Homestead_Harper •
I SIME FORM!)•MIR:/!M., 1REAStJREB FORM TS-IA
.0/ROVEnnY'14TEMIRD OFMn Nnt.bn PRFYRIBEO BY nil DEPMIMFRCfLOCAL GOVERNMENT ra:ASCE M 6-I.t•`_4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes
S more beneficial,there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1314-2019 requires acpa'ers who receive the homestead standard deduction to verify that they am eligible to receive the
benefit and to provide additional identifying information nee:ory to allow county government to better monitor homestead
filings.This information will he kept confidential and can only be accessed by authorized county officials.The Ikpartntent of
local Govcrtunent Finance'ill use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Harper, Kirk R/Katherine M
— ii b1S gas KJ
I laubstadt IN 47639
3339 '
Kirk R/Katherine M Harper
–Hi Bo 408— 113$5 S 4as tn./Haubstadt IN 47639-8644-
State Parcel Number Legal Description
26-22-09-100-03k907-024 004-00907-00 PT W NW 9-4-11 2.780 AC
I1I11lI11111l111r1ll1l1l11111111llr111rl11111111111I11r1111 III D-2
•
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.
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Q.deext kosper
�ng Address(�berlan t,city.state,and ZIP code) ® Same as property trd
1 138 CI a 4as V■I I \ab\os-IaA+ ) IKl (-17(039
Spouse First Middle /� Last
�\.� e_ Aar q l U c e.r
Mailing Address(Number and street,city,state,and ZIP code) l� Same as property ad ress
I 1318 S yes W 1-(wSs-4-0,04 IM 476039
_-- — ---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 Dale
"" CLAIM FOR HOMESTEAD PROPERTY TAX
�.4-� � � CREDIT/STANDARD DEDUCTION
State Fortn 5473 (R8/7-07)
•� Au � Prrsoribed by Ihe DepaNnenl of Latal Government Pinance
INSTRUCTIONS: See reverse side )or filing insWCtions.
� M�e, �-�' `/�— � /rQ��� � �l
I(VJe) occupied as our prinapal place of residence Ihe fdlowing described real property
..
�j ? �i. - ,I . _
� ' ��i
�GIBSON COUNI Y AUVllvn
_ certify that on the 1 sf day ot March, 26_
a Homestead Pmperty Tac Credit is hereby daimed:
I(VJe) owned ❑ Are buying under contract
Have a benefidal interest in the entity tliat is IiaWe fw the property ta�ces on the property and ihat owns the property or is buying under a contract.
If Wryin9 om m�ira0. Fee Simpe wvners rama
Rewtlefs ofbca where contrac! is recorded
Counry To.mship
(cify, to:m,
Recvd number � Page
Pa�cel number Legal descIri�pti,on a. �'L��/ ff� Is Uie property in question:
� uJ �� �' / ' � � ❑ Real property ❑ Mobile Home (/C 6-f.1-�
If any porlion oi Ue residential slnMUra a Ihe land not exceetling orre (7 ) acre Ihat imm�ately wrtounds Uat slrucWre is used lo produce'vuoma. describe Ihe use and portion
a[U�e properry utiGZed In produce inmma.
a�-dd-o9- ioo-000. 90�-0��
co���Y
Toxnship
I hereby certify the above statements are We, cwrect and complete.
(n�mbe� and sLeeC ci(y, stafe. antl ZIP cotle)
Twvnship
•- •
� • . � • �
i�.•
Land not ezceeding 1(one) ave immediatety ''`' "
surroundingresidentialimprovements. ��� �~'-
Other land �y� � . � - � '
Tdal land (line 1 plus line 2) �g)
Dwelling (4)
Residential imprwements or Mnually -
Assessed Mobile / Manufactured Home • =�=:'?_s. :.� - '
Garage (5� - -.:.-fz � . ' .-.
ONer improvemenis (6) �
Tctal improvements (line 4 tivough line 6) (��
Total value (line 3 plus lirre � (g�
I hereby certi(y �he abOVe is We, toried, ard SigriaWre otAssessor Date signed (month, day, yea�
complete.
Verifyirg adian - SigriaWre of Audi Wr pale signed (rrronth, day. yea�
� . - � � � • •
20 _ pay 20 _ 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
Lesser ot t l2 qq.000 for 2008 pay 2009 41.000 for 2011 pay 2012
Homestead ValuaCOn S
« 43,000 for 2009 pay 2070 40,000 payable after 2072 -
SignaWre of Auditu Date signed (monfh, day, year)
' i �