Homestead_Kiesel (10) — 7
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%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 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 teethe 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 authnrited courtly officials.The Depanncm of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Kiesel, Charles R/
702 'hatter Park DR
Fort Branch IN 47648
7672
Charles L Kiesel
702 Treater Park Dr
Fort Branch IN 47648-1222 State Parcel Number Legal Description
1t1u 11ut1r11tu 1u11u luuilu 1r1u1r1n1r 111ntrr1t1rr1a1f 26-19-18-302-000.085-026 / 011-00085-00 TRETTER PARK 7
PART 2:TAXPAYER INFORMATION
Owner I First d ,x Middle c / Last
®ng Address(number and street.city,state,and ZIP code)
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
P
�[ R+�, �
a� "; CLAIM FOR HOMESTEAD PROPERTY TAX
i��: CREDIT/STANDARD DEDUCTION
�;;�'� State Porm 5473 (R2 / 5-92)
���:
INSTRUCTIONS: See reverse side (or liling instructions.
YEAR
;°e��N 3 19
�
AUDITOR�s
l��' �(.(.il�C.-W 1!•�
real property for which a Homesiead Property Tax Credit is hereby Gaimed:
%._,'� I(We) owned ❑. Are buying under contract �. _. .
❑ Have a beneticial interest in the entity that is liable for the property taxes on the property and ihat owns the property or is buying under a contract.
CONTRACT RECORDED
If buying on contract, Fee Simple owner's name .
Recortler's o"ice where contract is recordetl Record number Page
Counry
Township
Parcel number I Legal de:
c� I I —C� bo$S-o0
If any portion of the resitlential stmcture or the land not
ot Ne property uWized to produce income.
` - PROPERTY DESCHIPTION
. iaxirg ' bt (
ri "
Q.�,�
xceetlinq one (1) acre thai immetliatety surmund:
that structure is used to produce income, descnDe the use and ponion
ASSESSOR USE ONLY . TRUE TAX ASSESSED HOMESTEAD NON-RESIDENT1Al
.VALUE VALUE VALUE VALUE
Land noi exceeding 1(one) acre immediately
surrounding residential improvements. (�)
Otherland (p)
Total land (line 1 plus line Z� (3) .
Dwelling (4)
Residential improvements
Garage (5) � �
Oiher improvements (6)
Total improvements (line 4 through line � (7)
Total value (line 3 p�s line 7� (g)
I hereby ceRify the above is Uue. Correct, and Signature ot Assessor Date signed
complete.
�ying actian � Sgna.ure of Audi;or Date signed
STANDARD DEDUCTION ALLOWANCE
79_Pay19_
Lesser ot 1/2 Homesiead
�. _ _ __ ___ 5