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Home My WebLink AboutHomestead_Jennings STATE FORM 5330.117:0-4,t TREASURER FORM i11A Pt/SCRIBED BY APPROVE IMPORTA Tx NOTICE TO HOMESTEAD PROPERTY OWNERS`r al Gibsdn County Auditor 101 N Main 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 e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore. • HEA 134-4-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the FILED flinefit aM ti ormati addili be ipi coniid iial andren tome n tc sod youtho grnd co nt o to betrcr monitor laotcnt f filings_This information will be kepi conlidrntial and can only k•accessed by authorized county officials.The Ikpartnvlt of Local Government Finance will we this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION APR 9 LU111 Taxpayer Name Property Address Jennings, Jack 77703 �. 229 E Glendale ST GIBSON COUNTY AUDITOR Princeton IN 47670 851 Jack Jennings 229 E Glendale ST State Parcel Number Legal Description Princeton IN 47670-1640 Itltrllrttltllttltttlll Iltlltrtltrlll Iltlttrlrrll 26-12-07-201-001.358-028 019-01358-00 WARNOCK 7 PT 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 Sc;< L . JeAtAtiriUs (number and street.ci ®t Address g ( ty,state,and ZIP code) IX Same as property address 229 E. &Len/-ALe Sr. Prl.icercr4 XAr. `icic Spouse First Middle Last Mailing Address(Number and street,city,state,and ZIP code) El 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) gee. 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 Signature /. 7 Date wwe xc w �em PreuriUM 9y State Board ai Tax Cammiuioners To & Filed in Wplicate CIAIM FOA HOMESTEAD PAOPEATY TAX CREDIT FOR YEAA 192� � SEE BACK FOR FILING INSTRUCTIONS Q!9_ D13SS`�-a . � �. - (We) ,� ertify that on the 1st day of �.iarch I, (We occupied as our principal ace of r dence the f owing described real property for whic a Homestead Property Tax Credit is hereby being claimed: I, (We) ❑ owned ❑ are buying under contract ❑ have a beneficial interpst in the taxpayer Property Description i Taxing District (City, Parcel Number � If buying on contract: Owners name �� sim0�e o.�e�� *�� Township or legal descrip�ion shown on tax statement Lc��--�� (��? 7 E 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: certify the above statement is true, correct and complete. 'Sign ure �' n w /e Gv��_� ' Indivi� � . V Svret Aoareu County Township � � y ,�.. .�'� ��- „�� inry. ais�e ano uo �e 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 Residential Improvements � � � �el� a� J U N 2 2 i�� Other Improvements Te' Improvements - Line (6) �7�u (8 I�by certify the above is true. c,��c . n A e. n , a� �i of ASSessOe True Cash Value (1) 1/ 7D (2) — (3) ,L�� 7 a (41 �� (s) ;��. n (6) ,�t7' : ilr ACTION BY AUDITOR - Assessed Valuation �/ 9 � i ��j��j� %;%%% �i/// �%/%%i�/,/' �r-� � ,�-�r�� Homestead Valuation ,` i �� j�jj�j�j/ �--iy-7y Date Approved: � � �Lo�-�� Date: �- �-�-�! I