HomeMy WebLinkAboutHomestead_Burns (7) SOIL FORM!!'M I IC/YNI TREASURER FOAM I.-IA
.APPROVED BY ST Mt BrtSPD OF Al on:a&bn PAL SCRIBED BY TIE DEPARTMENT OF LOCAL( VaNNITNT FINANCE IC 1.,.1-r-AI
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and tarried couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than e'er for homesiead fraud.Homestead fraud causes higher tax bills for all:therefore.•
® HEA 1344-7009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reeei'c the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
flints.This information will be Lepl confidential and can only he accessed by authorized county officials.The Depanmenl 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
Burns, Pearl L
1713 S Main
Princeton IN 47670
1580
Pearl L Bums
1713 S Main State Parcel Number Legal Description
Princeton IN 47670-3403
littlttlli Ilttttllttlltttltil X 26-12-18-302-000.517-028 019-00517-00 BROADLEIGH PARK 11
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.
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 Oast 5 digits) Other(please specify in Part 4 below)
_ _ See
— 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
)
PART 4:ADDITIONAL INFORMATION
S
�f n�3
�^; CLAIM FOR HOMESTEAD PROPERTY TAX _ -
���= CREDIT/STANDARD DEDUCTION �
;,�;,;�� State Form Sa73 (R2 / 5-92)
�a• .
INSTRUCTIONS: See reveise side larliling instructions.
n � � '� "� .—� CERTIFICATIONSTATEMENT•
FORM
HC10
AR
s
�F��We) �__yj(�9-� �J� — �/ Y��1 certify that on ihe lst day of March, 79_
Ve} cupied as our principal place o residence ihe following described real property for which a Homestead Pmperty Ta�c Credit is hereby Gaimed:
I (We) owned ❑ Are.buying under contract , � , . �
❑ Have a beneficial interest in ihe entiry that is liable for the property taxes on the propeny and ihat owns ihe propeny or is buyi�,q un� �oi�ct.
CONTRACTRECORDED_.
If Wying on con;ract, Fee Simple owner's name
Recorder's oflite where contract is recorded
' � PROPERTY DESCRIPTION
Counry . Township Ta.irg distric ( dy b ^� nship)
P ce ber I ' Lega�description ' /
\
If any portion o( the residential stmcture or the land not exceeding one (i l ac e that immediately surmunds ihat siru t e is usetl
of the property utilized m produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Counry .
certify the above statemenis are irue, correct and complete. \� I Signawre o�
\� /
(num6ei an0 streeC ciry, State, ZIP code) - �� � _ �
- ASSESSOR USE ONLY
Land noi exceeding 7(one) acre immediatety
surrounding residential improvements.
Otherland
Total land (line 1 plus line Z)
Dwelling
Residential improvemenis
Garage
Other improvements
Total improvemenis (line 4 fhrough line �
Total value (line 3 p�s line 7)
I hereby certify the above is Irue, correct, and
complete.
Veritying action - Sgnature of Audi;or
TRUE TAX
VALUE
1�1
(2)
(3)
(4)
(5)
(6)
I�I
(8)
SignaWre of Assessor
ASSESSED ( HOMESTEAD
VALUE VALUE
i � i
income, descritie thB use and portion
NON-RESIDENTIAL
VALUE
Date signetl
Date signetl
� - STANDARD DEDUCTIONAILOWANCE
19_Pay79_
Lesser of 1/2 Homes�ead
Valuation or 32,000 S
Signaiure of Autlitor . Dare signed
I