Homestead_Kissel (11) tl.anE FORM,n—lRr r r✓1 nosst RFR FORM IS-1A
APPROVED BY STATE NNYD OFA!Ytim'1S.2u Mr-i,18E➢BY ntrDEPARTMLYT Or LOYAL rovstYNEOlFINANCE ICH.I-_1.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead aaandard deduction.As the receipt of this deductcn becomes
more beneficial.there is more incentive than ner for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taapaycn who receive the homestead standard deduction to verify that they are eligible to receive tbe
benefit and to provide additional identifying information neces;ary to allow county government to better monitor homestead
filings.This information will he kept confidential and ran only be accessed by authorized county officials.The Isepannient 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
Kissel, Randall K/Donna M
RI Box 69
Ilaubstadt IN 4763
1024
Randall K/Donna M Kissel
10204 S 150W State Parcel Number Legal Description
Haubstadt IN 47639-8617
II ' II 'III I I II III III ' I I I 26-18-36-300-000.410-024 004-00410-00 W NW SW&W NE SW 363
t o nl a nn I l n II n lu un u l t t 11 1.65 AC D-27
PART 2:TAXPAYER INFORMATION
•
Owner I First Middle Last
Randall K Isssel
Ig Address(number and street,cir((y.state,and ZIP code) -// - 1' '�I�639`Same as property address- - -— -
/ 02 oy S IAJ O w NAvb stedi , i'V. LI /
Spouse First Middle 1 Last
rT I
Donna_ /rickr i x5 5e
Mailing Address(Number and street,city,state.and ZIP code) Same as property address
oaoy a / sO U-) . tIaubsluof-h X4. 21 7639
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 Signature Date
.��°••, CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
d !% D
�S'�' � ; CREDIT/STANDARD DEDUCTION - Hcio
.. .-,
� � State Form 5473 (R2/1-90)
'°�• � INSTRUCTIONS: See reverse side for filing instructions.
� CERTIFICATION STATEMENT �D� ���j� 'D�
r(We) _ _ ��_ '� certiiy that on the 1 st day of March , 19 �
I(We) occupied as our principal place of residence th�owing described real property for which a Homestead
Property Tax Credit is hereby claimed: ' I(We) owned ❑, Are buying under contract
Have a beneficial interest in the entity that is liable for the property taxes on the property and ihat owns the
� property or is buying it� under a contract. �� _ /�.��� _^�� /NQ. �� _ �� �
CONTRACT RECORDED
ng on coniract. Fee Simple Owner's Name .
where contract is recorded
County
JU
Parcel Number
If any porfiorS i
ture is used to
I hereby certify the ab'ove :
.,,...,..�,.... . _ • -
Address
�
PROPERTY DESCRIPTION
IRecord Number I Page
;ity, town, township) , _ , , .
�t �•��ivkniy sin-�-�� i.��
�RLCture or the land not exceeding one (1) acre that immediately surrounds that struc-
describe the use and portion of the property utilized to produce income.
BY CLAIMANT IN OTHER COUNTIES
nts are true. correct and
state and ZIP code)
ASSESSOR USE ONLY ' -' "� TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON•RESIDENTIAL
. VALUE
Land not exceeding 1(one) acre immediately
surrounding residential improvements
Oiherland
Total land - line (t) plus line (2)
Residential improvemenis _ Dwelling
Garage
Other improvements
Total improvements - line (4) through line (6)
Total value - line (3) plus line (.7)
I hereby certify the above is true,
correct, and complete
\/orifvinn Artinn _ Cinnafi mo nf Gi viitnr
(�)
(4)
(5)
(6)
(�)
(8)
of Assesor
A�' STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990 1990 Pay 1991 1991 Pay 1992 19—Pay 79—
Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or $2,500 Valuation or $2,000 Valuation or �1,500 Valuation or �1,500
Auditor Date Signedp _
. _ �(� IM i � n . .�. - _ �. - 1 ('�� 1 �i ->_ .