Homestead_Hoefling STATE FOAM to 1L(SWI 17.FASIIEER FORM StA
APPROVED BY STATE BOARD of ArYYR:.TS.em, PUflBFD BY 1111 DEPARTMENT(L OCAL 00R21L4ME11.7 FINANCE IC 6-1.1-r4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than e'er for homestead fraud Homestead(laud causes higher tat bills for all:therefore.
HEA 1 344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receise the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only he accessed by authorized county officials.The Depanment of
Local Government Finance will we this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Hoefling, Kenneth E/Joy M
R I Box 202
Fort Branch IN 47648
718
Kenneth E/Joy M Hoefling
377E 795 S State Parcel Number Legal Description
Fort Branch IN 47648-8009
1111111 nrr 11 ru u 11 u tnr 11 nI 11 tit Stint 11 tit 111 tar I 26-19-19-204-001.336-026 07-01379 3INDIANHILLS88/89/102/103
D-27
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
kefn�/ �����F hi oe->� /ins
—91g Address(number d strcet;city;slate,and ZIP code) -- -- ---' — --""— -- Some as plupenv uddrey' - — - - -
377 E 79Sj S F71' 8PtVeh' 1' 4/ Y76yc
Spouse Firm Middle Last
j.a b/ l ' ".e. Roe •P--- IiJ9\2
•
Mailing Address(Number and street,city,state,and ZIP code) 1 L�� address
us property addri
S71-
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
_ �
�° Y AR
t CLAIM FOR HOMESTEAD PROPERTY TAX FORM 3
- - � CREDIT/STANDARD DEDUCTION HCto �
� > State Fwm 5473 (RS / 10-01)
�°� Presrribed by Ihe Department ot Local Govemmem Finance
INSTRUCTIONS: See reverse side for (ling insWC(ions. l�
�� � � __ . . � . .
�- ,�. ,.�.s:� i; .�s-k�.``,k�''`_.'r:���s. r� �., a.rC RTIFICATION�STATEMENT='l- �-��, a--i..: � .'t- ,,.'V:t . . l .i-• , . ., s � .
�f7�,�.�E�` .�1...
�"" "" %�y �i ,\�y'
I(VJe) � � � Uwr� certify Ihat �on,t§e tst day,of•March, �2^0
I(We) occupied as our principal place of residence'�he following described real property for which a Homestead Propecly� T�c Credit is herebyr�p�med�
1 O I ///���
�(We) owned ❑ Are buying under contracl F�� I� /1 II
�1. IA LY
ave a benefidal interest in ihe enfity that is liable for the property tazes on the pmperty and that owns the property or is buying und'er a onVaU-IT \
If buying on conVaq. Fee Simple owners name
Remrders ofice where conirad is recoraeA
Counry �/�'
Tavnship
If any po�ion of ihe residential sWCtura w Ne land not excaeding
at the property uti6zed to produce i�ome.
Record num�er � Page
Tating tlistrict (cit f fowns�hip/)
�QN
/�� Is Ihe propertry�in `queslion: �
d �yr�eal property ❑ Mobile Homo p.Q 67J-7)
� ��)urtountls Nat sWCUre is used to producB income, describe ihe use and portion
�' °"� ��-''���'���'" �.�'. jr �� �i�` � '"� TRUE TAX �i �� ASSESSED VALUE yHOMESTEAD `� . . - - ���"�=?
����'`�������E���SS�NtY �� .�;4¢:s'.''�tirhn%.,VALUEY'tz..$., _AT700%OF�.m�d+.�v�VM.UEf'�'���'��r'3��'VAI.UENTI���.�s
"' ..t'F..-.... C a..+'hL �...,z...... -*-�. � R '.'-i.
Land not exceeding 1(one) acre immediately (� `_ �"`�,����'.F'+�*ir -�,'� ��;
sunounding residentlal improvements. � Yg �, v� �'�:"s��-t�, -.` ,4 k:-�
Other land "`��`� �� h� �
(2) < i^,��''�i'.�•ct`�, �#
fo-m,.i.t� .._ +.'�
Totat land (line 7 plus line 2) (3)
9 ( ) �,s�� �1,�;}-:;ffcr-,y.>�3'�y.�-bi-�"r �� _�'s
Residenfialimprovemenis �'�'ellin 4 :��������rj��.��� �.��
.-
Gara e
5=..�� L 4�� o*��' `� ax.i �
g (5) 1 ��,vF� Y_.y �, �..
Oiher improvements (6) � �'+,:�s.�'' �' ^�
: r:• at., �i'm��,+ w
Tdal improvements Qine 4 through line 6) �7) �
7cta1 value (line 3 plus line � (g�
I hereby certify Ihe above is We, cortecl, and Signamre otnsseswr Date signed
complete.
Vailying action - Signature of fwtlimr Date sgned