HomeMy WebLinkAboutHomestead_Griffith SIAT r11RM!)em IR.'/YNI TArMSnulR roam 73-1r.• APPROVED BYSTBIE BMW M VITRNT<,Rrrr nRF4RIBED BY TIC Drr. noYr OFIfx'ALGM:LYMrRtFD scEK'4.I.I--tai
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 met for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
api HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only be accessed by authnrived county officials.The Ikpannsent 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
_ Griffith, Nancy J
110 NE Drive
Princeton IN 47670
2301
Nancy J Griffith
110 Hawthorne DR State Parcel Number Legal Description
PRINCETON IN 47670-3312
l•l•illttt 111 htlliiilll ll•i•l lot ttlltrli itt•llllttt llllti 26-12-06-302-001.026-028 019-01026-00 NORTHBROOK HILLS 15
N
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
ICe-'' / ATI
r
ag Addrez(number and se--.;city, :ate.and ZIP code)_ _ . _ __ — _ __ -.T. ' Sane as grope f r. _ _ _ . . _ ___
1 l u 1 Clr-(1X-AAM.Aa-kn‘rs— Di,• -Runts t_ro>. /
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 (last 5 digits) Other(please specify in Part 4 below)
State
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 1 Si mum �`\ t/ Li Date
ill
wan+ xc m ie�
P�euri0e0 By State BoarC of Tax Cammissioners
To & Filed in Ouplicate
CLAIM FOR HOMESTEAO PROPEATY TAX CREUIT FOR YEAH 19 �9 ��
� _ • C�'eiFriTis� certify that on the 1�day -of
rch, 19�, I, (We) occupied as our principal lace of residence the following d�s ribe �eal property for
. which a liomestead Property Tax Credit is ereby� being claimed: /.aa.
I, (We) C3�owned �'p S-� -41 Di9-o/�
❑ are buying under contract
� � �9T
❑ have a beneficial interest in the taxpayer /7
Property Description in ������ ounty � r'TOKR Township
Taxing District (City, Town, Township): ���✓CeTO.�.� �nln�C'X �
Parcel Number or legal description shown on tax statement:
No�T.S�,B,CDOK f'//LLS %S
If buying Ofl contract: Owners name ��� simo�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 individu�wns or is buying real property: County � Township
'•ereby certifj�/� he above staf�'-ent is true, correct and complete.
lXa/tp,�cR— 7d�uf . [t:�g7o
�. .
�
'Sig�ture veet Aaaress Ciry. Stare ana Zip CoCe
' 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 not exceeding �on� acr�imm�te y�
surrounding residential improvements (�) � q 3�
Other Land _;i��i � 5 �979
Total Land
Residential Improverr�� /,�/j4`k, _"�" Dwelling
(/[,� 'l �y
�/l A����p Garage
Total
Other Improvements
TQ�rprovements
I I. .�uy certify the
A55¢ssOr
Line (6) plus (7) equals (S)
�e is true. correct. and complete:
(2) —
Assessed
Valuation
9�0
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Homestead
Valuation
9aa
- ACTION BY AUDITOR -
S—/a-79
Oa:e
Date: —(L `