HomeMy WebLinkAboutHomestead_Kleiman (3) STAR FORM Sot tw, 1tFASnirt KAM 711A
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Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
X161 N Main
• PRINCETON IN 47670 Individuals and married couple 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.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eliciNe to receive the
benefit and to provide additional identifying information necessary to allow county^_ovemment to better monitor homestead
filing,.This information will be Lept confidential and can only he accessed by authorized county officials.The Department ent of
Local Government Finance will use this information to create owls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name ' Property Address
Kleiman, Ronald L
P O Box 185
lilberfeld IN 47613
8871
Ronald L Kleiman
P O Box 185 State Parcel Number LeRa1 Description
Elberfeld IN 47613-0185
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unlawfully,he or she may be liable for back taxes and substantial financial penalties.
(NEXT I Signature Date
•
FORM HC 10 1979
Prescribed By Slate Board of Fax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 192
S
ING INSTR
To Be Filed in Duplicate
(We) —_"J q��+u �J certify that on the 1st day of
arch, 19 -L— I, (We) occup edi as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed: 10 0/_ 00�1-13 —(D0 /
1, (We) ❑ owned a� - ao - 351300 - min. �// 3 -60/
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in— County By Township
Taxing District (Fitly, Touanr Township):
Parcel Number _ or legal description shown on tax statement:
$c✓ y Sou; _?y - 3- `I Vv a-C_4�0
If buying on contract: Owners name O nople p` "e'I
Contract recorded in Recorders Office - Record No
If 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
Any other counties in which individual owns or is buying real property:
hereby certify the above statement is true, correct and complete.
County Township
OF
and
Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
True Cash
Value
Land not exceeding 1 (one) acre immediately
surrounding residential improvements (1) o a
Other Land (2) i / 3 8 0
Total Land 'FILED' (3) /7 g p o
Residential Improvements Dwelling (4) 5 3 3 0
AU`� 1 7979
Garage (5) / a S o
Ttal (6) %cam /o
Other Improvements AUDITOR (7) G y o
T ' I Improvements Line (b)�us (7) equals (8) (8) / / A J "o
!by certify the above is true. correct. and complete.
o�
Signe: d1 Asses., - --
n x - ACTION BY AUDITOR -
Approved:_
Assessed Homestead
Valuation Valuation
.spy -79
Data
i
Date: