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Homestead_Kiesel StAtE FORM oft iCtw'I 711rASUtnn FORM:S-4 .SrrRr11'En By STATE MIRDOF"Cry-CM-5.2o. Ptr`YRInro BY T11C DEPARTMENT Or LOI'AL CM=RNNFWT FleaVCE lc<I.1`--t.I Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS A PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes more beneficial,there is more incentive than ner for homestead fraud.Homestead fraud causes higher tax bills for all;therefore. e HEA 1343--3009 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 filings.This information will be Isp.confidential and©n 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 1: PROPERTY INFORMATION Taxpayer Name Property Address _ Kiesel,Aaron M/Darla K CR 975 S Ilaubstadt IN 47639 8135 Aaron M Kiesel 88 W 975 S State Parcel Number Legal Description HAUBSTADT IN 47639-4800 26-19-31-200-002.087-024 004-02087-00 PT NE 8 PT SE 31 3 10 1.25 lolle11011111111111111111111ellitilliteelltielotleistlettllil AC D-9 PART 2: TAXPAYER INFORMATION Owner I First A Middle Last ng AA(ddress�(number and street,city,state,and ZIP code) d1'�'1 t/�, 1 ' r1oL\�`-1{�/�, 'I1^ Samee-as propert,sddras/s+�l sa w. 1l a I \s�s-�/�L`L1VI /\ , \g 1 W3 1 Spouse First Middle Last 5�r 1 a °Nay end Mailing Address(Number and street-city,state,and ZIP code) Ir/I Same as property address Q ? l3 . 0-15 2 . iAaL sA-a(a , u 5 63c1 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 of she may be liable for back taxes and substantial financial penalties. Owner I Signature Date • CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT/STANDARD DEDUCTION State Form 5473 (R6I4-03) Prescribed by the Departrnent of loral Govemment Finance INSTRUCTIONS: See �averse side for filrig inshuctions. —� i FORM HC10 YEAR I(We) `A/'�.( .i'/Yl // ` /..,�(�(�X certi(y�that on the�1 ay of March, 20 I(We) occupied as our principal place of residence the following described real property for which a Homestead'Pro���q Tac r�€ it is hereby daimed: ❑ I(We) owned ❑ Are buying under contract pi@sON COUNTY AUDITOR . Have a benefidal interest in lhe entiry that is liabte for ihe property taxes on the property and that owns the property or is buying under a conVaU. if buying om m�traa, Fee Simple ownefs name Remrdefs ofiice where conVad is recorCed County Tavnship P I umbe O � dal � � � L If any portion of the resitlentlal sWcture w the Wnd not ot ihe property uWizetl W produce income. Record number I Page Tacing district (ciry, town, tawnsbiP) ({I� Is the property m quesfion: V Q�t' �, O ❑ Real property ❑ Mo�ile Homo (I.C. 61J-7) ane (1) ave that immediatety sunounds Ihat sWGUre is used b produce income, tlescribe ihe use and poWOn ��as�� i i�� r��a���rii�iiioiiir�ii �sir-r i '�'�`����'� �4- 3 � � ar'-� ��';�"TRUEaTAX� � ASSESSEDVALUE �-HOMESTEAD�' iNON=RESIDENTIAL � +� ��:�� ASSES�SOR USE ONLY � .�F'��h�� �� VALUExi� � �`ATi100°/a OF'TfV� �,t�c..VALUE��.� �k��e�:��,�`.;.VALUE.� '"' * �. ...�,..�: ,t _ Land no� exceeding 1(one) aae immedialely (� ����fi"�',�,�.� �'�e,.,��� 2,x� surtounding residential improvemenis. � �. ��{��7,����, Othe� �and (2) f �� ��'�r�'?''�`'• ' e''i3-+av_�w:: "''�-�:.5.1v� Tdal land (line 7 plus line 2) (3� ''i a�--y�yql:i�e.L d'•V . F-.;ikF i Dwelling (4) '4 > �'€ � z sx� �'it �Residential improvements orAnnuaily �"��`="��-�a�'��t•'�`-�'� Assessed Mohile / Manufacturad Home Garage 5 -� �+t �� °-� l ) ��``^r'��C�S������.�.'��� �: Other improvements (6) ..� j y�'"'''� s��--'�; � . _ . �!,�",d'c���: Ttlal improvements (line 4 through line 6) (�� Total value (Gne 3 phs line n (g) I hereby ceAify Ihe above is We, corteU, and Sgnature of Assessor Date sgned complete. Veritying acl"nn - SgnaWre ollwditor Date sgned '.��`R* . ,�.'�°�.<ti�*��'-:�rY��.'`�STANDARD:UEDUCTION�ALLDWANCE���.,.,��`;;�`-��,:`�-g�'��t'�'s����^`� �.�s � �.� 20 _ Pay 20 _ Lesser of 1!2 Homestead vaivauon or E35.000 S Signalure of Fwditw ' Date signetl