HomeMy WebLinkAboutHomestead_Kays MATE FORM MAW 1p_I E,AI 1RFASURER FORM 31A
AEVM'ED BY STATE BIMRD M*MAXIM(Y/Y PILTSCllam RY TIM DEPARTMENT Of L(AAL rmvtENMn.'T FINANCE IC 6-1.1-1:4 Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple,ate limited to One homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2006 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept mntideluial and can only be accessed by authorised county officials.The lajanment of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Kays, Adrian/Elizabeth
1323 Darwin Avenue
Princeton IN 47670
1755
Adrian/Elizabeth Kays
1323 Darwin Avenue State Parcel Number Legal Description
Princeton IN 47670-2815 - -- _
I I II I II I III I II I II I I I I I I III 26-11-13-204-001.435-028 019-01435-00 MCKAW S(IM
to nth ant a uu tt utrtt nt t 103/104/105/109
N
PART 2:TAXPAYER INFORMATION
Owner 1 - ') First Middle Last
/ .Qin� /—(a S
tg Address(nutntin mid itECei,city.stfitE eitd ZIP code] — _ - _. _ ErSumc us property nddn s — -
/3.2 3 eon-un r� Qom- Pzivn ejtn ), y767-0
Spouse First Middle Last
Mailing.Address(Number and street,city,state.and ZIP code) Same as property address
/12-3 baiLC,utnx- a\-- '17°7 a
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
•
FOIiM HC 70 1979
Re5cri0M By Srote BoarE of Ta. tammiuioners
Ta & FileE in Duplicate
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOA YEAR 191� ,/
SEE BACK FOR FILING INSTRUCTIONS O� q� O� y3S' � a
�(We) � certify that on the 1st day of
�arch, 19�..1, (We) occupie as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed: .
I, (We) Cl�owned
❑ are buying under contract � .
❑ have a beneficial inte�r./est�in the taxpayer
Property Description in /�-�/d-a�^' County �� Township
Taxing District (City, Town, Township): ����--' ���-r7
Parcel Number or legal description shown on tax statement:
� �-/�� ,C'� ,S<.�.,n. /Z s� •�a 3 - rd s-,o 9
If buying on contract: Owners name (�ee
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 certify the above statement is true, correct and complete.
I �iv K�u�
County Township
Zip CoOe
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 -
Land not exceeding 1(one) acre immediatety
surrounding residential improvements
Other Land � � � � �
Total Land
Residential Improvements Dwelling
JUN 1 g 1979 Garage
�//� , /,� �tal
Other Improvements (/l � ��
i�
Tr'-' Improvements - Line {6) plus (7) eQl�§1�TQ�j
I.�by certify ihe above is true. correct. and complete.
A55¢SSOr
True Cash
Value
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(2)
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(4) -�
(5) /A'3-6'�'
�6) `�'�"
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cs) �
- ACTION BY AUDITOR -
Approved: �•�' �ic���g� e
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Da:e
Homestead
Valuation
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Date: � —�-3 ��