Homestead_Kiesel (8) • STATE FORM!Me ill'r!APO rarASukaa FORM t3IA
.ArrR,A'Ensv‘II CIL a(1\RnnF,NV'rM:,ers.Wry PtrsAlarn DT illr of PARTHEVTOF LOCAL novae:g er FINANCE It'6-1.1-22-1.1
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
j more beneficial,there is more incentive than eser for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
® HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verity that they are eligible to reeeise the
benefit and to provide additional identifying information necessary to allow county gm.emment to better monitor homestead
Elko.This information will he kept confidential and can only Iv acv xsed by authorised county officials.The Ikpannent 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
Kiesel, Mary H
506 S Lincoln
Fort Branch IN 47648
7828
Mary H Kiesel
506 S Lincoln State Parcel Number Leval Description
FORT BRANCH IN 47648-1630
ItIttIItttItIIttt Itt IIt tIt ttrlltlltt itlltllittllt itrII itt I tI tI 26-19 19 101-000.147-02ti / 01 1-001 4 7-00 SMITH ENLG 19
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
A� 1*/e e5 e /
rum
•
_
_-�g Address(number and strlxL city,state,and ZIP code) ---- ---- Same as property address -' - ---- --- ---
ob S. Lincoln Si 0brceoth . L.-l7101-k
Spouse /�}.. ^� / First Middle Last
17.4/ V '1%
Mailing Address(Number and street,city,state.and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sox
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.
ner 1 Signature Date '
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I, '•..ee) . .
A+=rch, Z�
I�P'-rtY_
CIAII�t FOR HO(��TFAD PROPERTY TAX CRmIT FOR YEAR 19 �
SEE BACK FQR FIL1N6 1NSiRUCTIGNS�C- j/�-�Q��'—Ot%
' certify that on tY� lst day c
n e f xpsirience tl� follaaing dscrii�ed real
�, I, (p� )� s as ois prinri.
whic-h a".°.�.r'-°"� prop�tp Tax Creciit is h�eby b�.iru3 claicn�:
�•l �"v,ned .
SQ are buyin4 �iat wntr�..^t
� have a ben_fi=ial int.���t in the ta3mayes .
P2�D_.� 1%°._S..^`1Pi�1.0I1. ]Sl �.L�/�"�"� ���
Tav.ing District (City. Ta+m, Zbwnship) :
r �,�` � •
i
Parel t;u-n�.r I • or legal ds¢iution shac�m on tax stata��t:
I'_ buying am m�tract: O.m�*s nan� (f=_ sir,�1= cNm=r)
mn+,.�.act rec'o=d._�d in i�cv=dd_r's Of�ice - R�d i3�. �9e
If any mrticm of the resinential structure or the land, rrot �°-��4 or.e (1) acre that
un�diaLly s���s that stnk.^tise is use3 to �'e ;^'T,,,P, ds¢ibe tt� use ani mrtion of
tii_ �ro�sty u'-�i].ized to p-od� irnm� ,
P� oths wiurties in wnirh individual aans ar is bu}'i�4 ���'0
I h�e1�Y �-�Y � above staterent is true, msect and cc�l°-t=.
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Cbim ' 4o�.ns:2in
Cityr St3te a� Zip O
GZL3IISLC ' .V ' � ' .
+In9jvi.du31 Pither o,ans or is bayinq lmer a mntract that tawids he is to pay th_
grap^-rtY t� °R �. Tp�; n�,�, ar has a beneficial intesest in the ta�yer.
- F(?R {lSSE550R`S USE Otll.Y -
Ian3.not ��9 1 ��°� acre irreciiat�lY
s�'rxoiuriinq � i�d° ��i�1'u �-'D�nts
O`�r Iand . _ � � �
To�-.�1 Land f,�AR � �. i98$
Psic��ial Irmvvemn�s � Dw211in9
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Pssssor
- ACTION BY pIIDITnR '
IY � ( ii/d.i.-�''�,n-� . Date:
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AssSSed Flarest��,
Valuation Vzluatio�
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