HomeMy WebLinkAboutHomestead_Britt ^ - • snit 10rM51,012'fuMl TREASURER FORM—IA
.crFWWED BY Sr'TL WARD OfAME%il.9v PRfsNBED BY air DEPARnecF LQ_LLroOVERVXrnl,Da''tE If -i.I-L--RI
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
molt beneficial,there is more incentive than e'er for hotlxstead fmu1L 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 recene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.'ntis information will be kept cxnlidauial and ran only be 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
Britt, Hazel
105 Garfield
Prince to n IN 47670
3983
Hazel Britt
105 E Garfield State Parcel Number Legal Description
Princeton IN 47670-3471
Illttlirrlllllrtllrtlll Ilttlrlllrttlrrllillltlllllrtlllll X 26-12-18-401-000.249-028 019-00249-00 PT SE 18-2-10 .20 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
H 4LEL F12 1 T- 1� orS l Try
t Address(number and street.city.state,and ZIP code) - -- �-— - - 111 Same as property oddiess - -- __- _- - ----
/05 E U` Rt,f7F{ D Pet n'c&7 cN ---441 11 74. 7 0
Spouse First Middle Last
Mailing Address(Number and street city,stale.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)
sae
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
•
FOflM HC 10 1979 ia & FiIW in Dupliwte
ReuriDeE By Siate BoarE ol Ta. Cammiuianers
CLAIM •FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19�`�
SEE BACK FOR FILING INSTRUCTIONS
�(We) certify that on the 1st day of
arch, 19�. 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) C3'owned d�9— �O p( y9- O o
❑ are buying under contract
O have a beneficial in�t/eres�t in the taxpayer � n
Property Description in .("1�d—a� County `f'a.�0�f.a� Township
Taxing District (City, Town, Township): `"�'�-�1�� � �
Parcel Number or legal description shown on tax statement:
�E ,d � �i� iY-a �o . �0�4
If buying on contract: Owners name �'� ��"o�e owner)
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: County Township
�hereby certify the above statement is true, correct and complete.
G��_�i�:�„� i��/ -/�� � �
0
' 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 ex edin 1(� a .immediately
surrour�ing �side�l improvements (�) 700
Other �and ��N 1 1979 (2) —'
Total Land
Residenlial }qipro m��y��`k�
vt.
' auo�TOR
Dweliin9
Garage
Total
Other Improvements
T� improvements - Line (6) plus (7) equals (8)
I.�by certify the above is true. correct. and complete.
ol Assessor I/
Assessed
Valuation
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Homestead
Valuation
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- ACTION BY AUDITOR -
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Date: �-/- � 9