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Homestead_Kahle STATE FORM 53564 DO/S-It) MEASURER FORM TS-IA APPROVED BY SLATE BOARD OF AMOUNTS 2039 - PRESCRIBED BYTIE DEPARIMEVT OF 1MaLLOVERAMEWT FMYABEE ICCS-1.1-I3"t1 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 incentive than ever for homestead fraud Homestead fraud causes higher tax bills for all;therefore, ILE-1-3 HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the and to provide additional'identifying information necessary to allow county government to better monitor homestead filings.This information will be kept confidential and can only be accessed by authorized county officials_The Department of Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. JUL 1 2011 PART 1: PROPERTY INFORNMATION Taxpayer Name Location Address C A•nNoC'� Kahle, Ronnie L/Glenda S v 306 W Locust GIBSON COUNTY AUDITOR Fort Branch IN 47648 6987 • • Ronnie L I Glenda S Kahle mil III 111111_ if 111111111111i lnii_IH111111-1 11 mil 11111111111 306 W Locust Fort Branch IN 47648-1308 I1III'I"1I. IIII'IlIIlIiill'IIIItJIIIIJIIIIII1III'11II1I1'llll State Parcel Number Legal Description• 26-18-13-403-000.350-02/POLK ADD 1 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 1\FORMATION-- ---=--.___ I First - Middle / - Last - Rohnie Lie Kph e Mailing Address(number zmd street city,state,and ZIP code) © Same as property address 50( Lc) ��-OCG(5f St Fa i ra/lei] 4/ 76q8 - Spouse First Middle /�� / Last Glenda- Or Me l C/1 /e Mailing Address(Number and street,city,state,and ZIP code) n Same as property address : 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 1 Signature ' Date - PART 4: ADDITIONAL.INFORMATION • ��'�5i•'°°- CLAIM FOR HOMESTEAD PROPERTY TAX �� ` > CREDIT/STANDARD DEDUCTION �� �''.� �� Siate Form 5473 (R2 / S92) i INSTRUCTIONS: See �everse side (or (ling instructions. FORM � � H YEAR �.P • � R IFICATION STA EM T � I(VJe) certiry t the t day ar , t9_ I(We) occupied as our principal place of residence the follovring described real property for which a Hom � S p� J� ,, e yt�� i� claimed: ❑ I(We) owned ❑ Are buying under contract ❑ Have a beneficial inierest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract. CONTRACTFECORDED If buyirg on conuact, Fee Simple owners name Recordefs oflice where conUact is recordetl . Record number Page PROPERTY DESCRIPTION Cou Township Ta�dng district (dry, fown,'rownship � arcel num r Legal descnption f� I � 003S0 -Oa � It any portion of the residential swc[ure or the land not exceeding (7) acre that immed'tately wrtaunds Nat suucture is used to pmduce irxnrne, describe Ne uu and portion of ihe property utilized to produce income. - PROPERTY OWNED BV CLAIMANT IN OTHER COUNTRIES County Township Counry Township Signature ol claunant �reby certify the above statements are true, correct and complete. A 55 (nu7mber and street, ciry, sfafe, ZIP cade) ' dJ P / �� L ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL VALUE VALUE VALUE VALUE Land not exceeding 1(oneJ acre immediately (�� surtounding residential improvements. Otherland (2) - . . - Total land (line 7 plus line 2) (3) Dwellin9 (4) Residential improvements Garage (5) Other improvements (6) Total improvements (line 4(hrough line 6J (7) . Total value (line 3 plus line 7J (8) 1 hereby certity ihe above is Irue, correct, and Signamre of assesor Date signed complete. Venfying action - Signature of Auditor Date signed STANDARD DEDUCTION ALLOWANCE 19_ Pay 19 _ Lesser of 1/2 Homestead � Val tion or S2,000 Sig ' re Audrtor Date i netl — /�O/