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Homestead_Kiesel (12) au GI FORM•)w -r gRnt TEELAAnUR PORM:StA ' ATM&Pnrwtt WI Al NtE MAID OF ACCOUNTS an. ?LEATUTIFD BY n ib DEPARTMENT It LOCAL em RYMIA'TFP'nNCE Ie 4-1.1"4.I Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individual and married couple are limited to one homestead standard deduction.As the receipt of this deduction becomes S more beneficial.there is more incenthe than nett for homestead fraud.Homestead fraud causes higher tax bills for all:therefore. HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to receive the benefit and to provide additional identifying information necessary to allow county goverment to better monitor homestead filings.This inlbrtnallon will be kepi confidential and can only be accessed by authorized county officials The Depanmem 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, Frank A/Sherry L +/ RI Box 40 A -i Cvnihiana IN 47612 \ 7167 Frank A/Sherry L Kiesel 10134 S 450 W State Parcel Number Leal Description Cynthiana IN 47612-8810 Illilllttlllll lltrlrlillllllliltllllll ilrtlrrlrlltll 26-18-33-300-000.922-024 004-00922-00 PT SW 33311 .50 AC X ) Spo l First Middle Last • it vlZ Li�IV -�T�Sv( , Mailing Address(Number and s)ree city,state,and ZIP code) t © Same as property address lc 134 S 4Sc u ' 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 unlawfully,he or she may be liable for back tax°°yy��'}}��,,,,,,••d substantial financial penalties. 0 `j �yf n��� a aa =` g CLAIM FOR HOMESTEAD PROPERTY TAX ;��!� CREDITISTANDARD DEDUCTION .�:;,�� State Form 5473 (R2 / 5-92) 4u , INSTRUCTIONS:�See reverse side /or fili,vg instructions. � _..� �,G_Qu FORM HC10 YEAR isev/ � )���a e -T rX't a i l� certify_that on the lst day of Marcti; 19� �) occupied as our princi�laceof residence the following described real property for which a Homestead Property,�, �e�ii � h� teby daimed: I (We) owned ❑ Are,buying under comract � � , . . y9q ❑ Have a beneficial interest in the entity ihat is liable for ihe property taxes on Ihe property and that owns Ihe property or is buying under a contrect. . CONTRACT RECORDED � If buying on contract, Fee Simple owner's name _ , . . � . Recorder's oflice where contract is reCOrded pecortl number Page County Parcel num6er U��' If any ponion of of the property � PROPERTY DESCRIPTION � Taxinq tlistrict (ciry, town, �ownship) ��.�,-�° I ti"k �2J �3-,3-1f � :�aQ� ;idential sirucWre or Ne land no� ezceetling one (1 � acre that immediatety surrounds that structure is used ro produce ifxome, descnbe the use and portion ro produce income. �/ O' V✓' al UV ' WV. 7ofOS � Uo3 T PROPERTY OWNED BY CLAIMANT IN OTHER certify the above statemenis are irue, correct and complete. �number andrstreel, dry, stafe. ZjP wd� � �. ASSESSOR USE ONLY Land not exceeding 1(one) acre immediately surrounding resideniial improvements. otnerland Total land (line 7 plus line 2� Dwelling Residential improvements Garage Other improvemenis Total improvements (line 4 through lina � Total value (line 3 p�s line 7� I hereby certify the above is irue. correct, and 19_Pay19_ Lesserof 7/2 Homestead Valuation or 52.000 TRUETAX I ASSESSED VALUE VALUE. (�) (2) (3) (4) (5) (6) ��) (8) Signature of Assessor STANDARD DEDUCTION ALLOWANCE 5 HOMESTEAD I NON-RESIDENTIAL � VALUE VALUE Date signed Date signed Autlimr M uate sigpIeo e � 1 ' � �i-a' l