HomeMy WebLinkAboutHomestead_Karges (5) STAR FORV!) •IR_1,4741 TREASURER FORM 71IA
.APFRIWLO BY STATE M\RD Or AMI NTL l.w earygmFD BY ME BEEARMST OF LUAL CM2RVMR.T ra:A\'CE IC 6-I.1 r-R.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
more beneficial,there is more incentive than eter for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1341-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
fihingn.This information will he kepi mnlidcntial and can only be accessed by authorized county officials.The Depanment of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I:PROPERTY INFORMATION
Taxpayer Name Property Address
Karges, Mike A/Dawn
12733 S 40 W
Haubstadt IN 47639
3521
Mike A/Dawn Karges
12733 S 40 W
Haubstadt IN 47639-8713 State Parcel Number Legal Description
26-23-18-300-000.925-024 004-00925-00 PT SW 18410 .88 AC
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
M. k . 4 �t Ka ri PI
long Address(number and street,city,state,and ZIP code) ly l Some as property ad
12133 S Cf U/ W
Spouse First ((fiddle Last
1OawN 1) K. age
Mailing Address(Number and street.city,state,and ZIP code) l] Same as property address
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 Date
•
� CLAIM FOR HOMESTEAD PROPERTY TAX
z• CREDIT/STANDARD DEDUCTION
,�, = SWte Form Sa73 (R2 / 5-92)
..0
INSTRUCTIONS: See reverse side !o� liling instructians.
, .. . .. � . �--� � � ..,. . . _,.:•eFOn�cen
FORM YEAR
HC10
���.A��
� . .�, - ' f.-. '. - ---' .. , - -- .
'"We) _'�(�����(�(,�r certify ihat on the 1 s day of March, 19
��e) occupied as our principal place of residence ihe tollowing described real prop tor which a Hom tead Prope Ta redii is re Gaimed:
I(We) owned ❑ Are buying under coniract /�J Tv s�1DITOR
��..,.,. . .AC', • -
❑ Have a bene(icial interesi in ihe entiry that is liable tor the property taxes on the property and that owns the properry or is buying under a contraa.
. . � . �CQNTRACT HECORDED _ ., ,. �: -. - `-.�; w::.
Ii buying on coniratt. Fee Simple owner's name
Recortler's oflice where COniract is retortletl ReCOrtl number Paqe
Counry
. ` � � PROPERTY DESCRIPTiON � -
Township T�ing Cistrict (ciry. town.
Parcel numDe` VO 1�� V_ I Legal descriP.���J ` U_�_� o �� V ��
� L� �i
It any portion ot the residential structure or Ne land not exceetling one (1) acre Ihat immediatety surtountls that strucNre is used to produce income, desaibe the use and portion
of the property utilized to produce iricome.
c��-�3 -i�,�oo -oad. 9��-oaS�
PROPERTY OWNED BY CLAIMANTIN OTHER COUNTIES � �
Counry Township Caunry Townstip
�aeby certify the above sfatements are true, correct and complete. Sign .ure ot Uaimam
Address (number and street. ary, state, ZIP code)
S 2N
ASSESSORUSEONLY - T E�TAX ASSESSED� NOMESTEAD , NON-RESIDENTIAL. ..�
- VALUE VALUE VALUE VALUE�- =
Land not exceedin9 7(one) acre immediatety � � �- ,
surrounding residential improvements. (�) ' �
Oiherland (z) � ��" '
Tmal land (line 1 plus line 2� �3)
Dwelling (4) - .
Residential improvements . r�
. Gara9e (5) � � . .
Other improvements (6) - � �
Total improvements (line 4 through line � (7)
Total value (line 3 p6s line 7� (g)
I hereby certify ihe above is Irue, correct, and Signature of Asseswr Date signetl
complete.
�Wing adion - Sgnature of Audiror Date sgned
19_Pay19_
Lesser ot V2 Homestead
Valuation or $2,000
Siqnature ol Auditor
�