HomeMy WebLinkAboutHomestead_Holland ctATE rW 11\01:/vNt rw.SUREA FORM:SIA
APPROVED BY SIAM W1 Dnr Mr,INTc,_nv PRLYA1nm BY 111E OEPARrl`rr Or LORAL rOVERleaM FINANCE IC LI.1- -AI
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than tier for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
® HEA 1341-7009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to mceixe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing.This information will be kept confidential and can nnly be accessed by authorized county officials The Depanntent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
S I I N Prince ST
Princeton IN 47670
2455
ItIttII ttt�r��tt�ttt III lien I 26-12-07-102-001.200-028 019-01200-00 WARNOCK 4 PT
C�c Ste\
Mailing Address(Number and street,city,stale,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)
slue
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 elieible 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.
waM xc io isn
kesaiDCO By State BwrE af Tax Commiuioners
To & FileE in DuDlicate
CLAIM FOR HOMESTEAD PflOPERTY TAX CREUIT FOR YEAA 19� ?� ���
!
Property Description in
Taxing District (City, Tswa;-�ewflskKp): �-h-`-�
Parcel Number
If buying on contract: Owners
\ J �� � Township
or legal description shown on tax statement:
Contract recorded in Recorders Oftice - 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 individual owns or is buying real property:
�hereby certify the
' .� _ , �
statement is true, correct and complete.
�\ �/, 1 ` �i . �-�-i,l�,�s_
County
Township
caae
' 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 -
Land not exceeding 1(one) acre immediately
surrounding residential improvements
Other Land � � � � �
Total Land
Residentiaf Improvements Dwelling
.1U! 3 i979 Garage
�/L��� Total
Other Improveme� ts' 1 `ti
AUDITOR
Te 'mprovements - Line (6) plus (7) equals (8)
��i'y, certify the, above is �true. correct. and complete.
nsuzsor
True Cash
Vatue
c>> /�{�3 0
(2) — ° —
�s� I � �
(4) -a--g-�-Cr
csJ ��a
(s> �--.�CS
�7� - m —
(8) �—�—CI
Assessed
Valuation
�go
— _ —
'S� �' O
1a
Homestead
Valuation
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6- /�`-7�l
Date
% / � - ACTION BY AUDITOR -
`%
,pproved: Q b L� Date:
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