Homestead_Kippert MATE[(*51!)'M IC/w'1 TREASURER FORM 73-IA
.ARRROYED BY STATE BMRD OF want-N x9n PRfAtBFO BY nu DE?ARIYeEYT OF LOCAL OOVEER`rvRn FINANCE M♦I.I-t-B.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple are limited to one homestead sundani deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
it HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to serdy that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow counts government to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized(Willy officials.The Ikpanment 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
Kippert, Nathaniel R/Rachel E ,/
Owemtsvillc IN 47665
2641
•
Nathaniel R Kippert
5680 W 1000 S State Parcel Number Legal Description
OWENSVILLE IN 47665-9316
ItlttlltttlF11Fr F11r Ft1F1r 1tlttttllttttlitllttlttlilluiitltltl 26-18-31-200-002.267-024 004-02267-00 PT E NE 313111.98 AC
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
Owner I First Middle fast
Nad-han. el Robe y- + KIppe_r
ng Address(number and street,city,state,and ZIP code) a Same as property address
5—(090 W 1000 S owensvi fit , dN 47665-
Spouse First Middle Last
RacheA Eel n C pp.tr-I-
Mailinc Address(Number and street,city,stale,and ZIP code) Same as property address
SC98o W (000 8 0wensv; lle) tnl `i-166s
_ -__ _ _ .
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 ature Date
�
CLAINi FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
� s�e rom, s�re Rt� i sa�
P�esuibecl 6y ihe DeparUnen� d Laal Gouertrrierd F'um�ca
INSTRUC710NS: See reverse side /or filing instructions. -
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I M�e) i � certify ihat on �y���} y�1 20
I(We) oaripi as av prmdpal plata M:esidence Me taNwring esa+bed r I property for whicn a Hmwstead Prup�t y�Glstlit is �py dairtied:
�I(We) owned ❑ Ne buymg unda cmtrad GIBSON COUNTY AUQITOR
Have a benefidal mterest in the entity fhat is liade tor lAe property ta�ces on ihe poperty and that ams ihe property or is buying under a contrac�
. . � � . CONTRACT�REC66DED�' i � � - - � �
n buy'og on m�tracl, Fee Sirrryle oMne/s �ame .
f�mdels ot5ce �here cmhad is iecuded Record number Page
Co�mry
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I h2R�' CCfhTy �h@ ebWE Sfe�rtlOfICS 2R WB. COffEd 21Id �fE.
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R� wwa�r ❑ n�m��e rwme ��.c. 6,.,-n
ue is umd m Wod�ca's�mrne. des�ribe tha �ae and V�n
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- .. � TRUE,TAIC ASSESSED VALUE fi01�STEAD. . NON.RESIDENTIAL '
� : � : ; ASSESSOR USE ONLY.. i .. { Y�t. � ,4. - VALUE., -'AT�100% OF TTV r-„VALUE ' VALUE . -. , i1..
_ ... . ... ._. ,,.�. . .-.... . . ...... ... � �...
Land not e�rg t(nne) aae �rt�ately '' -
s�arotv�d'ugresidentialimprovertien�. (1) . ,,..:: .: � .
Otl�er land �p) � „�
�r,:
TUaI land (I'ore 1 pluslme � (3)
Dweltirg (4) .r y - ..} � ''
Residential vnprovements or Mrwaly � ..s;; x"�y
Assessed Mbade / Marnrfa�aed Fiort�e � . � "` , .
Gara9e �5� 'K � � � .
. . �OU�er impovernent5 I (6) � ? . ' " ::,
t -�' 'i;'
Tdal vnprovemerrts (fne I fhroerc�h fiire 6) -- �� — (— '— -- - --
i
Tatel value (!cre 3 ptrs Gne n I�g� --i
I hereby oer6y the above is true� oorted, enA -- Sg�ahae anssessar Data sqnm --- -
comPlete.
`/airyi�s aaim - Si�a4+e ot hd'i0n ----�--�— �— I Daee s:mw
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20 _ Pay 20 _
Lesser of 12 Homestead
Vguation m 535,000
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Si�anne of Audmr � Date signetl