Homestead_Maikranz (3) STAR FORM•3 e ,R'r.4w TREASURER FORM 73-IA
nrrRrn'EO BY MAIL If Aertili:TS._✓+ PRrYTmFDEIT nir BEPAAne4T(F LOCAL GOVERNMENT FINANCE IC 4-1.1124.1
Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead sandan)deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than escr for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1:44-2009 requires taxpayers who receive the homestead standard deduction to verily that they are elicibte to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
tiling.This information will he kept confidential and can only he accessed by authorized county officials_The Depanment of
local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Maikranz, Kevin M/Jackie L
8449 E 900 S
Elbert-cid IN 47613
8823
Kevin M/Jackie L Maikranz
8449E 900 S State Parcel Number Legal Description
Elberfeld IN 47613-8427
26-20-28-400-000.629-001 p� 629-00 PT E 283952.98 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
III%g Address(number and street,city,state,and ZIP code) -- --- -- — Seine as pmpeiry o idress - -- — —' -
•
•
Spouse First Middle Last
Jr1 CKrC 2.y/1h ,/h IQi /rrare-L
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
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 Date
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDITISTANDARD DEDUCTION
State Forth 5473 (8614 -03)
Prescr%ad by the Department of Local Government Finance
INSTRUCTIONS: See rererae at* for Sing iW6ucdom
FORM * � YEAR
HC10
4
I (We) - " "' r Auy � that,,on Dieilsldaybf March, 20
I (We) occupied as our principal place of residence the follofAng described real property for which a lead Property Tau Credit is hereby claimed:
El I (We) owned ❑ Are buying under contract
Have a beneficial interest in the entity that is liable for the property taxes on the property and that own6j�gpM� uu ff6g a contract.
: s: �.+•;` r.''. ��•'' �... r.``. x.' m'. �c:. cYlrar�t. �s.' �-2CONTRAC _T ?RECORDED?,ia?;" -�,fTl f` E ..'- wk°^•z�,- ::�'�'a=�rr�.�'�` 1
If buying on contract, Fee Simple owner's name
Recorders office where contract is recorded Record number Page
t. ..y saFr:'.; ein" ,sv— ca>P,ROP,ERT:1',DESCRIP,TIO 'y`�T "- �`'a - -'� � �_-�-
County
Township
Taxing dis ' fy,,fown, t nship)
Parcel nurAer
hereby certify the above statements are true, correct and complete.
property in question:
Real property ED Mobile Homo (LC. 61.1 -7)
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that s cture is used b produce income, describe the use and portion
of the property utilized to produce income.
CZ -a _ _ o0- 000.4�a9 -00/
l..
'a.41ASSESSOR'USE ONLY-*
�TRUEeT xx--
County
Township
County Township
hereby certify the above statements are true, correct and complete.
i r of clai nt ,nn
u m and seeet, city, state, 21PCOda)
1 v eld
l..
'a.41ASSESSOR'USE ONLY-*
�TRUEeT xx--
ASSESSED V/1LUE
roHOMESTE
NON- RESIDENTL4L
"."�+'" u s -„TA r
!tk 7h '��.e+._.'-
VAf:_UE`" --r'
AT1100 °!°.OFTTV
i-'L VALUES T.3cVALUE-y't�
£..�lh W .F SL-.{� :r
k� —�n Z� ' i ar
:F.r, s�.eX.a
�4',:H�Tf. .Y.
ri_.�,ta - ✓
Land not exceeding t (one) acre immediately'r�'--
idj, -'�"
surrounding residential improvements.
Other land
(2)
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
�'TCC -.yj
a'
Residential Improvements or Annually
-3r"'
Atisessed Mobile I Manufactured Home
Garage
-4F c
-,
'T
Other improvements
(6)
*=-: rT -,$` , N"
Total improvements (line 4 through line 6)
(7)
Total value (tine 3 plus line 7)
(6)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
20 _ Pay 20 _
Lesser of 1r2 Homestead
Vauatim or 535.000
5
Date