HomeMy WebLinkAboutHomestead_Harmon • STATE FORM35 ,0.L 4101 IR`ASIJRU LOLM O to
APPVIVEDB1',TOE k)V'OOr Ufa N'ri 20. rpl_YRIb5DDS nlL DmPARIMF?i Or LIXILLCOSLLSOfS11!NANCE IC e-1.144.t
Gibson County Auditor IMPORTANT.NOTICE TO'HOMESTEAD:PROPERTY OWNERS
101 N. Main Street Individuals and married couples ale limited to one homestead santud deduction. As the receipt of this deduction becomes
Princeton, IN 476�70''� more beneficial.there is more ireenliwc tlnn c'cr for homestead fraud.Homestead fraud capers higher Ins bills Ibr all:therefore.
�\ F y LED II EA 1344-2'1X9 requires additional identifying who receive the homestead sandarJ deduction to verify that they ale eligible to receive the
J Ye benefit and m provide additional identifying irfnmmtion necessary m allow county government to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Depanmen of
Loral Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
MAY 1 2012 - PART 1:PROPERTY INFORMATION." .'
Taxpayer Name Location Address
C 'R Harmon, Pamela J
GIBSON COUNTY AUDITOR 530 S sioRMONi 57— PRINCETON IN 47670
971
Pamela J Harmon II I0111�0111 III 11011. 11011011011 III DIIDILII_II1111 II 11 II11111111m ID II
530 S Stormont ST
Princeton IN 47670-2526
111'III'1Ilt1Illll1ltllllllll11II1ILl1tilltlillltlllll"IlhIl'i' State Parcel Number Legal Description
26-12-07-404-000.457-028 MONROE HOMES 9
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 4.. ' - . . . ,
. zr I A First Middle - / Last
Mailing Address(number and street,city,state,and ZIP code) KI-Sa"me as property address
55aX- • 754, 1COlt zG 76
Spouse First Middle Last
Nil,
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
-. 2222 ._ __ _ _ _ —t - _ _ _ _ - 2 .__ 2—.22 .2 __
Social Security Number(last 5 digits) Driver's License/State ID Number (has:5 digits) Other(please specify it Part 4 below)
In 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 I Si re Date
9/2://a
....�
a�^ °, CLAIM FOR HOMESTEAD PROPERTY TAX � - �FORM'' �, YEAR
� CREDIT/STANDARD DEDUCTION �HCio� � �
�r Sta;e Form 5<73 (R2 / 5-92) ��' �. � : =r�
� ;au . . � ���J4.��
INSTRUCTIONS: See reverse side /or liling instructions. "O V 1 z �996
�
/1� . . - � � CERTIFICATIOOIAtAT6MFN7 ...:'. . LC/Ytis.: i� l,! .f In._ . d -
IiWe � �,�, . N�I11'1ITA'l� u
) � ��� i cenify that on�the°lst day�of March, 19
occupied as our prmcipa6place of residence the following described �° r° y w estead Property Tax Credit is hereby claimed:
yhi� � � �� ,
1(We) owned ❑ Are buyinq under coniract - AUDITOR � -
❑ Have a beneficial interest in the entiry that is liable for ihe property taxes on the property and ihat owns the pmperty or is buying under a contract.
�� � � .. � �CONTRACTRECORDED � - - � . � -
II buying on conuact, Fee Simple owner's name • . ' � � . . . � ..
Recorder's oflice where mntract is recorded qecord number Page
County ' - TownShip
����� �
z �i y- c� r� ��/�
It any portion of the residemial stmaure or ihe land not exceeding
ot the property utilized to pmduce income.
PROPERTY DESCRIPTION
. . ' r��� a�,1
acre that Immedialc
township)
surtounds that structure is Jsed ro produce income, describe the use and portion
ASSESSOR USE ONLY . TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
.VAIUE �VALUE VALUE VALUE
Land noi exceeding 1(one) acre immediately � - �
surrounding resideniial improvements. (�� �
Oiherland (2)
Total land Qine i plus line Z) (3)
Dwelling (4) .. .
Residential improvements -
Garage (g) ,
Other improvements (6) �
Total improvemenis Qine 4[hrough line � (7)
Total value (line 3 pLs line 7� (g)
I hereby certify the above is true, correct, and � Signa�ure ot nssessor Date signed .
complete.
�ing action - Signature of Audi;or Date signed
L
STANDARD DEDUCTION ALLOWANCE -"
79_Pay19_
Lesser of 1/2 Homestead
Valuation or 52,000 S
Signature af Autli;or . Date signed