Homestead_Kissel (8) STATE FORM MN.IRN Yrl IRFASUrEn waM'SIA
ArPMnEB BY STATE BOARD Or APPOINTS.Mw PAry(AIBm BY TIE DEPARTMENT OF LOCAL rOvELYMEAT FRANCE M♦I.1-L'-L.I
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 of this dedtnion becomes
more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 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
filims.This information will he kept confidential and can only he accessed by authorized county officials.The Delanment of
Local Government Finance will use this information to crease tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Kissel, Gregory B/Linda
R2 13. 38
aubstadt IN 4763'
10723
4S—_y., lo5a
Gregory B/Linda Kissel j„�. ysIael r i(76
5045E 1050 S State Parcel Number Legal Description
--PlaiibstadflN 47639-7832 --- '-- - — — — - — -
1r1rr11rrr1r11rrrr11r1r1rrltrrllrLllrrlirrr�rlr�rrlr1r1rrr1r11 26-23-01-200-000.539-024 004-00539-00 PT W E 1 4102.00 AC
' D-10
PART 2: TAXPAYER INFORMATION
Owner I First Middle ,f Last
G re • o r earn ear j� Esse/
Te Address(number and street,city,state,and ZIP code) • Er Same as property address - — - --• -
S—oyr r /01-C s //av 6s cP /�v V 7 6 17
Spouse First Middle Last
i"h D/ 4 ae 1-sr • /
Mailing Address(Number and street,city,state,and ZIP code) ® Same as pmpeny address
S"O-�FJ —/l/J=a sc — - 9--/N-._.$/-76JS_ - _ -- - —
•
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 Si tore Date
0
. CLA1�� FOR H(X�'ESTEAD PROPERTY TAX CRmIT FOR YEAR 19_ ��
��a� n'SEE BACK FOR F�ING I S UCTIAONS ��`
I, `-��e� ,��`� q�� d' �iiY��w�. oertify that on the lst day of
h+arch, 19 , I, (i9e) occunied as o prin ioal olace of residence the following described.real
_r.--�°rty for which a Homestead Property Tax Cxedit is hereby being clau�3:
I; ie) � ow-necl ��a o�J� -�� �� -�. oS�9 �075" oo.s.�9�a
� aze buyinc? under oontract �� �
� have a bene£icial interes/t �in the taxpayer .
Pro�xty Description in C� (�.S 0 N/ County ��'/ A% `S O� Zbwnship
Tar.ing District (City, Twm, Zbwnship) : "
?arcel Uwnber or legal descxiption shown on tax statane�it:
�. LI..>��?.E �.�. I-`��l0 2C�c�
Sf buvina on �ntract: Owners nan�e (fee si�le owner)
Contract recorded in Reoorder's Office - Record No. Page
I= any portion of the residential structure or the land, not e�eding one (1) a¢e that
i�rtnediately suLZroiuris that structure is used ta produce incane, describe the use and partian of
;he omnerty utilized to produce income
Pny other mimties in which individual a.nLS or is buying real pivvperty:
I h�seby certify_the above statamlit is true, �rrect arr3 co�lete.
�
Co� . �ship
*individual either ocans or is buying uner a mntract 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 -
iarrl not exceedin9 1{one) acre inm�ediately
surrourrling residential i�rovarents
�i_�-_ - •
Total Land
Pesidential 7narov�nents
Oth`r I�rovenents
Tc '� Imomverients - Line (6) plus
Z heJseby certify the above is true,
Dwelling
Garaae
�btal
(7) equals (8)
(1)
(2)
(3)
Ttue Cash
Value
�
a
(4)
(5)
c6� 3 07 80
(7)
(8)
wrrect, and �mlete.
- ACTION BY A.UDITnR -
rwor�ved: Date:
Assessed
Valuation
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Dat.e
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ikmesteacl
Valuation
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