Homestead_Kaelin STATE FOAM!I1t l 11'147.11 RF.SII[EA EOtM TS-IA
.4rrtewrn BY STATE&t O OFNT.ttLNTs._0,9 PArniam nv nil DEPMTMLYI OF LOCAL rKWELNMEN't FINANCE Ieln.l_tI
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
Ix% more beneficial.there is more incentne than e'er for homestead fraud.I Iolnestead fraud causes higher tar bills for all:therefore.
HEA 1344-2(109 requires tacpa.en who receive the homestead standard deduction to serify that they are eligible to reeene the
benefit and to provide additional identifying infonnason necessary to allow county government to better monitor homestead
filings.This information will he kepi confidential and can only be accessed by authorized county officials.The Depanment of
Local Goverment Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Kaelin, Patrick J
I , R6 Box 235
c. Evansville IN 47711
3471
f( r 005
Patrick J Kaelin 4.--,2 Ir r 3
6 Box 235 State Parcel Number Legal Description
EVANSVILLEIN 47725-7829
Itlttlltttlit �tt�t�t�t�t�ttt��uu�uu t�u��t�ut r��rtt�ut��u�t t� 26-23-13-400-0000.311-024 004-00311-00 PT SE 13410 2.886 AC
t,
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 1NFOR\1ATION
Owner 1 First Middle // Last
Per IcK Se'ra14 g4i -P / r ,II
)Address(number and street,city,state,and ZIP code) ❑ Same as property address
5a(0 y J , ) 3 005- L ii u. In 5 ✓ ) IICi / N LI77a-S
Spouse First Middle Last
/�
RTb4PCCoi Sti P /1 y E I in
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
Sa (o y" CI 13005 , E✓ a-ns v7' 1/-e / /�/ x(77:-5
_____________ - -_-
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
unlawfidly,he or she may be liable for back taxes and substantial financial penalties.
Owner I " ate 9k • Data
4A?*'t CLAIM FOR HOMESTEAD PROPERTY TAX
� CREDIT/STANDARD DEDUCTION
` � State Fortn Sd73 (RS / 10-07)
�°� Presriibed by lhe Department of Local Govemment Finance
INSTRUCTIONS: See reverse side (or liling insfructions.
FORM � YE R
Hc,o G �
J.L A �s� ls.� �.
I(We) certify that on the 7Mst �d�{ onfMp� rch 20
I(We) occupied as our principal place ot residence h following described real property for which a Homestead Property T�c CFfUit i9.hAle ed:
❑ I(VJe) owned ❑ Are buying under con ract
�Have a benefidal inierest in the entiry that is liable for Ne property taxes on the properry and Ihat owns the pmpe�qr,is bu�ndg� tr
��i::� c�a'�:�= ° r.'..�'�_..� ; i _..1di SK'rCONTRACT'RECORDED+?,. .t. .,s.t �'•: =�3 . . -
.. r: _ _,-� . .. . . _ ->. . . . ..
._.. ....� . _. . . �,...:r—,_.,. �
If huy'uig on contracl, Fee Simplo ownefs name
Remrdefs office where conVaU is recordetl Record number Page
County
To.vnship
��1£�D31 I-Eri I
n any ponion of the residen�ial sWCWre a the
of the properry utiGzed m produce inwme.
i
3-i3-
ESCRIPTION:%r � ��3.1�_°- �'
Ta�ing districl ([iry, towq township) '
Is the procehY in
... . . . 'x.��''" . . . . _
_.1.._3_ !�� U I . pC rteal pmperty ❑ Mobile Homo Q.Q 61J-7)
we (7) acre Nat imm: CjZtely sunounds ihat sWUUre is used b Droduce income, desUibe the use antl portion
OC S8 6 i9 c
- � 3//-
�P " � -u�:'" ��' � -' — ^-PROPERTKDWNED�BYCLAIMANTIMOTHER'COUNTIES�„4� -� i +'r - � ��:, ' � - i.��- -
County Tavnship Counry •Tavnship �
I hereby certify the above statements are W e, correct and wmplete. �9 c e ot aim nt
. ,ir ( ber dsVeef, �ry, afe. ZIPc;,�' )� `�
� J
. _ .. . . .. .. . . . .
�-F_'y'�t� ASSESSOR(1S�EONLY_�^'y ��: TYALUE -::�AAT100°/aOFTTV H�VALUE D�.,� FNON VALUEN,�Lrxs�"
Land not exceeding i(one) acre immediately �:� �.� ; a �':
(1) ��^ •- ; �, �.u_
surrounding residential improvemenls. ,. .,�i> -,., . _ ,. .�� �„�
�.. -
Otherland (p) ';`; n„�: �'.:
.... �:1'. .
Tdal land (line 7 pfus line 2) �3)
.i-� _ � � r .,:
Dwelling (4) ; + .�P� � .. 'u� �r �
1 �.�'�JLTS �F3
Residential improvements _.� . .
yr, c* �� s� � _.'�--r -->`
Gara9 `5� I .1^�ir�iWr' iT('!��,5 i:'
e � ...:t�.:,_;.....� � :° �' � `°;_ .
3.-":.:. ..';:Z:: �:.(`'
Other improvemenls (6) _
•t
Tdal improvemenfs (line 4 fhrough line 6) �7�
7aa1 value (line 3 plus line n (g)
I hereby certify Ihe above is W e, correG, and Signamre of assessor Date signetl
compiete.
Verifying action - Signawre of AuOiror Date signed
20 _ Pay 20 _
Lesserof 1/2 Homestead
Valualion or 56,000
Sgnature of Audilor
S