Homestead_Dunkelbarger STATE FORM TTTt.Ilt:rf-N1 TREASURER FORM 73-IA
APPROVED BY STATE BOARDOf MTR'.YtSY.x PRR4RIBm BY TIC DEPARTMENT OF LOCAL CMER,NME.'t FINANCE x6I.I-:-911
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 IndividuaLs and married couples are limited to one homestead siandanl deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ewer for homestead fraud.Homestead fraud causes higher tax 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 necesmrn to allow county government to better monitor homestead
Glint.This information will he kept confidential and can only he accessed by authorized county officials.The Depanntent of
Local Goverment Finance will use this information to create u-vla that will help county officials eliminate homesead Baud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Dunkelbarger, James L/Kimberly
RI Box 291
Ilaubstadt IN 47639
11112
James L/Kimberly Dunkelbarger
12092 S 50 W State Parcel Number Legal Description
Haubstadt IN 47639-8722
I ulnlint1t'lunll11111 tlnit'u tlult'u ltlltluult1n tl ll 26-23-18-100-000.254-024 004-00254-00 PT NW NW 18410 .682 AC
PART 2:TAXPAYER INFORMATION
Owner 1 First Middle Last
CXAmE5 Du1JKELE kGE2
�Tg Address(number and street.city,state,and ZIP code) g.-81Ft Te as property address - -
Ia,09a, S 6.0 &) l-IeiLL6 S7Ao-r vJ 416a9
Spouse First Middle Last
ba t3 'LE L..A A Q Co E �.
Mailing Address(Number and street,city,state,and ZIP code) Q-8anle as properly address
Iallo4� 6 �O W H ,�ua ∎3 ern 0-T ul3 4`7(339
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 Date
1110
wwn xc �o ie�s
NescnDeG By Sute BoarE oi Taa fqmmissioners '
CLAIM FOR HOMESTEAD PflOPERTY TAX CREDIT FOR YEAR 19
SEE BACK FOR FILING INSTRUCTIONS
which a Homestead Property Tax Credit is
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Descripiion in ��
Taxing District (6it�oam-Township):
Parcel Number
If buying on contract: Owners name �'� �""v'e °""e'�
being claimed:
7a & FiIW in Dupliwte
��
�� ��
that on the 1st day of
scribed real property for
0� �-OO�S�-Oa
c�-�3-� ��-��?.s� va 5�
Township
or legal description shown on tax statement:
�i, nl uJ u �l uJ %-/ 8� ',�-/ D ,� 8'�, �-.
Contract recorded in Recorders Office - Record N
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:
�ereby certify the above statement is true, correct and complete
SVeet Aearess
County Township
C1ry. Stare ana Zi0 �e
' Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
True Cash
� � � � � 1 Va�
Land not exceeding 1(one) ac im ed tely
surrounding residential improv nt () o 0
Other Land (2) —
Total Land MAY g i°$� �3� so d
Residential Improvements
�� �,��°�� ��9
;�U�ITOR / <Garage
�.
Total
Other Improvements
T mprovements - Line (6) plus (7) equals (8)
I h reby c�ify the above is J;ue. correct. and complete.
Signature ol
C
(4) �e� �. 15�0
(5) _ P
(6) � 2� /'%� D
(�) —
($) � a ���
- ACTION BY AUDITOR -
Assessed
Valuation
n
/70
�`�° �
�
/�
Da;e
Date:
1
Homestead
Valuation