Homestead_Kilian STATE FORM,J•M iR_r..Ml TIESSUIEA FORM stA
VYMNEDhY ST VE WARD of,MYYgNrs_pn PRES(RIBFD BY TUT DEPARTMENT Of LOCAL EAST_RNMETT FINANCE K..-o-r4 I
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
14- more beneficial.there is more ins-mast than eser for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
HEA 1344--2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reecho the
benefit and to provide additional identifying information necessary to allow county govemment to better monitor homestead
filings_This information will he kept confidential and can only he accessed by outborired county officials.The Department of
Local Government ['dunce will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY ECFORMATION
Taxpayer Name Property Address
Kilian, Steven L/Judita A
R3
- - _ _ .— _ - __ _ _ _ __ _ _ Oakland C itt_IN 47660 -_ _
865:
Steven L Kilian
9277 E 650 S State Parcel Number Legal Description
OAKLAND CITY IN 47660-7734
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PART 2: TAXPAYER INFORMATION
Owner I First Middle Last-
_-ttIe�, leSI( c � , ti- v.
®ng Address(number and street.city,state,and ZIP code) -- - -- -- U Same as property addles— - — --— -- - -
¶277 � �o s 04V46s-otb c , //L( 41 76c
Spouse First Middle Last
-
,e/ L (� A 4 UV` `/747_4 4
Mailing Address(Number and street,city,state.and ZIP code) ❑ Same as property address
82 '77 r 6, co S v 4Vi?Gab c f l r■/ `{764-z
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 Si re Date
CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
' CREDIT /STANDARD DEDUCTION HC10
t ! State Forth 5673 (R5110-01)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for Filing instructions.
I (We) 71:fy that on the tslldaly o�Mar�i o20�
I (N/ryoccupied as our principal place of residence the toll described real property for which a Homestead Property "et@�,6,'��'4164n'pajc?tR Tax
Credit is hereby ciclaimed,
,- I (We) owned ❑ Are buying under contract /
Have a beneficial interest in the enti that is liable for the roe taxes on the roe and that owns the ro iprr7R
tY P P rfY P P fly P Pentrad.
r��Y_r =`��= ta�3ac•�e�` ^�'�" CONTRACT.; RECORDED, �. f�'_ '',�- .'.`�i<?��s0���'�- X'' -�'1
If buying on contract, Fee Simple owner's name
Recorders office where contract is recorded Record number Page
sn.3r<_- PROP, ERTY; OWNEDBY :CLAIMANT,INOT1iER'COUNTIES,4. r; r
`
sP.ROPERT, DESCRIPTION` °sri�r'"''*�SC
County
Tamship
Tati ' trio (dry, town, township)
Parcel number
L al description
Is the property in estion:
—
eel property ❑ Moblle Home (I.C. 61.1 -7)
H any portion of the residential structure or the land not exceeding one (1) ace that immediately surrounds that structure is used to produce income. describe the use and portion
of the property utilized to produce income.
-
- ---qL 00%
sn.3r<_- PROP, ERTY; OWNEDBY :CLAIMANT,INOT1iER'COUNTIES,4. r; r
`
County Tavnship
County Twvnship
I hereby certify the above statements are true, correct and complete.
igna• of cl
imant
r
Address (number and sheet, dry, state, ZIP code)
ASSESSORUS��Es.O,�nNLY -„ -
Est h-#
S{-
-
4- -�_
H�VALUE
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FDE��`
8'AT 7 0 %OF�TTV
��• -}}''N�-�IE -
x•
-
_S
FS.'iok K
Land not exceeding 1 (one) acre immediately
-
'''r�$
surrounding residential improvements.
(1)'.�
Other land
(2)
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
Residential improvements
°�" ""'- `�'"' °'��• """
Garage
(5)
`'" 51=s
,s' � d
N
Other improvements
(6)
�-�*' Y��•
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
1 hereby certify the above is We, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
};;; STANDARD '.DEDUCTION'ALLOWANCEj.;
20 _ Pay 20
Lesser of 1/2 Homestead
Valuation or $6,000 $ s
Signature of Auditor Date signed