HomeMy WebLinkAboutHomestead_Harvey (3) •• %TATE FORM )ee IRIHNI nRFASUmA TORN 7S-IA
APP RIVED BY STSTE DORM Of Arrow AEn.,. PRYWBFD BY nil DEPAATNENT OF LOCAL GOVEINHrwT FINANCE K'H.1-r-R.t
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 ever for homestead fraud.Homestead fraud causes higher Us bills for all:therefore.
HEA 1344--2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
■
benefit and to provide additional identifying information neces ry to allow county government to better monitor homestead
filings.This int'nrm iinn will he kept confidential and can only be accessed by authorized county officials.The Depanmem of
Local Government Finance will use this information to create awls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Harvey, Robert L/Helen R Life Est
Etal
828 S Hall ST
- _ — -- _._ --__ _ ___ — _ __ - ____—_ _ _ _.— - — P inceton IN 47670— __ _
3653
Robert L/Helen R Harvey
828 S Hall ST State Parcel Number Legal Description
Princeton IN 47670-2332
Itlnllntltllnlntillnur1t1u 111 u11u tlF�nlr11u 1n11u1 26-12-18-101-001.104-028 019-01104-001 E WOODS 17
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
s /e- z
otg Address(number and street.city,. /state and ZIP code) - . n _ - O.Same as property ad
$71,1/Y PS• W '1(i —S sL 7670 -,ZL&f2
First Middle Last
Mailing Address(Number and street,city.state,and ZIP 'ode) / ❑ Same as property add
A g - 7aa t /W. t , gh f7L 7170 - 3,7,
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is eliuible 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 ISSiggnatu Signature Date
/ /
wRn+ xc ia i9m
Prescribe0 By State BwrE ol Tae Commissioners
CLAIM FOA NOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 7 9
Ta & Filed in Wpliwte
./
SEE BACK FOR FILING INSTRUCTIONS p/q= a� fo y. Q Q.
� � K �` R
•y�1e� ��oi�c,ri �.. , ELEn/ . A dEy certify that on the 1st day of
1rch, 19 7q , I, (We) occupied as our principal place of residence the following described real property foc
which a Homestead Property Tax Credit is hereby being claimed: .
I, (We�ned
❑ are buying .under contract
❑ have a beneficial interest in.the taxpayer
Property Description
Taxing District (City, Town, Township):
Parcel Number
If buying Ofl contract: Owners name ��� "'"o�e owner�
rs� �o
Township
or legal description shown on tax statement:
.� EteJ /
Contract recorded in Recorders Office - Record
If any portion of the residential structure or the land, noi 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 individual owns or is buying real property: County Township
;h by certify the above statement is true, correct and complete.
�i � � . �F7G7�
'Signawre Scree� Aa ress - . ciry, Suie ana Zio �e
` Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a benefi¢ial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre immediately
surrounding reside� ��rr�Ti9 �
Other Land ���
Total Land
Residential ImprovementslUN 2 � �979
���
Other Improvements
,
�
r� �
� �.
Dwelling
Garage
Total
�rovements - Lin (6) plus (7) equals (8)
certify the a�is true. correct. and complete.
OI ASSCSSOe
(�)
(2)
True Cash
Value
//�o
(3) //SO
(a) `7�-`'�a—
(5) 4,�i��
(6) ZS—�d�
c�J ��t—°'
(g) �o
Assessed
Valuation
.380
3 Pa
Homestead
Valuation
�����
is .� /q79
D �
Date: