HomeMy WebLinkAboutHomestead_Hemmer HATE M101. A ti I NMI trassuUR FORM TS-IA
.APPROVED BY HATE WARD OF AM1MAIS.'_v+ PREATIBmD BY air DEPARTMNT(W LOCAL CAVEILSO 7FZ ct C>:R]-L.I
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
.s._.„ more beneficial.there is more incentive than nee for homestead fraud.Homlvead fraud causes higher in bills for all:therefore.
40 HEA 1344-2019 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to twelve the
benefit and to provide additional identifying infommauun necessary to allow county government to better monitor homestead
filings.This information will he Lrpt conlideuial and ran only be accessed by authorized county officials.The Department of
Local Government Finance will use this information us create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Hemmer, Carrie Marie
604 W Monme ST
Princeton IN 47670
2891
Carrie Marie Hemmer
2825 Golf Links Dr State Parcel Number Legal Description
LAS VEGAS NV 89134-8507
26-12-07-303-001.150-028 019-01150-00 PT Sw 7 2 10 .64S AC
11u11111 nut IlullnluIIu In ltlrllnilnllultlr ll'tl ttltl
Villirill
i PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
�Ig'imJJrcv(uw;It rand,aeeq:iTj.,rate,and ZIP:w':) - — - --. — - ❑ Some aspmperty.>ddress _ _-._ _ __
``�1.■ Qom wt)` D _. VC \L v t , �� - dam
Spouse First Middle / Last
. � �
Mailing Address(Number and street,city,stale.and ZIP code) ❑ Same as p ny address
Social Security Number(last 5 digits) s Liccnse/State ID Number (last 5 digits) Other(pl .fy in Part 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.
Ow Cr I Signature - Date
'_\ 'Rt�1c'i---C‘,ia>\NG-., .\I\c.',1 \\\ rfl
wwM xc �o �e�s
RescriEeE By Sute Board oi Taz Commissioners
CLAIM FOR HOMESTEAU PROPERTY TAX CREDIT FOR YEAR 19�
To & Filed in Duplicate
✓
SEE BACK FOR FILING INSTRUCTIONS �/n_ �//�O.OD
.� � n n c� � 7 ((
r(We) ���r� i� �-d-- ��� //����certify that on the 1st day of
���arch, 192� 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 inte est in the taxpayer /\
Property Description i o �--; �1 County \ �J Township
Taxing District (City, Tabm,_-Iewftsh+p): � r
Parcel Number
If buying Ofl contract: Owners name (�� simD�e awne�l
or legal description shown on tax statement:
f�. /��.�d, �y 7-�Z-/o .(5��"a-�,
Contract recorded in Recorders Office - Record No. Page
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 individual owns or is buying real property: County Township
` he ify o� statement is tr �, correct and complete.
.
��_ - � :o ��J� <� ` �
'Signature Street Aaoress Ciry. State ano 2i e�
/
' Individuai 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 -
Land not exceeding 1(one) acre immediately
surrounding residenti�mp�ovem�ts �
Other Land �
Total Land
Residential Improvements -'��� .", ;i 1979_ Dweiling
� (��-�d�C Garage
� r oti Total
Other Improvements AUD!?�R
�rovements - Line (6) plus (7) equals (8)
certify the �bove is �ue, correct. and complete.
True Cash
Value
c>> 3 � �'�
(2) — ` —
Assessed
Valuation
'�� D
— o _
. �
• � O OO�DO/OOO�
, .u,.�
/ � j/�/�i���%
Homestead
Valuation
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Date
- ACTION BY AUDITOR -
n Date: