HomeMy WebLinkAboutHomestead_Kissel (2) - STATE FORM 53569(RS/BBB H TREASURER TS-1A ,
.. APPROVED BV STATE BOARD OF ACCOIIVTSgm PRESCRIBED BY THE DERARTMES1 OF LOALCOVERMAENT FINANCE IC 61.1-124.1
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,
HEA t and to requires additional atto receive the homestead standard deduction to government that they are eligible CO receive the
benefit and to provide additional identifying information necessary to allow county gaemmeot to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Depamnent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
MAY Z o 2011
` - Taxpayer Name - Location Address
C rc° "`� Kissel, Norman A/Lois J
•
GIBSON COUNTY AUDITOR - 503 N HILLCREST
FORT BRANCH IN 47648
7848
Norman A/LDis J Kissel
• : IIIIIUI I_IIIIIII I 01111111111 11IIII III III 111E11 RIM 1 Ill IiIIIIII-IDIII.11 '
503 N HillcresfDr
Fort Branch IN 47648-9785
1"Irll"r1lLlll""II IIIII1"IIIIIIIl'IddilIII11I1II'll 9 State Parcel Number Legal Description •
26-19-18-302-000.406-026/'HILLCREST 30 _
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.
..-.1. r_—_.___--____-----�_— PART2:_I1\PAYERINEORN1ATION ---
• .._. 1 First Middle - Last
k 6 7 s S I�/ ssE t
Mailing Address(number and street.city,state,and ZIP code) 'Same as property address
•
5a3 Al l-l/ LIccy [c7 •
,
Spouse � ��, . First - - Middle Last
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-
Mailing Address(Number and street,city,state,and ZIP code) 0 Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number"(lasf5 digits) - • - Other(please specify in Part 4 below)- - ,
=i� adi �'�E�G�t� Vyy� stem
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
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unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Ownerr lure Dale
FORM HC 10 19i9
P�escriGeG By Sta;e Boam a: Ta. Cammissianers
CLAIM fOR HOMESTEAU PROPERTY TAX CREDIT FOR YEAR 19Z2
io Be FIeC in WDlicate
SEE BACK FOR FILING INSTRUCTIONSD//rQO //Q/_O�
7` �o
�(We) ��-�- �^'� �� � � °��-- � - certify that on the tst day of
earch, 19 ��, I, (We) occupied as our principal place of residenc he following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) C� owned
❑ are buying under contract
❑ have a beneficial intere t i� . n t�taxpayer �/
Property Description in_�X ��� County �-'-�"' Township
Taxing District (GiFy-Town, TawrtSfiip): ��� ��
Parcel Number or legal description shown on tax statement:
—7����" 3 0
If buying on contract: Owners name �'� "'"o'e °"'"ef�
Contract recorded in Recorders Office - Record
If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
structure is used to produce income, describe the use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property:
County Township
� hereby certify the above statement is true, correct and complete.
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'Signa:ure Stte¢I AOOress City. State ana Zi0 �e
' Individual either owns or is buying under a contract that provides he is to pay ihe property taxes
on the residence, or has a beneficial interest in the taxpayer.
FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre immediately
surrounding residential impro�� L E D
Other Land
Total Land
Residential Improvements �UN 11197�Welling
��
AU/�
Oiher improvements
Tr��' Improvements - Line (6) plus (7) equals (8)
�.�by certify the above is true. correct. and complete.
Signamre o� Assessor
True Cash
Value
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- ACTION BY AUDITOR -
Assessed
Valuation
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