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Homestead_Kiefer anTE 10AN.lW,,,,f , TNFASUIIt rotM:}IA APPRtn'ED nI'AUE 111.110 Of MYEThNTS.9w PKL tlBFO BY THE DEPA0.TWVT OF LOCAL GOVFRNM11.7 FINANCE MH.1-I]4.1 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 ever for homestead fraud.I lomesiead fraud causes higher tax bills for all:therefore. HEW 1341-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead tiling..This information will be kepi confidential and can only he ace toed by authorized county officials.The Department 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 Prone/Tv Address Sr Kiefer, Howard/Jane Ann n • R I Box 44 A s1 � V)Cyndtiana IN 47612� �� 9620 v Howard I Jane Ann Kiefer 12038 S 525 W State Parcel Number Legal Description Cynthiana IN 47612-8814 26-22-17-100-000.531-024 004-00531-00 PT NE NW 17 4 11 9.38 AC --- Itlrtlltu6IIlur t161LIIl,IJtmLItmILL.Iu.ILlt.lrlttltl -- - x— -D-2 PART 2: TAXPAYER INFORMATION Owner I '' First Middle Last /VowARf �MA C i e-P Ong Address(number and street,city,state,and ZIP code) EF'Sme as property address - -- /ass s sash C JAMA . . 76/2_ Spouse First Middle Last ,vim 4ti� Al . 1EF Mailing Address(Number and street,city,state.and ZIP code) a as property address /a38 S SZte w G'y,Jr�i449 X76L - - - - 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 nature Date • fOflM HC 10 1979 � Pre5cri6e0 By Siate BWrO ol iax Cammf55ioneR To Be FileG in Duplicate CLAIM FOR HOMESTEAD PROPERTY TAX CREUIT FOR YEAR 19� `� �1��:7_Z�I.�Y�]:i3I�I�CeT �(We) C-����- ����+^-e� �� certify that on the 1st day of March, 19��, I, (We) occupi as our principal place of res ence 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 intere t in the taxpayer Property Description in � -��--� Taxing District (City, Town, Township): Parcel Number nty DD�j�--�d.�l`�/ Oa Township or legal description shown on tax statement: O.� � � �� /! �[l ���',� �7 �- �� % � � If buying on contract: Owners name �'re s�mo�e ow�e��-����% �� _��^^ '�� �'T � e`"�O Contract recorded in Recorders Office - Record No If any portion of the residentia� 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 ' 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(onef acr� im�e�jate� � surrounding residentiai improvements Other Land �,;, � ; �91� ., �, . �_ Total Land Residential Improvements �% ,,,���///��o/�/� ��� �/i �' � �9 ��� AUDII��e Total Other Improvements -�Improvements - Line /(61) plus (7) equals (8) I. �eby certify the above n� true. correct. a complete. �1C �-�- �-"z Signawre ai nssessor True Cash Value ( � ) a�0-c� (2) L9 � o �s� .z s�� o (4) oZG i �o (5) — d — (6) � � / � O Assessed Valuation / 70 � !/ Z Homestead Valuation - � � � �'�������/ - � - � '�j������ _ i��_._ ; - ;TION BY AUDITOR - Date: � �s' �