Homestead_Kessler - - STATE FORM!P.MIR]H-N1 TREASURER FORM TS-IA
APPROVED BY 5111E BSARO Of Mr(R INTS.`an PREV[AIBW BY nI(DEPART/TNT Of LOCAL GOVELNMPNT FB:A.CE M.-EI-U-al
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 IndividuaLs and married couple.are limited to one homestead standard deduction.As the receipt of this deduction becomes
® more beneficial.there is more incentive than ever for homestead fraud.I Iomestead fraud causes higher tax bills for all;therefore.
HEA 1344-2009 requires(aspaxers who receive the homestead standard deduction to verify that they are eligible to restive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filingN.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will me this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Prnperty'Address
Kessler, JohnL/Mary B / /0769g 5 CO cc)
R1 Box 28S
Haubstadt IN 47639
630
John L/Mary B Kessler
12094 S 50 W State Parcel Number Legal Description
Haubstadt IN 47639-8722
lrltrllr rrlrilrtttlitlit lt tlt tlt itt tlttitlttltlltlr tr llt rlltltti 26-23-18-100-000.530-02 004-00530-00 PT NW NW 18410 .6925 AC
KTK/"." -
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
10 L /fEs1sLg ,�
One Address(number and street,city State,and ZIP code) — - - — — Same as property nddr --— — -- - -
/a 094} w
Spo — First Middle Last
ni 19fil
Mailing Address(Number and street,city,state,and ZIP code) lzl Same as propeny address
S „CO J�V O
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.
Own- attire Date
•
FOAM HC f0 1979
hcscriDeE By Siate BoarE ol Ta� Cammissioners'
To Be FileO in Dupliwte
CLAIM FOR HOMESTEAD PAOPEATY.TAX CREUIT FOR YEAR 19��
SEE BACK FOR FILING INSTRUCTIONS
�(We) `E certify that on the 1st day of
arch, 19 I, (We) occ pie as our principal place of residen the following described real property for
which a Homestead Property x Credit is hereby being claimed:
I, (We) ❑ owned D� �'"'� ���.J �j�/ ��
❑ are buying under contract
❑ have a beneficial interest in the taxpayer �j
// ./I _ l l
Property Description in- ����
Taxing District (Citv Tnwn Township):
Parcel Number
If buying on contract: Owners
Township
or legal description shown on tax statement:
Contract recorded in Recorders Office - Record No. Page
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 counties in which individual owns or is buying real property:
' hereby certify the above statement is true, correct and complete.
�� � �.� �
County Township
.(/ rY`�' - v
Str , ddress Ciry. St e ana Zip Cooe
�a�/ �3� ���-,.-
' Individu�l 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 im��� � �
Other Land
Total Land
Residential Improvements .I;i 1= i979 Dwelling
���"(�9e
/ AUDITOR �
Other Improvements
T� ' Improvemenis - Line (6) plus (7) equals (8)
li�py certify the above is tr}�. correct. and complete.
NSSP550!
True Cash
Value
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(3) S B-�
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(6) ==%�-s-! � Y
(�) ` ° �
Assessed
Valuation
/70
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oace
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Homestead
Valuation
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- ACTION BY AUDITOR -
Date: � Y