The URL can be used to link to this page

Homestead_Bassett StAll EOANI Uw IR:/Ynl TREAAja.G FORM NIA APrRO.'Eo BY STATE a sAD OF ACVYI.Tt_ov PAISCRIBEO BY TINE DEPARTMEtr OF LD' L GOVERNMENTTINANCE IC 4-Z1-L4 I 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 eser 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 receue the benefit and to provide additional identifying information 'iceman.to allow county government to better monitor homestead flings._This information will he kept confidential and can only he accessed by authorized county officials.The Department 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 Bassett, Henrietta \ 1214 W Brumfield -> Princeton IN 47670 415 4 Henrietta Bassett 1214 W Brumfield State Parcel Number Legal Description Princeton IN 47670-1152 LLIILttIJItlLlr111 IlrrrlllllltttlDLttllJrrLlllll 7' 26-11-12-203-000.110-028 019-0011040 BMA 52 PT 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 INFORMATION Owner I First Middle Last ,hf \ e_ --\ 0. CSS 1 Q—\ \ Address(number and street,city,state,and ZIP code) ® Same as property address 't Wr 3ry-r`, : e\ 4 Spouse First Middle Last Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address Social Security Number(last 5 digits) I Driver's Liccnsc/State ID Number (last 5 digits) Other(please specify in Pan 4 below) Sr 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 • FONM HC 10 1979 PreuriCeE By S�ate BaarO af Tax CommiSSioners To & Fi1M in Dupliwte CLAIM FOR HOMESTEAU PROPERTY TAX CREUIT FOR YEAR 19 �'� ✓ SEE BACK FOR FILING INSTRUCTIONS DI7' 00%�� (�O -� (We) ��-t ,��-A-� certify that on the 1st day of March, 19 �� I, (We) 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 � ❑ are buying under contract ❑ have a beneficial interes in the taxpayer Property Description in County Taxing District (City, Town, Township): Township Parcel Number or legal description shown on tax statement: " (J rri� 5 2 C��Z- If buying on contract: Owners name �� simo�e ow�e.r Contract recorded in Recorders Office - Record No. Page 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 certify the above statement is true, correct and complete. c � �- / �/ 2✓ 03� AQQR55 County ! Township dll� ' 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 exceeding 1(one) acre immediatel�l surrounding residential improvements Other Land Total Land �� Residential Improvements ( �� True Cash Value ) a so MAR 27 19°� c2� — �3) 3.5� DDv/�1J�4TOR �°' Garage (s) � 9� Total �6� �3�° Other Improvements , Improvements - Line (6) plus (7) equals (8) �tiy certify the above is true. correct�nd complete. �� - (8) � Si9��ure oi Assesme /' � — �� - ACTION BY AUDITOR - Assessed Valuation �� .. %000.000.0///� ��//../�� - ' --� %%��//�/�/ - /�j/�jjjjj�//, •. - �. - , . Homestead Valuation sfo