Homestead_Kiesel (19) 'PATE FOR4.3-MIIC-r'Wl TRUST/RD FORM TI-IA
APrRT fn BY'PPG IIMRD nr MN-PUNTS.!u,f PRFYRIBfn BY PIT OPPARnnECT OF LOCAL rovE0.V trn'r FINANCE ICLI.I-1_-I.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and Ina:tied couples are limited to one homestead sandard deduction.As the receipt or this deduction becomes
e mere beneficial.there is more incentive than net for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verify That they am eligible to recene the
benefit and to provide additional idennfyine information neceslry to allow county government to better monitor homestead
filings.This information will be Lela cnnlidential and can only he accessed by authorized county officials.'Ile Department of
Local Government Finance will use this information to create touts that will help county officials eliminate homestead timid.
PART 1: PROPERTY INFORMATION
— Taxpayer Name Property Address
Kiesel, Robert G/ Helen M
— RI Box So
• Flaubstadi IN 47639
9442
Robert G/Helen M Kiesel
2958 W SR 68 - State Parcel Number Leval Description
Haubstadt IN 47639
26-22-03-100-000.538-024 004-00538-00 PT E W 3 411 1.160 AC
24
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
l.G\eVt Go-- KiaSC I
�tg Address(number and street-city,state,and ZIP code) Some as property address.- .-
20j5% W • SR bB ' -Inu6s O( ± In ?t4 /
Spouse First Middle Last•
fie )if }�ic.cse.,1
Mailing Address(Number and street.city,state,and ZIl'code) Same as propeny address
; Sal W 5R Ag Raul), knr x fir ` la,
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 Signature Date
•
FORRI HC 10 1979
PrescnGed By Slare Bwm ol ia. Commissfaners
io Be FileG in Duplicate
CLAIM FOR HOMESTEAO PROPERTY TAX CREOIT fOR YEAR 191 `L_
SEE BACK FOR FILING INSTRUCTIONS
�(We) !'�«-�� �� ���� �� - certify that on the 1st day of
March, 1�, I, (We) occupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned �DT "QQ�J �O �
❑ are buying under contract „/_a�_O3 /�-�•��%��
❑ have a beneficial interest/� in the taxpayer G�o
�roperty Description in_�!°1�-�c�-,-c- County _ � Township
Taxing District (�iFy—�e+w�; Township):
Parcel Number
or legal description shown on tax statement:
P� �a` i.rl� ,�-.v-/i /./Gd��
If buying on contract: Owners name �'� �'mo1e °""ef� .
Contract recorded in Recorders Office - Record No. Paae
If any portion of the residential 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.
'Flni �
County Township
J �—
� � Svee� Aaareu - - Ciry. S�ate antl Ziv �e
�a g/�
Individual eith w�o is b�g�er a contract that provides he is to pay the property taxes
on t ���.' h s a beneficial interest in the taxpayer.
MAY 30 j- FOR ASSESSOR'S USE ONLY -
�I ,�
Land not exceetling 1(one) acre imr�
surrounding residential improvements
Other Land
Total Land
Residential Improvements
Dwelling
Ga ar ge
Total
Other Improvements
T� Improvements - Line (6) plus (7) equals (8)
�:,._.eby certify the above is true. correct. and complete.
m nssesme
True Cash
Value
(�) J O C7
(2) / ,P o
(3) /�j' o
(4) �A 70
(5)
(6) _/a 3� 70
(�) —
(8) / � d� 7 O
- ACTION BY AUDITOR -
Assessed
Valuation
/%�
1 D �-a'
Homestead
Valuation
�—_ i
�j� �
.s=aa-�y
Oa:e
Approved: � '7 � �/�c��'--�t Date: /f?�L,u�a l�
.. �