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Homestead_Kunkela/ CLAIM FOR HOMESTEAD PROPERTY TAX all CREDIT /STANDARD DEDUCTION . . State Form 5473 (R215 -92) oil lual INSTRUCTIONS: See reverse side for filing instructions. H 1 JUL 18 1997 occupied as our principal place of residence the fbllowing described real property for which a Homestead Property Tax Credit is hereby claimed: '�4111"I"fWe) 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. CONTRACT RECORDED - It buying on contract. Fee Simple owner's name Recorder's office where contract is recorded Record number Page PROPERTY DESCRIPTION Cou t — y Township Taxi district (city, town, �l.•nshy) K Parcel number Legal des ription 0l - -� 2 dG -i=�a It any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion of the property utilized to produce income. S, .0 a of cl mant L PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES County Township County Township �eby certify the above statements are true, correct and complete. S, .0 a of cl mant L Address (number and street. aty, state, ZIP code) ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL VALUE Land not exceeding 1 (one) acre immediately surrounding residential improvements. (1) Valuation or $2,000 Sig t of Auditor Other land (2) Total land (line I plus line 2) (3) Residential improvements Dwelling (4) 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 complete. Signature of Assessor Date signed Verifying action - Signature of Auditor - Date signed STANDARD DEDUCTION ALLOWANCE 19_Pay 19_ Lesser of 1I2 Homestead $ Valuation or $2,000 Sig t of Auditor Date signed RATE FORM Rife tv_ttant TRIASUR[R FORM 314 APPRn.'Fo BY St ATE MUO CIF AtTi me 9n rlr3lUnmav Mt DEPARTMENT((LOCAL CMavMFTT/WAVE K- ut SST' 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 tax bills for all:therefore. 0. HEA 1344-200C requires taxpayers who receive the homestead standard deduction In verify that they ate eligible to receme the benefit and to provide additional identifying informaton necssary to allow county government to better monitor honiesread filings.This information will he kept confidential and©n only he accessed by authorised county officials.The Depanm end of Local Government Finance will we this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Kunkel, Christopher E RI Box 181 D 666 750 Christopher E Kunkel 3919 N Kunkel Lane State Parcel Number Legal Description Patoka IN 47666-9222 26-05-20-300-002.239-018 C010-0 1239-OO PT SW 201101.00 AC PART 2: TAXPAYER INFORMATION - Owner I First Middle Last (Allis f-°pler € KC441.1-el - -- -g Addr¢(number and stn et;city,sate and ZIP codej— - — —'- - -- Same as propenyaidrcs; --- --- - - - -- 3R / 9 N KL,KIeL LN Atoka., , !A/ Y766C Spouse First Middle Last Mailing Address(Number and street,city,state,and ZIP code) Same as properly address Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below) sore 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. Owner I Signature Dale • PART 4:ADDITIONAL INFORMATION •