HomeMy WebLinkAboutHomestead_Kirby (3) • aTATE FORM'3N R_/• .1 1RL.W1FA FORM:}IA
nrrRrn IMPORTANT NOTICE TO HOMESTEAD PROPERTY uOWNERS i.t.na.t
Gibson County Auditor
101 N Main��
P jr F�O IN 4 more benes and thereiis couples n arc limited se oor homestead r ud.Il desicad f.ud au high r t this is thi deduction ereftreof
more 1114-2i( there is more incentive receive ever for homestead laud.I to deduction fraud v muss higher tax bills le all: ive the
therefore.
HEA 1143-21109 requires taxpayers who rceiye the homestead standard drdunion m verify that they are eligible to receive t
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings. this information will be kept confidential and Can only Fe accessed by authorized county officials.The Ikpanntcm of
APR6 - Z010 Local Government Finance will use this information to create 4x,15 that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
727a.p., Kirby, Carolyn Jean
PId$ON COUNTY AUDITOR
801 S Hall ST
Princeton IN 47670
3658
Kirby
801 S Hall ST State Parcel Number Legal Description
Princeton IN 47670-2331
1111r1111r11111111111111IIr11r11t 1111r11t Itt 1111 11r11rr1 26-12-18-101-001.481-028 019-01481-00 L E WOODS 7
N
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.
FORM MC 10 1979
PrescriEed By Sute BoarO ol Tax Commiuioners
To Be Filed in DuD���ate
CLAIM FOR HOMESTEAU PAOPEATY TAX CREOIT FOR YEAR 19�� ✓
occupied as our principa lac f residen
which a Homestead Property Tax Credit is hereby being claimed:
I, (We)�owned
❑ are buying under contract
O have a beneficial in,�erest in the taxpayer
�� Township
certify that on the 1st day of
the f, wing described real property for
Property Description
Taxing District (City, Town, Township): `�
Parcel Number
If buying on contract: Owners name �'� ��^O�e �„�e,�
or legal description shown on tax statement:
� �`t.� 7
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:
statement is true, correct and complete.
�� _Sn�il ��R� S:.
Stree� naaress .
County
Township
✓ /n/ 47�70
Ciry. State ana Zip CoCe
` 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 immediately
surrounding residential improvements �
Other Land � � � �
Total Land
Resideniial Improvements � �
�UN � � 1979- Dweuing
arage
/��ti`k��,�iLotal
Other Improvements �� ' p�pfTOR
T�� Improvements - Line ) plus (7) equals (8)
I rTaby certify the above is true� correct. and co�plete. '
Sqnawre ol Assesw�
True Cash
Value
(, ) //SO
(2) � o —
(s) //So
(4) -��d
�s� -�'iT9/D-9-o-
�s) � O
(�> o—
($) �
�
I If11Tf1R _
Assessed Homestead
Valuation Valuation
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Date: � - Z7- 7�`�