HomeMy WebLinkAboutHomestead_Devine (5)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STAPIDARD DEDUCTION
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Prs.ribe`I by Ihe Departrtient aF Loml Goverrcriad Financa
wsrnucnor�s: s�.��� 5ba ro.�a�,y;��eo�.
�G FORM �
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i(we) \� 1\/1 A, ,���) (/ J� A, certify that on tl�e ist day oF Marrh, 20_
I� (We) ocapied as aa prmdpal place af residence the foHrn.ing desrli6ed real properiy for which a Homestead Pmpec�"�e -,Crc�P�ereDy daimed:
1(We) owned ❑ he buyug under oontract �
� Have a benefidal mOere� m the enti Mat is liade 4w the G�BSON COUNTY qU ITOR
ty poperty ta�ces an the popeRy and Uat owns C�e property or is buymg u�r a idntrad
' � . • ' - - CONiRACLRECBr'2UmC: ,. .
If buyig on m�tr'acl Fee SirtQle awnefs reme
�� ��e ��d �s iacaded Re�d numher Page
, . . , - .�'.r". �PROPERTYDESCRIPTION.' • � .
Tanalup T�g dishiG (cfy, dowrr.
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n e�y powon af u,e resbe�ma� en,m,� u me �d ��y w,e (i �� ma�:,, eas�tr �u,ds v�
ol lhe pronperty uii6ied b OtoCUCe inmrlle.
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� nw�y IJ n�oab Ho� �i.c. s,.,-n
is �sea m yum,ca:Kmne. assaae u,e � m,a pnlion
'.t `''��+7RUE.TAX�-, - f\SSESSm.VALUE ^.Ii06�STEAD-:- ti NONa2ESfUIIiTU1L �,,�'.
.. �� ASSESSOR USE ONLY � ` • � �<.�.� :.:'- VALUE;...'. �. •AT 100X OF TTV . .; VALUE ' . `... ;� VALUE % .
Land not e�rg 1(one) aae irtrr�ately ,r1 . .
s�mounding residential improvertienls. (�� �_� r, � s- r
OUrer IaM �p�
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Tdal land p'v�e 1 plus fine � (31
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ResdentialunprcrverrenisaMnualy �6rg �4� `�'j
Assessed A4oG7e / Akaui(a�ed Flane ; :.? ; . �•r.-.' ,
Garage �5� . :.
om� �•�ss � �e, �— ; �; _ �. �
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TUaI vnproverneMS (6re 4 tlwrx� 6ne � (•'� —
T�1 ralue (Ibre 3 pks tine � (g)
I hereby certify Me above is true. cartect. ard S�9^amae aaisesvor Date sqned -- —
arnp�te.
Vaifyin8 adian - Sipneera oF twditu Date srTM
20 _ Pay 2b _
Lesser af 12 Homesiead
Valuatim or f35,000
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♦' ' .em.rne.�+. .e ..........�...�.�... .e�..a.e...e....�..A.e.....�.K...n..�....a...�.�.�..�..�.�.r�......
Gibson County Auditor
101 N. Main Streel
Princeton,IN 47670
� �ILEI�
— APR 7 2011
.. C.`J.r " V .
° GIBSON COUNTY AUDITOR
942
Individuals and married muplcc are limittd m ane homutead stax�dard Jeduninn. As the receipt of t6is deduction hecomes
mott bcncficial, Ihem is marc incemivc t}ian c�xr for hamcstcad (aud. Homatcad faud cauus hightt ua bills (or all; thcre(ort,
HFA 1344-?009 requires ta�pa�crs niw eccei�r the homatead standard deducrion a�rrify that.they art elieible to receR< tlx
bene6� and m pro.ide addi�ional idrntifying in(o�mation nccessary Io allow tounty gwcmment w beucr monitor hoinestcad
filings. llus mforma[iao uill be kepi con6Mneial and can only be actt� W authorized county officials. The Departrnrnt of
I.ocal Gorernmrn: Fi�unce aill use this infortnation w creau tools ehai will hely rn�mry officials elimi�uu homestead frzud.
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Taxpaver Name
Devine, Terry�L
Location Address
802 E Evans
Princeton W 47670 �
Terry L Devine , I�I�I�III� �III �'I I III II II �II�II�II�I�I �II�II�III �II�I�I�I�II�II��II�IIul�lllll�llll
802 E Evans St
PRINCETON IN 47670-2212
I"���II���I�'��""1�"��'�'�����������'��II��II���I'I'���'I�I�I StateParcelNumber LeqalDescriotion,
_ 2612-07-402-001.240-028�YNCH 2ND 109I110 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.
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� Ow �r 1 � � Fvst Middk � . . . • " Last
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Mailing Address (numbcr �d straL ciry, statc, and ZIP code) �'Same as property address -
Social Sccuriry \�pnbcr (1a5t 5 digiLS) Drivcfs Licensrl5tau [D N�ber (last 5 digirs) Otha (plcase specify in Part 4 below) .
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� Spo�uc Fint �Middle . � - . Last
— Mailing-Addicss CNumber and svec4�ciry, state: and 7.IP eodc)' -- �-- "---- --^— '° ° ' �5amc�az pmpeny 6tidnai ' .. — - - �
Social Securirv Number (las[ 5 digiu) � IJrivers LiceuselState ID t�umber (last 5 digits) O[her (pleau specify in Part 4 beloa�)
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• Each undeisigned certifies, under penalty of pequry, that the above and foregoing infonnation is trve and correc[ and ihat he or she is eligible ro'
receive the homestead standard deduction on this property.� Each undersigned also understands that, by claiming additional homestead deducrions
unlawfully, he or she may be liable for back ta�ces and substantial financial penalties. ° �� .. ��
Owner 1 Signanue Date .. Telephone . � .
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S�Sigoatme •. � pyu Telephone' ." ' .. -
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