HomeMy WebLinkAboutHomestead_Jones (17) - STATE FORMS as ITC/"WI TREASURE,TORN IS-/A
IMP
BT ATATE BOARD OT ORTANT NOTICE TO DEPARTHEATT OF LOCAL
PROPERTY OWNERS t A
Gibson County Auditor
101 N Main
PRINCETON IN 47670 Individuals and married couples are limited to one homestead sand-mil deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than eser for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necesory to allow county government to better monitor homestead
filing.This information will he kept confidential and can only be accessed by authorized coolly officials.The Ikpanment of
Local Government Finance rill use this information to create trots that will help counts'officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Jones, Lora C
609 E Water ST
Princeton IN 47670
1091
Lora C Jones
609 E Water ST State Parcel Number Legal Description
Princeton IN 47670-2241
tr�r��ar�atr���t tttt lulls! 26-12-07-402-001.403-028 019-01403-00 STORMONT ADD 16
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 Ft Middle Last�Or1 e
IlkAddress(number and street.city,state,and ZIP code) 0 Same as properly address
(od/ F Wad 054II MF7c,7o
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑Same as propery address
Social Security Number(last 5 digits) Driver's Licensc/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
Sale 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 Date
FOFM HC 10 1979
Presui�ed 6y Siate BWrtl of iaz Cammissfoners
� ( W�
�o(arc 1
whic a
io Be Filed in Du0liwie
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19�_ ,/
SEE BACK FOR FILING INSTRUCTIONS Q�q - D��O3' '� fl
y �� �ya� ��C: certify that on the tst day of
.��•
I, (We) occupied as our principal place of residence the following described real property for
�ad Property Tax Credit is hereby being claimed:
I, (We) kyl owned
�❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in
Taxing District (City, T��.��� ��h', ):
Parcel Number
����� Township
or legal description shown on tax statement:
_�--�-n Q'� /lo
If buying on contract: Owners name �'� �""o'e °w"ef�
Contract recorded in Recorders Office - Record N
e
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: County Township
� hereby certify the above statement is true, correct and complete
�
` Individual either owns or is buying under a coniract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayec �
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre immediately
surrounding residential improvements
Other Land
Total Land p � �
Residential Improvements �J� �W�
��� y s 197�arage
Total
Other Improvemenis
Tr�-' Improvements - Line 6� 7) e a skji�
I�by certify the abg,ve is tr correct. ar��m`�Rete.
o� Assessor
True Cash Assessed Homestead
Value Valuation Valuation
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