Homestead_Kunkel (3) STATE FORM 5350(RJ/&10) TREASURER FORM 13-1A
APPROVED BY STATE BOARD OF ACCOUNTS.TLOJ PRF-SCRIBFD BY THE DEPARTMENT OF LOCAL GOVERNMENT FLNAV(£IC 6-L1-114.I
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
Princeton,IN 47670 more beneficial there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore.
F I I_,E T HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
J'�../\j benefit and to provide additional identifying information necessary to allow county government to bener monitor homestead
filings.This information will be kept confidential and can only be 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.
• 'JUL 12 2011 PART 1: PROPERTY INFORMATION
X88
Betty
GIBSON COUNTY AUDITOR 3894 N KUNKEL LN
PATOKA IN 47666
775
• Betty Kunkel IIDIDI11-m1111 [I1101011l01111�11m11l011011.111111[I 1111111110011111110111101111
3894 N Kunkel Ln
Patoka IN 47666-9220
'�I�Illllllll�'lll"I��Illllll'III'll"'I'I"lll�lll'll�lll'lllll State Parcel Number Legal Description
26-05-20-300-000.539-01V PT Sty FR 201 10 15.613 AC D-12
v C-1
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.
.
..use First - le Last
Mailing A.. :, (Number and meet,city,statean 'ZIP code) Dia=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. Eachunderigted"also-understands that,by claiming additional homestead deductions
PART 4: ADDITIONAL INFORMATION
r " CLAIM FOR HOMESTEAD PROPERTY TAX
STANDARD / SUPPLEMENTAL DEDUCTION
i State Form 5473 (1112/6-09)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See
(date of filing):
❑ I (We) own ❑ Am (are) buying under recorded contract
❑ Am (are) entitled to occupy as a tenant - stockholder of a cooperative housing corporation
❑ Have a beneficial interest in the trust or the right to occupy the property under the terns of a qualified personal residence trust
INFORMATION.
Name of tla' (raga )
Name of tla' nt' use (I
I a )
��
CONTRACT RECORDED
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded Record number
Page
it
PROPERTY DESCRIPTION
000 jj�
Township
Taxing district (city, o ip)
Mnumber
Legal description
� -O
Is a property W question:
❑
- O _
.
Weal property Annually ...ad mobile home (IC 6-1 -1 -7)
any portion of the residential structure or the land not exceeding one (1) am that immediately surrounds that structure is used to produce income, describe the use and portion
®If
of the property utilized W produce income.
PROPERTY OWNED BY
County Township County Townshp
I hereby certify the above statements are true, correct and complete.
Ign re o Imam
Address (numberaM Stree pry, slate, nit LP e)
r • NON-RESIDENTIAL
ASSESSOR USE ONLY TRUE TAX VALUE AT 100% OF TTV VALUE VALUE
Land not exceeding 1 (one) acre immediately
O `''�-
surtoundin residential im rovements. >- '�+xv- =-- •-Y -�•-
Other land
(2)
1
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
.- V
} ",• '� tr°i'i�--w• x i " KY
Residential Improvements or Annually
Assessed Mobile I Manufactured Home
Garage
(5)
Other improvements
(6)
W E
? T•r?'r §Serf K '�
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
I hereby certify the above is true, correct,
Signature of Assessor
Date signed (nronN, day, }roar)
and complete.
Verifying action - Signature of AudiWr Data signed (month, day, year)
STANDARD DEDUCTION ALLOWANCE
20 _ pay 20 _ Lesser of 60% of the assessed value of the homestead or 545,000
Not,thstandkg any other provision, the win of the deductions provided in IC 611.1 -12 W a mobile home that is S
not as real property or 0 a manulachured home that is not assessed as real property may not exceed
on ( ) tithe assessed VAIme of e mobile home or manufactured home.
S W
tort
�e
DateSigned F2 ,dv 10
fill