HomeMy WebLinkAboutHomestead_Horn STATE FORM!Mt.len," TEA-U[E8 WD144 TS IA
.Afl5 ''EO BY S1aTE E(NPD Of MYt,ITS.bw PEEXl11DID BY not DEPARTMENT OF LOCAL.COVERVMrNT Mis YMVI.U"»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 incenthe than ever for homestead fraud.llomestead fraud causes higher tax bills for all:therefore.
as
HEA 1344-7009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reecho the
benefit and to provide additional identifying infornut;,on necessan'to allow county government to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Ikpanntent of
Local Government Finance will use this information to create tools that will help county officials eliminate homessead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Horn, Scott A/Karen S
2204 E Lake RD
Princeton IN 47670
3288
Scott A/Karen S Horn
2204 E Lake RD State Parcel Number Legal Description
Princeton IN 47670
26-12-08-204-001.233-028 019-01233-00 DIKE SUB DIV#1 13
C-1
• PART 2:TAXPAYER INFORMATION
Spouse First Middle Last
rA.IE,f/ f6"6 %lo 91/
Mailing Address(Number and street,city,state,and ZIP code) 1riDl Same as property address
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 S. attire Date
FOflM ML 10 19i9
Fescri�eG By Stale BoarO ot ia. Commissfoners
to Be FileO in Dupliwte
CLAIM FOR HOMESTEAD PROPERTY TAX CRE�IT FOR YEAR 19 � 9 �
SEE BACK FOR FILING INSTRUCTIONS ��9 —��p�3 ,3 • D O
�(We) ���� !� ���✓�+'� S. /�OVn 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) G}'owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in G� b5on County �Z'/okC�.. Township
Taxing District (City, Town, Township): Pr�/1e��{cn /illn�x /D
Parcel Number.. or legal description shown on tax statement:
1�i%I_a.. .5.�.�1. l�i J. d / _�
If buying on contract: Owners name ��� s'mD�e
Contract recorded in Recorders Office - 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 certity tphe �a,b/ove statement is true, correct and complete.
�-�Q,u�✓`-� �Cl. M�'�"
D_ . �, a; _ �. _ ,a� e � . ,,.
County
Township
antl
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 -
True Cash
Value
Land not exceed g 1 ne) re ed�y
surrounding residential improvements (�) .259�
Other Land �pF� 2 3!�l� (2) —
Total Land
Residential Impr�en ���
4
AUDITOR
Other Improvements
(3) �S90
Dwelling �4) ��
Garage �5� ! �°�7`'SD
Total �6� �'°��
(�l �(�
Tr�� Improvements - Line (6) plus (7) equals (8) (8) //�..G-6�
I!�!aby certity the above is true. correct. and complete.
OI Pi5¢ssor
ACTION BY AUDITOR -
67D
Assessed Homestead
Valuation Valuation
86 0
�� o
Da:e
S-/7
Approved:�/V�4/� Date: 1"�"��� lg 7/