Homestead_Kingsbury - a . SNR 1MM!!rt.IC/.wr TRLSi[1A ION 711A
.VrMw'ED BY aTntt BO\aO OF MYYiIMS.!V. PUM1JDED BY TIr DEM ATVDC OF LOCAL GMTAVXrf't FINANCE tc-I.I.224.1
Gibson County Auditor 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
`b more beneficial.there is more incentive than net for homestead fraud.homestead fraud causes higher tat bills for all:therefore.
HE.1 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reecho the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
tilinti-.this information will be kept confidential and can only be accessed by authorized county officials.The Depanntem 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
Kingsbury, Donald V/Kathleen
I Box
Haubstadt IN 47639�\L....„
3448
Donald V/Kathleen Kingsbury
R2 Box 173 N State Parcel Number Legal Description
Haubstadt IN 47639
26-23-09-100-001..3391-024 004-01391-00 PT NW 9 4 10 .76 AC
-_ _ — . __ - .—__— _ _ _. - _ _ D 9 __ ___-
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2:TAXPAYER INFORMATION
OwnerI t)OY\G1Cis First NI ern oy, Middle IC ifC35 bur- y Last
4,t-itcri �i t r -- ures - 1 r
tg Address(number and street.city,state,and ZIP code)
0 Same as property address
1Q 3r1 E . SR D tbstoat ZN 4-1 39
I
Spouse First Middle Last
KathlEen Sue 14'n3gkury
Mailing Address(Number and street,city,state,and ZIP code) E Same as property address
IR 1 E , sR (0% , \-11/4aubs-E aat1 tJ 47(039
- -- - - - - -- - -
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 Signatures/� �,e Date
1 T C. i AAAe._ e,nmt pCOQef%V Shown :n +op ft51,} corner I w,41-1-.
r� qU c& 4C4re5S 1Apa0.4e
•
.• 1rJ111.1VI\fI..ALV1�.l4:./ 11N1i1._!\�� •�v� v���i r • .. ..� .
SGE BACK FOR FILIP�G l�dSTRUCTIOhlS . ��.
_, '•�,�+�) ltiJ certify that on ttie lst day c j
P'��.�ch, � 9�, i, (61e) c�'c�icd as our princinal olzc of resi ce tl�e .follv.aing descibed real i
()iJj!'_�i.;� t0` v' �C!1 d ?!.�iti�_C°y� !�LD}'•�"—rt�% `l�lk '��i�1i. 19 t1PSP�}� ,111C� CZc1llICCi: . �
� �
i�f I
Z % � Cl;'n��`'�. � ,. � � � _ /� ��. .D � �
� � _ , 5` � �
� are . b�,� inci u.��r c�;�trac � ��
� i�a�e a���e`icial i�terest :n ; he �.�aYer��_a3 -o9 /oo-00% 039/.- Qas�
?�i:^_ii.l' D°_SCi:1?`.10P.:-ilt ' O�1111t' ' '1'CJi;II :�11 '.
'j�u::1i C� �:SLT1C� �Cl`�j�, Ta�.°n, iJl'7ILSillP� :
P�scel :iu�d.��*- or legal cl �iot-ion slr�.ni on tar. st-atair�it:
��- n1 i.r�lu U-4-IC� •F/i�c.., i
T_= FJil'�_i:� OTl �^_dC�: Q.v-nor5 :Y1T� ��2°_ S1ITA712 6riT1�� '
�e_?"ac�y ���� in F�c��er's Ofizce - P�card ib. Pag�
Z` ��y �r`����=��""`L%�s����`ial s�ruct-ure or ��e land, , ot e�e�ling one (1) acre tl�at
Liii:_Y1'_d�°_lY SLl.�`'_�OLTL�S i1�-�= StSLCtLt.'°_ 1S ll5� tJ pLDallC° 171CRR°_� (1°_SCLltJ°_ �1°_ US°_ �7IT� LOit1011 Oi
��_r?_ D_LC�T'i-V Li�L17ZP� `.�O,�TJii.�llCe L"�Oi�L
Jl��� �
pr-:•�� o`�:_=
:�dul anTns or is bvying real oro�sty: �unty .'Itr:.nslur�
T.Il�°^'r C_`1�1r '-i_}?°_ ��l•? S',_c:�..c�,�fiJ'l� 15 till°� CD172�'t c111� �i�l°_t.°-. � , .
.
•� �2 /3o JN � Au
i1�t�..L`P C;1t"' Str1fE �7lY.� Zl C..CU�_���.
S�re2t I���ress y � Y
/�"_=
*Ir.divici!»1 eiL-ir�r a••;�s or is ��yi�ig uner a contract th<�t provicls he is tn pa}' t1i_
' D �'�+?r=y �,\'S O� 'J:_ Tf51C1�'1C?� Oi 71d5 d UF'-P.°_f1Cld1 lIli.^_S25t 1I1 t}I° i<15:fi7j�E'L. �
- r"OR ASSE550R�S USE OPaLY -
jj?r;i ilOi. e:c°e::��g 1(On°� c�.CT2 lii�ilL'�.1dt°�.j�
SL2frJL"L1i�C� L?S-G2.^.�-idl i����i+E1L'71=5
�_f'.'(_�' ✓7Pr1 .
��b;�� i.-�nd ,
p�s; c±��tial Irc�"o��rta:�'-s
D:: elling
Garage
Zb k:l
�ue Cash Assess�3
��alu� Valuation
�l� '
(2)
(3)
��')
(5)
(6)
C�}i�r I,�roven�ns ��� —
-�� ' �����v���ns - �i:-�s (G) plus (%).�?�s (0) (E3) _
� s�2J7f C_1'`�i.�._•J u`1°_ ?�}..bVa 15 {St:oi COLT2C�� c-1S'i� cxaimlet°_.
%55_SSCL
- f�rTi�?i! t•1' �UDfTnR -
f�i�st��:
Valuatic:
���� ��� .
����i'%%i-'! � .
1 :�u•.1:�..
� � � %��.,
� � /� //% �%�� ��/,�::
� ; /,/�i � .� i .
� „
LY3 �_
. ....: ��; _ :..
� nn �nA � i�11 �-�3 �� u, t� : � — � �
% �, �
��
� �� ����;;;
.'