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HomeMy WebLinkAboutHomestead_Kassenbrock ' STATP126113)X1 CU1110 fYrASUiFIli001 TS-IA AFRO...W tl1)121-t WAW)Lt K12/1M>2211 1-1121421PJ)UY OIL LtYAX1,4t I1 1.42LL W1UII\A22rtl:'A`A20.'0.12P4 1 IMPORTANT NOTICE TO,HOMESTEAD'PROPERTY OWNERS -; Individuals and married couples are limited to one homestead standard deduction. As the receipt of this II 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 eligible to receive the benefit 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. . PART I: PROPERTY INFORMATION 26-19-18-303-000.921-026 ` 305 E Vine Street \ 1 Fort Branch 47648 \ 4 A I! 1 1. PART 2:TAXPAYER INFORMATION Owner I First Middle Last Allison Donaleigh Kassenbrock Mailing Address(number and street.city.state.and ZIP code) © Same as property address 305 E Vine Street Fort Branch, IN 47648 • Spouse First Middle Last Mailing Address(Number and street,city,state,and ZIP code) El Same as property address Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Issuing State Other(please specify in Pan 4 below) • 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 PART 4: ADDITIONAL INFORMATION 0 • INSTRUCTIONS - ° CLAIM FOR HOMESTEAD PROPERTY T��� �� FORM YEAR ' CREDIT/STANDARD DEDUCTION HCto � '` State Fortn 5673 (R8 / 7-07) n` Prescnbed by Ihe Deparlmerrt of Local Govemmenl Finance DEC 1 7 pppg INSTRUCTIONS: See reverse side /orfili� insLuc6ons. ��e� ��J ��, �� —""""' �'�K1NTY AUD170R �y�{y �at on the 1st day of March, 2b_ I(We) oxupied as our prindpal place oi residence the folbwing described real pmperty fw which a Homestead Property Tmc Credit is hereby daimed: �� I(We) owned ❑ Are buying under contract Have a benefidal interest in ihe entiry that is liable fw Ne property taues on the property and ihat owns the property or is buying under a contraG. If buying om m�vaG, Fee Simple ownafa �me contraa is recortled TornshiP � Tadng dislricl Recwd number � Page Wd�tal number Legal descriplion Is Ihe in question: �lo -19-I g-?D3-ozi�9 Odb �� �ro ❑ M�� ��„a c,� �-,.,_n If am partion ot Ue residerNal sVUCture or ihe Wnd nd exccedirg orre (1) acre Ihat immediately sunvunds Ihat sVUCture is used lu P�duce Incame. deacribe Ihe usa end portion of Uie proper�y WGzed N produce inoome. �' � � • . � • � i�.• LarM not exc�rg 1(one) aae immediately 'T �-�Y��„=°�.w�, :--;.=-,.;y, ;.<,k.K.-: ��� ., t `�:�- surtoundirg residential improvements. :.,i ,. Other land �p� _ TUaI Wnd (line 1 plus line 2) (3� �:.. n. ... � _ . i N.' ResidenfialimprovementswMnuaily Dwemn9 (q) � .- z_.,,�Y._.,r :s.�=4...�,_;. :;:�'' Assessad Mobile / ManufacWred Hwne ;. ._ ; - Garage �5� ».�: z . , :,-hr:,-<,; Other improvements (6) _ _ - Tdal improvements (line 4 tivough line 6) �7) TUai value (line 3 pfls li/re n (8) I hereby c8rtify �he above is We, cared, end SigraWre otAssessa Date signed (mmN. day. yee� compiete. Vaifying adion - Signa Wre of Autlitor pate signed (mmth, day. yea� ZD pay 20 _ qs.ppp �or 2007 pay 2008 42,000 for 2010 pay 2011 Lesser of 72 qq.ppp for 2008 pay 2009 41.000 for 2011 pay 2012 Nomestead Vaivatirn S w 43,000 for 2009 pay 2010 40,000 payable after 2012