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HomeMy WebLinkAboutHomestead_Kolb (5) SIME r ORM!1w in/34.01 TREASURER ORM TS-IA .APPROVED BY ATATE MMPO Of arrOUS'l C.nry YEEYRIBED BY THE DEEMrxaan(F LOCAL GOVERNMEICI FINANCE IC LI.t"-r.I Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS PRINCETON IN 47670 Individual and married couples are limited to one homestead standard 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 1344-3009 requires taxpayers who reeei'e the homestead standard deduction to verify that they are eligible to recehc the benefit and to provide additional identifying information necesan'to allow county government to better monitor homestead tiling..This information will he kept confidential and can only he accessed by authorized county officials.The Depannent of Local Government Finance mill use this information to create tools that will help county officials eliminate homestead fraud. PART 1:PROPERTY INFORMATION Taxpayer Name Property Address Kolb, Willard J/Carolyn Jean Trust 118 Olive DR Princeton IN 47670 3994 Willard J/Carolyn Jean Kolb 118 Olive DR State Parcel Number Levi Description Princeton IN 47670-3454 Ir lrtlltttlrlltrl ter 111 Iltrl ttltlt It tltrltt tllltrlt ttulll 26-12-18-403-001.510-028 019-01510-00 ROSS PLACE J PART!:TAXPAYER INFORMATION Owner I First Middle Last _ i % p Jv1 I9 ,v /YD � ib -altg Address(number and street.city,state,,hard/et code) /s/� /r' /. I I Sameee as property address /..� -- -- - -- l / U V e`; vim /! , /e�� i,//11 /V en 7--(941 f/Yr / b 70 - J '/ / Spouse First Middle Last Mailing Address(Number and street,city,state,and ZIP code) LI 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) • sow 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 7979 P�escri�e0 By State BaarE ol ia. Commissfoners io Be Filea in DuDlicaie CLAIM FOR HOMESTEAD PROPERTY TAX� CREOIT FOR YEAR 192�L �/ SEE BACK FOR FILING INSTRUCTIONS Or(1 — Q�Sr�— OO �(We) �� certify that on the 1st day of arch, 19��, I, (We) occupied as our principal lace of residence the following described real property for which a Homestead Property Tax Credit is hereby being claimed: I, (We) C3�owned � ❑ are buying under contract ❑ have a beneficial interest in the taxpayer Property Description in � County ���N Township Taxing District (City, Town, Township): ��1�- u�-�--��;�- a Parcel Number or legal description shown on tax statement: `�P�aa �.L.a,c.e� (o If buying on contract: Owners name ��ee s�mo�e o.�en 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: County Township �hereby certify the above statement is true, correct and complete. ' 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 exc in 1(o ) ac m ately surrounding sider�al ir�rov n nt Other Land Total Land (�p,}1}' 2 19?9 Residen[ial Improvements � � /����=''diCRii! � AUDITOR Other Improvements Dwelling Garage Total T�Improvements - Line (6) plus (7) equals (8) I.._ ..�y certify the above is true. correct. and complete. A552550� True Cash Value ��� �— (2) � Assessed Valuation (c 3 a ' I . ��////�jjjj�jj — �i �- ii�.. „ � � ''�:'%%�' ar; . . � = - ACTION BY AUDITOR - s—ai—�s oa:e Homestead Valuation � Approved: /� •� � � Date: ' "� � �9 � 9 a_