HomeMy WebLinkAboutHomestead_Jines (12) idyls meM`I W!ICI w,} nufdstlrtl W0.4 T11A
.APPROVED BY Aral WW1) ACTT CAT S.Tn PLI]YIUBm BY TD[DEPARTMENT OF LXFAL CMZL.NMrm FD:A\CE 1C 41.1_3,1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc limited to one homestead sandani deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ner for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
HEA 1344-2009 requires tanpayers who remise the homestead standard deduction to verity that they an eligible to remise the
benefit and to provide additional identifying infomlaton necessary to allow county government to better monitor homestead
filings.This irtl'ntnulinn will he Leg confidential and can only he accessed by night-ailed county officials.The Depannlent of
Local Government finance will use this information to create touts that will help county officials eliminate homcnead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Jines, Ottie Jr/Diana
- _ _ _ _ _ _ _ - - - - - - - 219— -" ' 219'S Race ST.
Princeton IN 47670
3004
Ottie Jr/Diana Jines Jr.
219 S Race ST State Parcel Number Legal Description
Princeton IN 47670-2201
t 4444 Iltrr11111 26-12-07-401-001.362-028 019-01362-00 PT SE 7-2-10 .17 AC
N
PART 2:TAXPAYERINFOR\1ATION
Owner I /1 r,} First Middle � r� � � � 7 Last
G/�U.l7�/-�,-� NY 11.4.)
1g Address(number cad saettccity,state;and ZIP code) —-- (} . }( nmc as Innerly address__ . _ _- __
a 19 S. e�Q /�-7. pli;„ c c!76
Spouse /y\J ` ^ -- . , First Middle Last
iMailing Address(Number and street,city,state,and ZIP cote) S' as property address
a l e s em-C.e . QJI.vn Q1t C . 7 6 ?o
..
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 1 Signature IDate
I
FORM HC 10 19i9
P�escri0e4 By S�ate BwiO o� ia. Commissfaners
io Be PdeO in DuD�i[ate
CLAIM FOR HOMESTEAD PROPERTY TAX CREOIT FOR YEAR 19 'LL �
SEE BACK FOR FILING INSTRUCTIONS AlQ_ ��3��.0 fl
�(We � � ' certify that on the 1st day of
�vtarch 9�, I, (We) occupi 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
O are buying under contract
❑ have a beneficial int���,est in the taxpayer �- /
Property Description inTO/ ��� County ��Co�� Township
Taxing District' (City, Towa--�ewfrship): � � �-Lr��-�
Parcel Number or legal description shown on tax statement:
��- SE y � -�-io . /7
If buying Ofl contract: Owners name ��ee simple owneq
Contract recorded in Recorders Office - Record No
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 above statement is true, correct and complete.
County
Township
I id I eitf,�jeer o�or�ying under a contract that provides he is to pay the property taxes
�� ���Sn t re nce, or has a beneficial interest in the taxpayer.
fi
�979 - FOR ASSESSOR'S USE ONLY -
jtlt'!Z%-
True Cash
,,,�����i/// Value
Land not excee�,�e re imml��ely
surrounding residenti improvemer�� (�1 f� So
Other Land (2) —
Total Land
Residential Improvemenls
(3) � �o S"�
Dwelling �4� --`�--�"2g.
Garage �S�q°�g� �
7otal (6� �--��—
Other Improvements
.�T� Improvements - Line (6) plus (7) equals (8)
aby certify the above is true. correcl. and complete.
n� —
��i�.�
oi Asseswr '� �/ .
� � v � - ACTION BY AUDITOR -
Assessed Homestead
Valuation Valuation
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