Homestead_Klump (3) SEMI 1n0.M 53!MIt_/woo ' ltFAStttk RAN TS-In
.A?PWAt!BY‘I Art W O(M'Ain a cirs.non PtrYAlnm BY no DEPARTR'tl OF LOCAL ni.W2R'Mr r FINANCE ML1.1-t_4i
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 e'er for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
® HEA l,44-7009 requires taspavm who receive the homestead standard deduction to verty that they are eligible to receive the
benefit and to provide additional identifying information necessry to allow county government to better monitor homestead
filintg. Ibis information will he kepi confidential and can only he accessed by authorized corny officials.The Ikpanment of
Local Government Finance sill use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Klump, James L II/Janice A ,
R3 Box 301 a ;
II -.m.t IN 47639
11120
James L II/Janice A Klump II
201 W 1200 S State Parcel Number Legal Description
Haubstadt IN 47639-8812
ltlttlltttltfltrtrllt ltlttltt�t�rt�rtt 1111111111 11.11111 26-23-18-100-000.552-024 004-00552-00 PT E NW 18410 .89 AC
X
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
G.,, S L I<((h,. 2 Z
ig Address(number and street,city.state,and ZIP code) - - — — --. ' - - -'Same as Fro-perry address -- -- _. - — ` '- _—
0i Ls., rjo0 E4 a 45- Qf L(74 3,
Spouse First' Middle • Last
Ja n (e.. 4 /</vhe
Mailing Address(Number and street city,state,and ZIP code) Ere as properttYYJ dress
(7vc a ,200 S //adkii44T 7n V/6 3!
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is eliuible 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 1 Signature Date
•
•
FOqM HC 10 1979
hcscriDeE By State Board ol Ta. Cammissioners
CLAIM FOA HOMESTEAD PROPEHTY TAX CREUIT FOR YEAH 19 ��
To & FileE in DuD��wte
- SEE BACK FOR FILING INSTRUCTIONSDD �/ �� �„'�('"�j �
jf._ .N.0
�(We) "�`�"�`����� •��"'�"`� °�• -� certify that on the 1st day of
arch, 19�� I, (We occup d as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
,. �W� �'�-�3-�e'/�-oaa.�-�sa-6a:G
are buying under contrac[-
❑ have a beneficial interes in the taxpayer
Property Description in �.��-e+�= County ,�-"��'"0-°"'� Township
Taxing District (GiEy—Tawn; Township):
Parcel Number
If buying on contract: Owners name �'� "'"we
or legal description shown on tax statement:
P� .�'�a iv c,�'�y- � g- v- -, o .� 9 q.
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 ceRify the above statement is true, correct and complete.
County Township
' 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
Value
Land not exceeding t(one) acre in{I#u�ilfa�el� 19ti
surrounding residential improv ents (�) �o 0
Other Land �� Q• (2) —
DITOR
Assessed
Valuation
/'7 v
Total Land A� (3) S o o � 7�
Residential Improvements
Other Improvements
. ' ////jjjj�jjj
,. .�-' �jj/����j
:•
� _ -
TN Improvements - Line (6) plus (7) equals (8) (g) a `� �- � � ��`'O"
I�y certify the above is true. correct. and complete. �/53 8
SignaNre o1 Assessor
- ACTION BY AUDITOR -
Da:e
Approved: Date:
�
Homestead
Valuation