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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
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PART 4:ADDITIONAL INFORMATION
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