Homestead_Kiesel (9) SIAM 1055153!MIP`/f+rvr 1BrASUtEn FORM 73-IA
■PPROVED BY ST BOSROOF.M':I `nw PIrYIUDFD BY n1E DEPNn%tirr(i LOCAL GOVER`1MR.T FINANCE IC 6-I.I1_4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 htdividuaLs and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud causes higher at bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recebe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.'Ibis information will be kept confidential and can only 1w accessed by authorised county officials.The Department of
Local Goverment 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 Margaret Etal
R I Box 162
Fort Branch IN 47658()
3023
Mary M Kiesel
7813 S 45 E State Parcel Number Legal Description
FORT BRANCH IN 47648-8014
26-19-19-204-001.294-026 007-00593-00 INDIAN HILLS 54
tI II IIt II nrI n II nI FI nIa II IIrI 'ur II II I II
D-27
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 INFORMATION
Owner I First Middle Last
Man - MQr roj+ Ie�,e ) Chrti iavi
.ng Add (number an ,city,state,and ZIP code) Same as props address
Spouse First Middle Last
0Q5-0 165- al_
Mailing Address(N ber and steel,city.state.and Z(P code) I s�I 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 I Signature Date
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
` - ` State Fortn 5473 (RB! 7-07)
� Prescribed by Ihe Depar�merrt af Local Gwemment Finance
1NS7RUCTlONS: See raverse side lor filiry ins6uctions.
'�
O M Y R
H
JUL 2 5 2008
(�/� /,�����7��/�,{��(1����p GIBSON COUNTY AUDITOR
� id'�e) `' '-"" "�- i'-`^' -� `-'� "�-c -e-i_W�C� certiry that on the 1 st day of March, 20_
1�/Ve) occupied as ou 'ndpal place of r ence ihe (olbwing described real property tw which a Homestead Property Tac Credit is hereby daimed:
(We) owned �❑ Are buying under oontract
a beneficial interest in the entity ihat is liable (w Ihe property taxes on the property and ihat owns the property or is Wying under a contraG.
If buyc�g on aontrac� Fee Simple ownefs �me
Racorder§ o15ce whae cm12G is recorded
Caunry TwnsAip
Parcel number
Recortl number � Paga
district (cify, fown� tv.mshiP)
19 Ihe proper�y in question:
❑ Real property ❑ Mabile Home (IC 6-7. 7-n
If airy portion of the residarNal siructura w the land nol exceeding one (1) acre Ihat immetliately wrtnunds ihat sUUCCUre is useC to produce income, tlescribe Ihe ux aM poribn
d �he pfoperty uUGz� tn ptoduce incmne.
�i� /� �a [_„�1�6'��-e=� n— ��''
V'( V
_,�_,�_
'034� O��
-.• . .: . .
County Twvnship County Townahip
I hereby certi(y the above slatements are true, correct and complete. ign e oi aaimant
i
s number arM street ri(y, state, anO ZIP coda)
S. �S= . b ., /Y � �
._ , . . .. . ,
„..
Land not ez�ng 1(one) ave immediatey i�.. �
surtoundirgresidentialimprovemenis. ��� '. %��;.. .-. �.
�.;. , .
Oiher land (2) `�r'' -'`��:x:;� : �=r ._;
Tdal WIM (line 7 plus I'me 2) �g�
Residen6al unprovements w Mnually ����� (4) ' 4'' �
Assessed Mobile I ManufacNred Home .. -, ;_: �;: �..
Garage �5� .. .. .
Ofher improvements (6) '
T�al improvements (line 4 through Gne 6) �7)
Tofal value (line 3 pl's Grre n (8)
I he2by certify ihe above is W e. corteG. and Signature of Assesw Date signed (month. day, yea�
canplete.
Vaifyirg action - Sigru Wre MAUditw Dale signed (month. daY• Yea�
� . - i � � � •
p—�Y Z� — 45.000 for 2007 pay 2008 42,000 for 2010 pay 20� 7
Lesser of 12 qq.ppp for 2008
Homestead Valuabrn PeY 2009 41.000 for 2011 pay 2012 $
� 43,000 for 2009 pay 2010 40,000 payable afler 2012
SigneWre oflwdOnr oa�e synea �,�,a,�. dar. r��