Homestead_Fuhs CLUE FOLM!Fw iR Furl TREATULrf PORN 75-1A
- .ArFRIA"D Bl MATE aOiRD OF Aril YL'TC.! PUYgIBW BY lair DEPARTMENT OFUR'AL r EL' UXT FNAset ICVI.�LJI
101 Nn County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N Main
PRINCETON IN 47670 Individuals and married couple 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.Homestead fraud causes higher tax bills for all:therefore.
iii HEA 1343-2009 requires taxpayer who receive the homestead standard de duction 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
flings.This infnrmalmn will he Lew confidential and can only he accessed by authorized county officials.The Depannent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead Baud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Fuhs, Kevin A/Helen M
_ _ _ _ ___ _ _. RI Box 7iIH __ _
9551
Kevin A/Helen M Fuhs
633 W 1200 S State Parcel Number Legal Description
HaubstadtIN 47639-8724
26-22-13-200-000.351-024 004-00351-00 PT NE 13 4 11 .9182 AC
t o rat Ir II nn I I r I r I I n I L I UI n Ir Ir I tiI n I I uI I I 11I I "
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
I. kEv lnl A ru44 S
IIIImg Address(number and street,city,state,and ZIP code) — — .-- — -Same as property address ---- --
ly 3 3 W I �.d o S IA A U 14.1- A n, -r tJ 4 1 (a 9
Spouse First Middle Last
IAELEIJ in R 0 k S
Mailing Address(Number and street,city,state.and ZIP code) 12.- te as property address
x, 33 w i -2u0 S NAvas- kl- 81 LTC ✓ � � ', 35
Each undersigned certifies,under penalty of perjury,that the above and foregoing infonnation 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) ignamre Date
FOPM HC 10 1979
Preu�i�etl By State Boartl at ia. Commissfoners
CLAIM FOR HOMESTEAO PROPERTY TAX CREDIT FOR YEAR 19 �°
io B¢ file0 in Duplica;e
SEE BACK FO FILING I� TRUCTIONS
� G _�.�
�(We) �-u—�� ��• � � certify that on the 1st day of
nnarch, 19�e) occupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned �Q� � BQ�J/ Ov
❑ are buying under contract —�/ �
❑ have a beneficial in rest in the taxpayer �Xr �°?°?-�°� ' p�GO - QO�. `3��� �
Property Description in -�—G-d-�'"" County �-��^' Township
Taxing District (City, Town, Township):
Parcel Number
If buying on coMract: Owners� name "� 51Tp1e °""efr
or IegaF'description shown on tax statement:
0,�. Lc� �>'Z /�JC ��yc /�3— s�— i� • %/.PZ
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:
�hereby certify the above statement is true, correct and complete
f�
5�.ee�
Counry
Township
v. H' �!0 3'
ana 2io Wae
' 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 taxpayec
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre immetliately
surround residential improvements
Other La����
Total Land �
Residentia� �►��v�me�j�Q
✓1 • i /IG•y,{ZQ�(�!l
� auo�roh
Other Improvements
True Cash
Value
��� a o O
(2) �
(3) .�Oo
Dwelling �4) °����
Garage
Total
T�Improvements - Line (6) plus (7) equals (8)
I. �by certify the above is true. correct. and complete.
Sgnamre o� Assessor
(5) �
(s> a s7y�o
c��
�a� a�`7�o
- ACTION BY AUDITOR -
Assessed
Valuation
�70
.
j��jj�j�j
j/�jjjj��
Homestead
Valuation
�7 0
/���%��/%
_ ��� ����°
. -
.
Date: ��