Homestead_Knapp Ii
SIAM FORM\)w(R/nYl MEASURER FORM:SIA
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Gibson County Auditor
4101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever for homestead fraud.I lomesread fraud causes higher tat bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to rerehe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he xmt confidential and can only be accessed by authorized county officials.The IX-penman of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Knapp, James A/Karen J
RI Box 343 A
Francisco EN 47619
4844 /
amen A/Karen J Knapp
4211 S 675E State Parcel Number Legal Description
\ I II III IN 47649-9166
/ 26-13-32-300-001.295-004 002-01295-00 PT SW 32 2 9 1.58 AC
IIIrillIiilrlltrrliollelIIlIIIIIIIIlrllt trlltIILIIIIIIIIIIIIII 0-10
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PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
QQ,v n es e K nOk
ne Address(number and street,city,state,and ZIP code)
II. - _- - - - -. iue us prop¢Iydtts•
gat 1 % t (pi S E Fui ds co / Ai ti . fi
Spouse First Last
K(tx e,v\ d east \C (1.Ck ID_•
Mailing Address(Number and street,city,state.and ZIP code) �S I=as property
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 •ignature Date
•
•
-
°_< -CLAIM FOR HOMESTEAD PROPERTY TAX ,
_ CREDIT /STANDARD DEDUCTION.
; State Form 5473 (R2 / 5 -92)
ras
INSTRUCTIONS: See reverse side for blind instructions.
Mims, "_w
CER IFICATION STATEMENT - -
tHavc, ,certify,that on th
d our principal place of residence the fbilOwing describe r al prdperty for which a Homestead Property Tax Credit �s (W) owned ❑ Are buying under contract a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
CONTRACT RECORDED
It buying on contract. Fee Simple owner's name
Recorders office where contract is recorded Record number Page
PROPERTY DESCRIPTION
County
Township
Taxing n ict (ci ,town, township) .
Parcel number
-olags
Legal d - iption
�w 3a -a -9 s8 Vie.
It 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.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Townst p
by certify the above statements are true, correct and complete.
1, natur laimant
Sig
Address (number and street. city, state, ZIP code)
r
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON-RESIDENTIAL
VALUE
Land not exceeding I (one) acre immediately
surrounding residential improvements.
(1)
on Valuation or $2.000
S
Other land
(2)
Date si ned
s�a7 -9
Total land (line I plus line 2)
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
,
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (fine 3 p)rs line 7)
(S)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
"•ing action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19 —Pay 19_
Lesser of 1/2 Homestead
on Valuation or $2.000
S
Signa ;ure of Auditor
Date si ned
s�a7 -9