Homestead_Kiesel (14) SLATE FORM!)M IR_f4M1 TAMSULFA FORM 73-1A
.APPROVED BY STATE OF■rYtl&SIS.'no PILFSCPMED BY Mr DEPARTMENT OF LOCAL C{WERNMrWr FINANCE 1C4-I.1-22-L.1
Gibson County Auditor e IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N Main _
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 lomestead fraud causes higher tat bills for all:therefore.
® HEA 1344-2069 requires tarpapers who receive the homestead standard deduction to verity that they ale eligible to receise the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept conlidential and can only to accessed 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 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Kiesel, Gregory H/Lisa A
RI Box 46 A
_ Cvnthiana IN 47612
9628
C
Gregory H/Lisa A Kiesel
12957 S 525 W o• State Parcel Number Legal Description
Cynthiana IN 47612-8817
111111111 11111 11tt 1t11tf ltlr rlFrr r111tr r1L1t 1r 1r rt1t1tt11 26-22-17-300-000.769-024 004-00769-00 PT SW 17411 2.35 AC
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
6kpyco,/ fiCMCy k/\05 e
Ig Address(number and street.city,state,and ZIP code) Same as property address - — —- —
/d s 7 s. Cp 5 tv. 6.-yvl Gl A/Lie lit), 4176 f
Spouse First ( Middle / Last
L/'SSA 14 PH/ Setto5PC
Mailing Address(Number and street,city.state,and ZIP code) 14 Same as propery address
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is eli_tible to
receive the homestead estead 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 Sienanae �� Date
•
..<••��. CLAIM FOR HOMESTEAD PROPERTY TAX
d�^�. a . . . . . .
:� � ° CREDIT/STANDARD DEDUCTION
e �-..y..p .
' State Form 5473 (R2/1-90) �
'' '°�° =� . INSTRUCTIONS: See reverse side (or filing instructions.
CERTIFICAFION STATEMENT
FORM_ _ YEAR
HC10
��� , -
� � � i�o�
p(We) certify that on he tst day of March , 19 �
I(We) occupied as our incip I piace of residence t,he, fgIlowing described r�I�Ij or� Homestead
_,_/ A re b�R under contract
Property Tax Credit is hereby claimed: LJ I(We) owned ❑ A y g
�Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
property or is buying it under a contract.
� � 5�- �n 7�9-,��
If buying on contracl. Fee Simple
Recorder.'s office where contraci
Township
CONTRACT RECORDED
PROPERTY DESCRIPTION -
Taxing District (C�; toQyn, township)
��rc�l NOO� 6�' O O I Legai Description �� � I�_ �' l/ j-' �
� �_� a -35
If any portion of ihe residential struciure or the land not exceeding one (t ) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
�ounty Township County - �` Township
�_ —,
1 hereby certify the above siatements.are true. correct and Signature ' - .
complete.
Address (Street, number. city, state and ZIP code)
ASSESSOR USE ONLY � TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land not exceeding t(one) acre immediately
surrounding resideniial improvements (�)
Oiherland (2)
Total land - line (7 ) plus line (2) (3)
Resideniial�improvements � -- Dwelling (4) - - - � � �
Garage (5)
Other improvemenls (6)
Total improvements - line (4) through line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
7989 Pay 1990
Lesser of 7/2 Homesiead
Valuation or $2,500
Signature of Auditor
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991 1991 Pay 1992 19—Pay 79—
Lesser of 1/2 Homestead Lesser of t/2 Homestead Lesser of 1/2 Homestead
Valuation or $2.000 Valuation or $7,500 Valuation or $1,500
� s —