Homestead_Klump o
STATE 10151!r!M 0R:F05+1 TRr.1SULER FORM: -IA
APPROVED BYst.TE WSsaD(If MYTENT;"Ow PRISCRIBED BY Tim DEPARTMENT cwLM:SL OOVERNMnrTFN&YCE5141.1-rat
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N Main
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
S more beneficial.there is more incentive than aver for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-7059 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to pmwide additional identifying infonnarwn necessary to allow county garmment to better monitor homestead
filing,.ibis information will he kept confidential and can only he accessed by authorized county officials.The Department of
Local Government Finance will sec this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Klump, Brent D
C-7------22 Box 146 H
Haubstadt IN 47639
3482 /�y )
lei
Brent D Klump
3370 E Warrenton Rd State Parcel Number Legal Description
Haubstadt IN 47639-7955
26-23-15-400-001.508-024 004-0150 8-00 PT SE 15 410 1.00 AC
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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 1NFOR\1ATION
Owner I First Middle Last
Qren K I �.�xA^11,',
alAddress(number and street,city,state,and ZIP code) � me as property ItUnl�
33'10 E V\1ncrrer\-Etin RcI koLubs -zed-(- { =N LI1(o3 i
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) Reastme as ptopert_ address
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 'gnaturc flu-nç Date
_
•
..•n�>• CLAIM FOR HOMESTEAD PROPERTY TAX
d�„4. _ . '. .
� ; : CREDIT/STANDARD DEDUCTION .
' State Form 5473 (R2/1-90) " ' � �
�' '°�• �� INS;TRUCTIONS: See reverse side for filing instructions.
RTIFICATION STATEMENT
' � ,
� ,
' � ell,
JUN 11 1991
�
YEAR
��
i�we� °�- '� r� certify that.on the 1 st�DbT4���n , i s�
(I (We) occupied as our principa plac of residence the following described real property for which a Homestead
Property Tax Credit is hereby c aimed: �e) owned . ❑� Are buying under contract
� Have a beneficial interest in the entity that is liable_for the property taxes on the property and that owns the
property or is buying it under a contract.
CONTRACT RECORDED
If buying on contract. Fee Simple Owner's Name
Recorder's office where contract is recorded Record Number Page �
PROPERTY
nty
P��a�O� I LegalD�cription %�� �� �S_�{,'fo '`� �C
�i� �r
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the roperty utilized to produce income.
c��- �3-/s-�-t/O- o6Q� �d�-o��
� ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RES�DENTIAL
' VALUE
�and noi ezceeding 7(one) acre immediately '
surwunding residential improvements (�)
Otherland (2)
Total land - line (7 ) plus line (2) (3)
Residential improvements Dwelling (4) - - - - - - - - - �
Garage (5)
Oiher improvemenis (6)
Total improvemenis - line (4) [hrough line (6) (7)
Total value - line (3) plus line (.7) (8)
I hereby certify the above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
7989 Pay 1990
Lesser of 1/2 Homestead
Valuation or $2,500
of Auditor
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991
Lesser of 1/2 Homestead
Valuation or $2,000
�
��
1991 Pay 1992
Lesser of 1/2 Homestead
Valuation or �7,500
e
19_Pay 19—
Lesser of 7/2 Homestead
Valuation or $1,500
Date
l_