HomeMy WebLinkAboutHomestead_Klueh •• - MATE P0RM5 in',R=I.-vo 1AFASUtfl FOAM'IA
.APPROVED BYSIxTEBKI11)0r lnYCNI(!nw PRISMIUtO BY TIM DEPMTV)017 Of LOCAL r,OvttNMFKr FINANCE IC 1.1.14:4.1
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 of this deduction becomes
more beneficial,there is more incentive than eser for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
HEA 1334-2009 requires taxpaxers who receive the homestead standard deduction to verify that they are eligible to recebe the
benefit and to provide additional identifying information necessary to allow county goemtrent to better monitor homestead
filings.This information will he kept confidential and can only be accessed by authorized county 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 L\FORMATION
Taxpayer Name Property Address
Klueh, Raphael/Wanda /-,7..)-410 ,S go a/
_Its-Heat-6^
Haubstadt IN 47639
11139
Raphael/Wanda Klueh
12540 S 40 W State Parcel Number Legal Description
Haubstadt IN 47639-8715
26-23-18-300-000.549-024 004-00549-00 PT SW 18 4 10 .55 AC
__. _ . _IILJlittliIIlluuIltltllutnitlutlulllllllult,Illittilliel_ - x -- --_
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
e � i a XLUEH
�ng Address(number and street,city,state,and ZIP code) Smite as property address— '
1,25)+6 S `t0 U) d.A Lt.bytfto r by 4 763
Spouse First Middle Last
V\IANma � yqI-u FM
Mailing Address(Number and street,city,stale.and ZIP code) ❑ Same as property address
an 111 E._
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
FOHM HL 10 1979
Resc�iUeO By State BoarG o� ia. Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREOIT fOR YEAR 19 7 9
io Be Filed in Duplicate
SEE BACK FOR FILING INSTRUCTIONS DD �L,�QdS�-d�j
�(We) %l�� _� i��( ��� certify ihat on the 1st day of
arch, 1�` 1, I, (VJe) occ pied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed: �/ /�
I. (We) �owned �CV �.3 -��p��-�Q�. 07 �`7- G� �
❑ are buying under contract
❑ have a beneficial interest in the taxpayer. �]
Property Description in �-��p-�-�- County _ //��,�� Township
Taxing District E6iiy-Tewfr, Township):�y�r.�.�ici
Parcel Number
If buying on contract: Owners name �'� 51np1e °'""�`�
or legal description shown on tax statement:
��. SWL� /�'`�-/O ,.5.3-
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:
�hereby certify the above statement is true, correct and complete.
_ n
�
Sheet NtltlrE55
a
County
Township
aew
' Individual either owns or is buying under a contract that provides he is to pay the property taxes
_ on the residence, or has a beneTicial inierest in the taxpayer.
� � � � �R ASSESSOR'S USE ONLY -
.8�
MAY 3 01979
Land not exceedinq�l�pnel cr i mediately
surrounding reside t�i i �ov ents
Other Land AUDITOR
Total Land
Residential Improvements
Other Improvements
ol
D � ling
Garage
Total
rovements - Line (6) plus (7) equals (8)
certify the above is true. correct. and complete.
True Cash
Value
(1) Sov
(2) —
(3) So a
(4) / %S8o
(5)
(6) / 7 ��� o
(�)
(8) / % �—d�o
- ACTION BY AUDITOR -
Assessed
Valuation
/70
%'
�jjjj/�j�jj
J�j���4/�j
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i=' � _
,�
r 1-
! — i
,�-aa-�s
Da:e
Homestead
Valuation
Date: G �