Homestead_Kramer STATE FORM 9540(R3/8-10) - TREASURE-1 FORA,TSIA
APPROVED BY STATE BOARD OF ACCOUNTS.AN PRESCRIBED BY THE OFPARTMEVT OF I MAI.GOVERNMENT FINANCE IC 61.1-23-9.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS .
101 N. Main Street Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes
Princeton, IN 47670 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 receive the
IF benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
gs.T is information will be kept confidential and can only be accessed by authorized county officials.The.Department of
FILE 'al Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART' 1: PROPERTY INFORMATION
APR-06 2011 Taxpayer Name Location Address .
_ Kramer, Thomas R/ on A
C. . BSTADT IN 4
HAUBSTADTIN 47639
2283 GIBSON COUNTY AUDITOR - `
-
Thomas R,Lori A Kramer 11111 IILDIII hhI 111IIII1111111 IOII_IIHIUlI�IIU llOI_Iloll_II] IIDIII II III
780W1000S
' Haubstadt IN 47639-8600 ,. •
I1i1111l6il1il'1lill1l"111'III 'llil"1"IIIIII'1'il'lll"lii'I. State Parcel Number , LecialDescription -
' 26-18-36-200-001.633-024/PT NE 36 3 11 1.97 AC
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.
r 'A' e . 'A ' • t' el,. A C. .
Ow First . _ Middle . , • • Last
l2oynI�. RD Y K'2Ame(Z
Mailing Address(number and street,city,state,and ZIP code) o Same as property address
& -
Spouse , First Middle Last
.
LoR 1 441 20Oi E2
- - Mailing Address(Number and sbee4 city,State,and ZIP eide) _ — - - Jame as p1�pn ty address" - — ` --
_ _.� _.ter—__
-
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 /J / Date
•
•
.
,,.._^_.n
aE "°, CLAIM FOR HOMESTEAD PROPERTY TAX
;��: CREDIT/STANDARD DEDUCTION
���� Slate Form�5G73 (R2 / 5-92)
�si�
INSTRUCTIONS: See reverse side lor liling instructions.
� ' � CERTIFICATION
FORM YEAR
������� HC70
FEB 2 4 1994
i iwe) � ��A. Ij� w- q( I Z.l� �_� YI.La'./YYII.J�— /l�Jfll�i !'�sertify that on the 7st day of March, 19�
�I) occupied as our principal place of residence ihe following described real propeny for which a Homestead Property Tax Credit is hereby claimed:
(We) owned ❑ Are buying under contract � � � �
❑ Have a beneficial inieresi in ihe eniiry that is liable for the property taxes on the pmperty and thai owns the property or is buying under a coniraci.
. CONTRACTRECORDED �
It buying on contraci, Fee Simple owner's name � . . .
Recortler's oHice where contract is recortletl Record number Page
Counry
Parcel number
�
If dny POrtion o�
of the pmperty i
PROPEFTY DESCFiIPTION
Taaing tlistrict (ciry, town, fownship)
3-0o I V�� IU.s�,��-3 -�I l�y l
=ntial stmcwre or Ne land not exceeding one (7) acre tha� immediatety surmunds that strucmre is usetl ro produce income, describe the use and
produce income. - �
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES � �
Counry Township County Township
�eby cenify the above statements are tme, correci and complete. Signawre of ciaiman�
�
..udress (number and sbeet. ciry. sfafe. ZIP code)
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDEN'fIAL
VALUE VALUE. VALUE VALUE
Land noi exceeding 7(one) acre immediatety
surrounding residential improvements. (�) ��
Otherland (p) I �
Total land (line 1 plus line Z� (3�
Dwelling (4) �
Residential improvements
Garage (g) _
Oiher improvements (6)
Total improvements (line 4 th�ough line � (7�
Total value (line 3 p�s line � (g)
I hereby certify the above is true, Correct, and Signature of Assessor Date signetl
complete.
,�tyirg action - Synature ot Audiror Date signed �
19_Pay79_
Lesser of 7/2 Homestead
Valuation or 52.000
STANDARD DEDUCTION ALLOWANCE
5
of Autli;or I Dare igned
C'�� � V1'l�.e� �- �