HomeMy WebLinkAboutHomestead_Hart (3) slArt FORM,J5114 OW MN) IRrASUnrR FORM:}IA
.APPROVEDBY SITE MIAOW mnn Yanks.tars PRr1WBm BY DIE BEPARTQ.`R OF LOCAL CA\RRVNEM FINANCE 1C 6-1.1-22-1.1
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 e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 134:-3009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receise the
benefit and to provide additional identifying information necesars'to allow counts'government to better monitor homestead
filings. This information will he kept confidential and can only be accessed by authorized county officials.The Depanntenl of
Local Government Finance will use this information to create hall,that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Hart, Joretta
• 308 S Stout ST
Princeton IN 47670
3057
Joretta Hart
308 S Stout ST State Parcel Number LeEal Description
Princeton IN 47670-2234
lull ullrttltllrulItt111ttrttltlltl tlt ll ltllt u111IRl1ll1l1rtt 11 26-12-07-402-001.096-028 019-01096-00 PT SE 7210 .33 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
JQRETTA Lott NAR r
-�ng Address(lumber and street.city:state;and ZIP code)._ — __. -- ----_ - - --Eg g Sane as properly address_ — — _— __ _ _. .
308 S. S7.OUTE PX'///Ct Tow IN 47e70
Spouse First Middle Last
Mailmu Address(Number and street,city,state,and ZIP code) 0 Same as propeny address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
Scut
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 Signature Date
•
•
PoRM HC 10 19A
Presaioe0 By Sute Boar4 0l iaw Cammissfoners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 � 9
To & FileG in Duplicate
�/"
SEE BACK FOR FILING INSTRUCTIONS O/p _ D�� 4` -O�
i / '/ �
��We) �/oy„/ � �/o,eE7TA �`+'��T certify that on the 1st day of
arch, 19�, I, (We) 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),�'owned �
❑ are buying under contract
❑ have a beneficial interest in the taxpayer ,�
Property Description in C��s�^� County ��`'T�KA Township
Taxing District (City, Town, Township): 2ir/GETO�
Parcel Number or legal description shown on tax statement:
f.t� ��� �E �5� 7-� -ia • 33 �
If buying on contract: Owners name �'� Sinip1e °"ne`�
Contract recorded in Recorders Office - Record
If any portion of the residential struciure or the land, not exceeding one (1) acre that immediatety 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
is true, correct and complete.
' Individual either owns or is buying under a contract that provides he is to pay ihe property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
True Cash
Value
Land not excee�J 1(one�acre�yne ly
surrounding residentia�improvements (�� 3'!00
Other Land u,� � 2 }g7�J (2) '—
Totai Land �L�
Residential Improve�nts / /�/�L� " //_ , _
j/ � �d�i�.
/i � pUDITOR
l�
Other Improvements
Tr'-' Improvements - Line
I �by f,erlify the abov�
(3) 35joo
Dwelling �4� �_��
Garage �5� ��8-73Q
Total �6� °?� u'�
(�)
plus (7) equals (8) (a) �f'
true. correct. and complete.
- ACTION BY AUDITOR -
Assessed
Valuation
//� o
//30
. ..
b7ao
Homestead
valuation
/�.30
�
/S�-���.., i979
o .r
Approved: � J�� �� Date: �'" vJa — / �
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