HomeMy WebLinkAboutHomestead_Leister Sint 101M`)•• IR'/'APO tPLASUR[A FOAM TS-IA
.AFPROVEn BY citTE Br1 0(W sCTYalvrs?Om PLEAWbmaY ml UEPARn e.r OF LOCAL OOV'ZRVMFAT r.'VtsTE4C4-Ij424,1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead sundanl deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
BEA 1344--2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary ro allow county government to better monitor homestead
filing...This information will be kepi confidential and can only be accessed by authorized county officials.The nepanntent 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
Leister, Kathleen M Trust Etal
RI Box 487
Fort Branch IN 47648
1740
Kathleen M Leister
9833 S 400 W State Parcel Number Legal Description
FORT BRANCH IN 47648-8163
11111111111111111111111111111111111111111111111111111111111111
2s 18-33100.002-024 04o54�A6C42 f10DPZ NE&PT NW 33371
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Kathleen • tn . Lei sf e_r
Ig Address(number and street,city,state,and ZIP code) -- - — - ❑ Sumeos property uddns;-- '— — — -—- - -— —
qg 3,3 S . Leo 0 W
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
Sar
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 / r
FOpM HC 10 1979
Preuribe0 By State BwrE ol Tae Cammissioners
CLAIM FOA HOMESTEAD PROPEATY TAX CREDIT FOR YEAA 19�L`,
To Be Filed in Ouplicaie
SEE BACK FOR FILING INSTRUCTIONS
F - ' °O�` -��Gr�� -�o
�(We) � � `� certify that on the 1st day of
arch, 1 I, ( e) occupied 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 G�'Co -��o.�J ��—ODO. Ca�-Lb?�
O are buying under contract
❑ have a beneficial i ter st in the taxpayer
Property Description in
Taxing District (SiEq-T�, Township):
Parcel Number
If buying on contract: Owners name
nty �-� i� Township
or legal description shown on tax statement:
Contract recorded in Recorders Office - Record No
If any portion of ihe 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.
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 -
Land not ex �in . 1(o e) acre�immediately
surrounding esider�ial i�rove�ent�
Other Land �
Total Land JUfI Q 1g79
Residential�ovements
� � �f��
AUDITpR
Other Improvements
Dwelling
Garage
Total
T�' Improvemenis - Line (6) plus (7) equals (8)
I�by r i the above is true. correct. and complete.
Sigeawre of
True Cash
Value
( � ) S`� D
�z� 73 0 0
�3� � o e
(4) 5�s� o
cs) 8' 9 °
(g) SSL/ O
(7) 5�7� o
�s,/o �90
ION BY AUDITOR -
�
Assessed Homestead
Valuation Valuation
s-zz-7 9
Dale
Date: L�/7 /