Homestead_Karges (4) •• s c SlAtI I ORM•jM i
A s t T1tEAS1IfA FORM IA
.APPMtxEP BY CIVIL Da‘ROor'mil PTS"cm PtIYRIBEm BY Tilt DEPARTxe4TC7 L( LLOOVERY>RNT FINANCE ICH.I-2c4.1
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
,rte. more beneficial,there is more incentive than e'er for homestead fraud Homestead fraud causes higher lax bills for all:therefore.
HEA 1341-2009 requires taxpayers who receive the homestead standard deduction to verity that they are eligible to recebe the
benefit and to provide additional identifying information necessary 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 Ikpannnrt of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Karges,John/Jane
RI 13
-_ - _- - _ - Ilaubstadt IN 47639
11137 -- - _- — — - __
John/Jane Karges
12589 S 40 W State Parcel Number Legal Description
Haubstadt IN 47639-8715
I tittiitttit II t..11tltl..I..I.It FFIFF.IIrIFIFIu.I.I.I.ttr11F1 26-23-18-306-000.517-024 004-00517-00 PT SW 1841051.957 AC
X
PART 2: TAXPAYER INFORMATION
Owner I 1. First Middle Last
Jo h ►J I- e 0 A< 11e_s
•ig Address(number end street,city,state,and ZIP code) Same as property oddreo
/2S�9 5 34) �M6 s f,J/i 5/76 3
Spouse l First Middle Last
, l a ve- - goo 75<r je 3
Mailing Address(Number and street,city.state,and ZIP code) Same as property ad
/02 CS 1 S 1/4 7639
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
unlaw•fidly,he or she may be liable for back taxes and substantial financial penalties.
nee I S'- aune Date
weM Hc io ism
Preu�iU¢e By S�ate 8oa�tl al ia. Commissianers
To Be FileO in DuDlicale
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19��
SEE BACK FOR FILING INSTRUCTIONS
�(We) // �� �( /��+-�- certify that on the tst day of
�
�narch, 19��__, I, ( ) occupied a ur principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial interest
Property Description in��
Taxing District E6iFy-�ewr,rTownship):
Parcel Number
If buying on contract: Owners
the taxpayer
simole
D o �-00�/7-Oo
�� �33 ,-/���3Gb -�D. �i �-Da �
Township
�
or legal description shown on tax statement:
,� t. s c..� si /f' - y- / o _�./ %J���`-=�
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 [o 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.
County Township
—�/� �/// Jheet nmress Gry. S;are aM Ziv �ne /—' �
V �,� `
Vwv
Individual either owns or is buying under a contract that provides he is to pay ihe property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre i�di teL E D
surrounding residential improveme
Other Land
Total Land
Resitlential Improvements
JUN � 1979
''' �
/
I ' � +.. ' �
,•. :,..•
Other Improvements
T�'�' Improvements - Line (6) plus (7) equals (8)
k�by certify the above is true. correct. and complete.
True Cash
Value
(1) ,s D O
(2) % / o
(s) / a i o
(4) _� �/ // d
�s�
�s� _! y���
c�) /870
�s� / S 9 � d
- ACTION BY AUDITOR -
Assessed
valuation
� %O
39�a-.�-u-
Homestead
Valuation
�-_�Z?
�(�/O
5 d�� 7�/
oa��
Date: —fp — �_/___�