Homestead_Kiesel (15) STATE roes,,3".tfe Iwol TPF NafR MIN 75-IA
.APFR1WLD KI'51,1E 001■O K NYti4 NT S.'vv PVs,mm BY TIM DEPMTQ_Yf(t LOCAL COVEILVS111,7 FY:ASE,c.I.I-ra.l
Gibson County Auditor •
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS ,
PRINCETON IN 47670 Individuals and married couplees are limited to one homestead standard deduction.As the receipt of this deduction becomes
• ■ more beneficial,there is more incentive than ner for homestead fraud.I lomestead fraud causes higher tax bills for all:therefore.
HEA 134-1-2009 requires taxpayers who receive the homestead standard deduction to verify that they are clieible to recenc the
benefit and to provide additional identifying information nemvn'to allow county government to better monitor homestead
filings.This information will be kept conlidemial and can only be 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, Mark A/Leeann M
RI O\
Haubstadt(N 47639
7224 - - _ -- - - _
Mark A Kiesel
816 W 1000 S State Parcel Number Leal Description
HAUBSTADT IN 47639-8601
1t1tt11ttt 1t11ttt tlltltlttIttItrl Ittll Ilrtt IItIItt ItIttI 26-18-36-200-002.063-024 004-02063-00 PT NE 363113.00 AC
. D-27
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
n'l arl', A. lies-e/
-®ng Addrts(number and street,city,state,and ZIP code) --- --- — --- --ErSame to property-addles-
roperty odds - -- - -
c i 6 W i000 s , if 61.4,c Fa& 1 1:0/ X1763 %
‹
• 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 taxes and substantial financial penalties.
Owner I./S�iiggn/naaatture� //��' Date /I
•
�� CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
�,i Slate Fwm 5473 (R6 /4-03)
Prescribed by lhe Department of Local Govemmenl Finano:
INSTRUCTIONS: See reverse side /or �linq inslmcfions.
— -� F M \YEAR
H 0 9�i if•
r
�OU 1'A 2003
� cwe� � - �
escri ed real property (or which a Homestead Property Tac Cre it is e e�by�daimea
I(We) owned ❑!ve buying under contract
� Have a benefidal interest in ihe enGty that is liable (or the property taxes on ihe property and that owns �he property or is buying under a contract.
If buying on wntraq, Fee Simpie ownets name -
Recrndefs atfice where conVacl is remrdeA Record number Page
�i��.�''ai�.t�"'*�d-��'a. ' ' �.- _ .�a " _ _" " ` "'" _ _ _ '... � Y.+ir . .. _- F _ .
��i5 ��' ti�sdsrw_�;+F--�jP,ftOP,ERT,X.DESCRIPTI .,�-, *'�,?'a;3 �?'s.`�v�t-..,.,F,�:�.�'�.�y� .�'b��-�,�s?ki?�--�"j'
County �� 7avnship Taing Ois �(dry, fow t �
� I ru�hber Legal CescripUon Is the perry in quesGon:
V
7 • d� �r�� aouero ❑ Mabile Homo (1.C. 6f. f-n
N any portidi ot Me residential sWCWre or Ihe Wnd not exceeEing ane (7 ) aae Nat immetliatety surrounds Ihat sWGure is used to produce incwne. describe the use antl portion
af the properry uWized ta produce income.
�iiQ.ti:i�iiin
�?,.�`�i�.�r`� ��m�i:r-z,'�.����,�y�i�x, 3 �; STANDARD'.OEDUCTION AL'COMIAIJCE'�'%J�.np�;,',t,_�`.3'�''�•'�"''�fzs'^ �a�r�„r.�`'"��;:si�+�= �`�t�'
. . _ . .__ - _ _._.. >
20 _ Pay 20 _
Lesser of 1/2 Homestead g
vauanon a E35.000
SignaWreofAUQtor " Datesigned �