Homestead_Kissel (9) MATE TORN TEE IR:rlWr pr,arrn FORM 73-1A
FaMITRED BY MATE Penn Of MTtR:ATT.m.• PRIXTUBWW BY nn DEPARTMENT OF LOCAL tOELYMEN'r FINANCE n'Iu.1.r-.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt M this deduction becomes
_ more beneficial,there is more incentive than ever for homestead fraud homestead fraud causes higher tax bills for all:therefore.
HEA 1344-7000 requires taxpayers who receive the homestead standard deduction to serifv that they are eligible to reecho the
j) II ,' p w benefit and to provide additional identifying information nceesan'to allow county goverment to better monitor homestead
fXl �� filintw.This information will he Lep contidenlial and on only be accessed by authorized county officials.The lkpanntent of
�./ Local Government Finance will use this information to create tools that will help Lmunty officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
APR I ;G LUI Taxpayer Name Property Address
Kissel, Elmer A/Antoinette F
a u c
GIBSON 0
R3 13o r- r
COUNTY AUDITOR
Haubstadt IN 47639
11131
Elmer A/Antoinette F Kissel
167E 1200 S State Parcel Number Legal Description
Haubstadt IN 47639-8814
•111111111II.iI..I III viii III tilt�u�tnr iii u�1nnu 1nI IIrn ii 26-23-18-200-000.541-024 004-00541-00 PT NW NE 18410 1 A
X
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
y<G e ....,q 6j1 a v a L -eo.ae-e ax
�tg Address(number and street,city,state,and ZIP code)- - - - - — NI Same as property address -- — . - .-- -—
i
Spouse First Middle Last
GyuterLt j21 .„
Mailing Address(Number and street,city,state,and'LIP code) I'Ogame as property address
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
lb
•
w�++ xc �o �sn
PreuriGeC By SG�e BaarO al Tax Commiuioners
CLAIM FOR HOMESTEAO PROPERTY TAX CAEDIT FOR YEAR 19 8�
To & FiIW in Duplrcate
SEE BACK FOR FILING INSTRUCTIONS
,(We) '�"�-� �� Q- E ��-s-�-n-�-�-� certify that on the 1st day of
March, 19 �� I, (We) occupied as our principal place of residence the following described real properiy for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) 0 owned D�� �8��—QG�
❑ are buying under contract
❑ have a beneficial interest in the tax a er / h
P Y p�Ca - 0�05 -Q� �Gb (-���L��. eS�`%Oo�
Property Description in �-�--1-�-�� County �' "'U^�O-O"`� Township
r,_ ,. , . i. .
Taxing District (Gii�-�ewn, Township):
Parcel Number
If buying on contract: Owners name �'� y"'o'e
or legal description shown on tax statement: '-
�� NW ��`f A�� ��� / 8_ y-_ i o ���-.
Contract recorded in Recorders Office - Record
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: County Township
�~,iereby certify the above statement is true, correct and complete
�,
Street ACOreu
�763 � ,�
Ciry, State ano 2ip CoOe
' Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
� � True Cash
...���111 Value
Land not exceeding 1(onel acre�me�ia�
surrounding residential imp�ovem �i� �oo
Other Land
Total Land
Residential Improvements
Other Improvements
MAY 11 �°°.t
��.
� PuD�Z�R D ling
Garage
Total
czJ
(g� �o 0
�a> al9�o
(5) —
�s� a � 9so
(�) —
��mprovements - Line (6) plus (7) equals (8) (g) a� 9 so
'I�eby certify the above is true. correcl. and complete.
Assessed
Valuation
/70
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Date:
JS(3
Homestead
Vatuation
/'7 0