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Homestead_Kell (2)
• • • 51.11 Ft5 M 4N4R ! }h-10 MEASURER KIPS 1S-:A APNIWEfl By T1c yl\Rn or.l.((e NTS:I•. PPKYRlIEDO1 TELL OtPARIVF'TOF LOCLLGw'Et•nL r 11M:aL IC e-I.I124..t ' 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 ircenti\r than ever for homer nd fraud.!tom estead fraud caucs higher lax bilk for ell:Ih refore• FIE\ 1344-2009 requires tavpacers who receive the homestead standard deduction to\erify that they are eligible to receive the benefit and to provide additional identifying. ty information ncressary to allow county government to better monitor homestead a filing,.This information will be kept confidential and can only be accessed by authorized county officials.The Depanmecl of Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. PART l:PROPERTY INFORMATION • • Taxpayer Name Location Address Kell, Carl R/Lana L 10231 E 575 S OAKLAND CITY IN 47660 8607 Carl R/Lana L Kell iii Bi l I_III I Bu 11 iii Eli��mill II0�1ll lfl i1_II I�I_I II 01�1llBIll11_11 10231 I DI II 10231E 575 S • Oakland City IN 47660-7710 I'II'IIII'I'IIIIII"'I1" "11I111111111I1'll1ll'lll11tLPlltLlllt State Parcel Number Legal Description 26-20-11-200-000.410-001 PT SW NE 11-3-9.34 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 _ _ First Middle Last 1 Mailing Address(number and street.city,stare.and ZIP code) © Same as property address /OAJ( E 5 7 S Spouse First Middle Last Mailing Address(Number and street,city state,and ZIP code) Same as property address Social Security Number(last 5 digits) Driver's License/State ID Number (lass 5 digits) Other(please specify it Part 4 below) l 1 I I I I I I are 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 P e liable for back taxes and substantial financial penalties. Ow • I Signaure / Date Iw Q eta, CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR i y CREDIT /STANDARD DEDUCTION liclo �� State Form 5473 (R2/1 -90) INSTRUCTIONS: See reverse side for tiling instructions. CERTIFICATION STATEMENT I (We _ certify, that on 1 t a c , 19 *We) occupied as our principal place of residence the foll g described real property for d which a Homestead Property Tax Credit is hereby claimed: I (We) owned JCATe bliy'?AyUnder contract Have a beneficial interest in the entity that is liable for the property taxes DO the rrt� r�t owns the EJ property or is buying it under a contract. AUDITOR CONTRACT RECORDED If buying on contract. Fee Simple Owner's Name Recorder's office where contract is recorded Record Numbe? Page. PROPERTY DESCRIPTION County Township Taxing Distri w ship) / Parcel NuOmtZer O_ Legal Description ' / /;3 . Q .. � z - If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that struc- ture is used to produce income describe the use and portion of the property utilized to produce income. D- - D -"zo. o —cry/ PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES County I Township . I County I Township hereby certify the above statements are true, correct and g lure complete. Address Street. number. ii state n ZIP ode) 3 05( (a. lv 0 ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL VALUE Land not exceeding 1 (one) acre immediately surrounding residential improvements Otherland Total land - line (1) plus line (2) Residential improvements Dwelling- Garage Other improvements Total improvements - line (4) through line (6) Total value - line (3) plus line (7) (1) 1991 Pay 1992 19 — Pay 19— Lesser of 1/2 Homestead (2) Lesser of 1/2 Homestead Lesser of 112 Homestead Valuation or $2,500 (3) Valuation or $1.500 Valuation or $1,500 (4)- Signal e f Auditor (5) (6) (7) (8) I hereby certify the above is true, correct, and complete Signature of Assesor Date Signed Verifying Action - Signature of Auditor Date Signed STANDARD DEDUCTION ALLOWANCE 1989 Pay 1990 1990 Pay 1991 1991 Pay 1992 19 — Pay 19— Lesser of 1/2 Homestead Lesser of 112 Homestead Lesser of 1/2 Homestead Lesser of 112 Homestead Valuation or $2,500 Valuation or $2,000 Valuation or $1.500 Valuation or $1,500 Signal e f Auditor Date Signed A