Homestead_Maikranz (9) C DATE FORM•no.,an..ant IRF.1SURER FORM:11A
• m ET IMPORTANT NOTICE TO DEPARTMENT OF LOCAL ROWNERS
Gibson County Auditor
101 N Main
PRINCETON IN 47670 Individuals and married couples arc 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 tat bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing+.This information will he Lein confidential and can only he accessed by authorized county officials.The Depanment of
Local Gosernnent finance will use this information to create owls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Maikranz, Nola Mae- Revocable
Living Tr
602 L SINCLAIR
FORT BRANCH IN 47648
7667
Nola Mae Maikranz- Revocable Living Trust
602E Sinclair St State Parcel Number Leal Description
FORT BRANCH IN 47648-9797
26-19-18-301-701.179-026 011-01179-00 BLDG ON LSD GRD
Itlttlliedillinittllttltlditinelidolttt'll I 1111111 (011-00099-00)Hillcrest 17/60 Maikranz
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
N0 Imo. Mae 111 A K-re
•re Address(number and street.city,state,and ZIP code) - — -- -- Same as property udders—— - -- - —
Spouse First Middle Last
Mailing Address(Number and street,city,state.and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
saw
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/, p//� "Q/L� G�/, , Date
•
•
[ .
CLAIM FOR HOMESTEAD PROPERTf TAX
CREDITISTANDARD DEDUCTION
� State Fortn Sr73 (Rfi / 4-03)
- Praxribed by tha Department of Lacal Govemment Finance
INSTRUCTIONS: See 2rerse side /or filing instnx.tions.
' FORM � YEAR _
(� L, HC10
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ir� iI' T' lr\ A �
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_ -.._.. -J_i.�!s_.. ..�_. . _. .
� �e) • certify lhat dn`the�5�d�y�QMarch, 20_
I(We) occupied as our principal place of residence the following describ d eal property for which a Homestead Pro—peyrt�y, Tac Credit is hereby daimed:
❑ I(We) owned ❑ fve buying under contract p�ra� ��
1 Have a benefidal interest in the entity ihat is liable for the property taxes on Ihe property and that owns t101�5¢�ty�f:is tl�i�ifi�0ii}1��ConVacl.
If buyiig on conirad, Fee Simple ownefs name
Recordefs olfica where conVaa is recor0ed
County
If any
of the
Tamship
Legal
�O�
sW cNre w the Wna
�ce i�xame.
(7) acre that
al�-i�
Rewrd number � Page
Tacing district (ciry, fown, fownship)
��I Is Ne property in question:
� ❑ Real propefty Q Mo�Ile Homo (I.Q 6f.7-n
imme�atety wrtounds ihat sWGUre is used b produce inoome, desfiibe Ihe use antl portbn
- � g �� � -�� 1. �-� � - o a �
20 _ Pay 20 _
lesser W 1/2 Homestead
vaWauon w 535.000
Signature of Puditot
S
Date signetl
a �- �