HomeMy WebLinkAboutHomestead_Hurt (6) STALE FORM!l`M 12'I•-.n1 TREASU&EA TORN TS-IA
ArrROCE1 BY'MIL,RNFDOR ACM INT,.Y• PtFXRInf)BY Tl[DEPARTMENT Q LOCAL r YEILNM.rs1 M ANCEtC S1.1-1:4I
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
mote beneficial.there is more incentive than tier for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
® HEA 1 343-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
}f 1 benefit and to provide additional identifying informanon necessary to allow county government to better monitor homestead
I) �' filing..This information will be kept confidential and can only to accessed by authorized counts-officials.The Depanment of
®gam/, Local Government Finance will use this Information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
— APR 8 ZULU Taxpayer Name Property Address
Hurt, Gary K/Mildred
WO?/Qt 1025 S Adams
GIBSON COUNTY AUDITOR Princeton IN 47670
1358
Gary K/Mildred Hurt
1025 S Adams State Parcel Number Leal Description
Princeton IN 47670-2703
Itlttllttrltl'rtltttlli I iittriii iitttitititiritttii 26-12-17-101-001.279-028 019-01279-00 KUNKEL ADD 12
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
�.� -�� z� 1�VVV\
gig Address(num city,state,and ZIP code) (J ® Same as property address
16 t∎ S oy 1\ o fr N `i6 '70
Spouse First Middle Last
iii.
Mailing Address(Number and street,city,state,and ZIP code) f1 I Same as property address
•
/6)2g S i' 6 ett 24-1g'oJ
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 Signature Date
PART 4:ADDITIONAL INFORMATION
la !/ r4 1'1. ,A !,
FORM HL 10 1979
Pcescrieee By S�a�e Boaro ot TaR Commissfoners
To Be FileO in Duplicate
CLAIM FOR HOMESTEAD PROPERTY TAX CREUIT FOR YEAR 19�
✓
SEE BACK FOR FILING INSTRUCTIONS o�q_ mra �9• � a
�(We) p� • ^• �' {'J�XN^^ �� certify that on the 1st day of
�iarch, 19 , I, (We) occupied our principat 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 inteaest,in the taxpayer
Property Description in
Taxing District (City, T-awrr°fiawrtsM+�): ��
' Parcel Number
nty �� Township
or legal description shown on tax statement:
` l, ��V /7-oT ' /U r r�/ %.d.�l /o'�
If buying Ofl contract: Owners name ��ee zimo�e ownerl
Contract recorded in Recorders Office - Record No. Paoe
If any portion of the residential structure or the land, not exceeding one (t) 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 above statement is true, correct and complete.
County
Township
Caae
Individual either owns or is buying under a contract that provides he is to pay the properiy taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land no[ exceeding 1(one) acre immediately
surrounding residentia�.irnpr�veme�ts � �
Other Land E� E�,
Total Land
Residential Improvements .i�y 2: `9�3
Dwelling
,�(-/y/yf--.c�_arage
�, r ����-��<I�Ot21
Other Improvements � AUDITOti
T' Improvemenis - Line (6) plus (7) equals (8)
��dby certify the above is true. correct. and complete.
O� ASSfSW�
True Cash Assessed
Value Valuation
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- ACTION BY AUDITOR -
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Homestead
Valuation
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