide additional Ulna's-ma information necessary to allow county government to better monitor homestead
filing.This information will be kept confidential and can only he 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.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Kinsall, Sander M/Eris I
Patoka IN 47666
63
Sanger M Kinsall
5305 N 200 W State Parcel Number Legal Description
PAA)KA IN 47666-9044
1r11rrr11trt11rr1tIatliArttltt it lt rillttt tlt 1t 1t 1tr1 26-04-11-300-000.842-018 010-00842-00 PT SW 11-1-114-96 AC
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 First Middle Last
SQhde ►e
• Montso er y J//nsaf f -
i'ng Address(number and street,city,state,and ZIP code) Same as property address
Spouse First Middle Last
- -2;z e / k►'n,sa l l
Mailing Address(Number and street,city,state.and ZIP code) tgeSame 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.
Owner I Signature ' '`T 0t /�{/� Date,�)
PART 4:ADDITIONAL INFORMATION
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