Homestead_Karges SLATE IF ORM'I-11CI awl IAFASIaLlt FORM i11A
.Ammer,BY STALE[(MAD OF mr1 RnTS.IBM PRr3ANQI BY nIr DEPARfle4T OFLOCAL riove um,rtea'cr.CV1.I.r.,.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to are homestead standard deduction.As the receipt of this deduction becomes
.---� more beneficial,there is more incentisr than e'er for homestead fraud.Homestead fraud causes higher lax bills for all:therefore.
•t HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verity that they are elicible to recent.the
benefit and to provide additional identifying information race:sate to allow county government to better monitor homestead
filings.This information will he kept confidential and ran only he accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help count'officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
—. Karges, Anthony J/
RI x262 01(---
Haubstadt IN 47639
11135
Anthony J/ Karges
12627 S 40 W State Parcel Number Legal Description LED Haubstadt IN 47639-8714
ltlttlltttllllttttllrlrlttlttltlattlttalltlttlttllllttr ,I.�I 26-23-18-300-000.5133--024 004-00513-00 PT SW 18410 1.02 AC
APR 2 7 Zulu
77417,eoa
PART 2: TAXPAYER VI GUMA77ON
Owner I First ---,_ Middle Last
gtv 04 ( fit, Kii-R6- =
•12 Address(number and strce.city,state,and ZIP code) Sme as property address
IZ6A7 S 4/0 k) /M-Oa5r4i2r xy g763y
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 S awry Date
di
FOftM HC 10 19i9
PreSCriDeO By Staie BoarU ot Tae tommissione�s
CLAIM fOR NOMESTEAO PROPERTY TAX CREDIT FOR YEAR 19 7 9
io Be Filed in Du0lica:e
SEE BACK FOR FILING INSTRUCTIONS
� , OD�-DO3/� �
�(We) certify that on the 1st day of
��arch, 1 � I, (We) occu'ied as o' ci'al' following described real �ro�erty for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ltl owned �� -�.3-�� �-�Gb• .s�.� -�01�
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in � � County
Taxing District (£+�y-�ewa—Township): 4�:�
Township
Parcel Number 1 or legal description shown on tax statement:
Pf. SW � / d' - s/ - � o /. o a a.�..-�
If buying on contract: Owners name �'eP �'"'o1e
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 coun[ies in which individual owns or is buying real property:
hereby certify the above statement is true, correct and complete.
aox 2�2
County
Township
��o��N� ���39
Scaie ano Zip Coa¢
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 -
Land not exceeding 1(one) acre immediately
surrounding residential imp�t� �f T
Other Land jj j„j
Total land
Residential Improvements ��� 5 j979
dDw�eLlling
. ���l�uU24�i1� e
i
AUDiTOt�o al
Other Improvements
�
�T•� Improvements - Line (6) plus (7) equals (8)
by certify the above is true. correct. and complete.
ASSPSSOf
/�
a
True Cash
Value
(�) S/o
(2) —
(3) S / o
(4) �_/ G J D
(5)
(6) �/� [Z
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(g) cZ / (o / D
- ACTION BY AUDITOR -
Assessed
Valuation
/70
.
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Date:
Homestead
Valuation