Homestead_Kruse •
STATE ICRM!)w,Cl 1 IRWASUUR FORM 79-1/i
1t1*rIMPORTANT NOTICE TO HOMESTEADrPROPERTY OWNERS tort
Gibson County Auditor
101 N Main
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 eser for homestead fraud.I lomestead fraud causes higher tat hills for all:therefore.
HEA 1344-7009 requires taxpayers who receive the homestead standard deduction to serify 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 imnrnutinn will be kepi confidential and can only he accessed by authorized county officials.The laepanntent 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
Kruse,e, Alan G G /Nancy D
802 Creek DR
Fort Branch IN 47648
7626
Alan G/Nancy D Kruse
802 Creek Dr State Parcel Number Leal Description
Fort Branch IN 47648-9500
V I I I 26-19 18 101-001.168-026 011-01168-00 LITTLE YORK VIL PHASE II
I n utt run a Itntt r nt nt nntrt I r �/ 39 D-27
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
GENE
K�vs
mg Address(number and street.city,state,and ZIP code) [] Same as property eddrS - - - -
Spouse First Middle Last
IV
Mailing Address(Number and street,city,stale,and ZIP code) ❑ Same as property address
S A*�
- —
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 Signac Date
•
111
,; rt�n � CLAIM FOR HOMESTEAD PROPERTY TAX
r� '� CREDIT/STANDARD DEDUCTION
�I State Form Sa73 (R2 / 5�92)
��u
INSTRUCTIONS: See reverse side lor7iling instructions.
. . � . � ,:. �_� . . . . , <:_e�o�cer
FORM YEAR
HC10
�e) ��1J1�� /< x V ��:.C/ J/�(�iict.��- certifyr+a9en�
—r—
e) occupied as our principal ptace of residence ihe following de ibed real property for which a Flomestead rt
❑ I(We) owned ❑ Are buying under contract �pR
❑ Have a beneficial interesi in the entity that is liable for the property taxes on the property and that owns the prop�Hy tJr i�b�
�
��� .
� - _= - CONTRACT RECORDED� , �
� CCI��(`.. . _',,.;;(
If Wyirg on contract, Fee Simple owner's name
Recortler's oNice where wntraa is recortletl Recortl number
.,..��.
Co n —� I � �' Township
P rcel nu r Legal description
It any portion of the residential stmcture or �he land not eaceedifg one �t) aue Nat
of the property utilized to produce income.
DESCRIPTION � �
Ta�cing distritt (dry, frnm. township) �
� � '� �:
ar 79�
��
ftder a contract.
� � n. �.(,�:,..-
Page
� ��,�-/� 3 9
ihat s[rucNre is us ro praduce income, describe the use a(M portion
� � PROPERTY OWNED BY CWMANT IN OTHER COUNTIES � - -
�nry Township Counry Township
I hereby certiry ihe above statemenis are true, correct and complete. na;ure of d, n
Address (number a�W streef, city, sta7e, ZIP code)
� �� ASSESSOR USE ONLY � TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL ;
. VALUE� VALUE VALUE VALUE - � .
Land noi exceeding 7(one) acre immediately � ��
surroundingresidentialimprovements. (�) I - '`Q' �
Other land �p) ° ' ' _
. c'q,'.
°.�:.ti... :• q`—•
7otal land Qine 7 plus line 2� (3)
� Dwelling (4) � � � . '.
Residential improvements . . � .
Gara9e (5) � . �
Other improvements (6) �
Total improvements Qine 4 through line � (7)
Total value (line 3 ptrs line � (gJ
I hereby certify Ihe above is true, correct, and Signamre ot Assessor Dare signed
rplete.
.tyirg aaion - Sgnature ol Auditor Date sgned
19_Pay19_
lesser of 1/2 Homestead
Valuation or 52,000
DEDl1CTION
�
olAuditor u es neo
' - - - � '� -� �