HomeMy WebLinkAboutHomestead_Krishna MATE FORM!tNIM_flan, nnstana FORM t11A
APPROVED
IMPORTANT NOTICE TO DEPARPOINT OF LOCAL
OPERTYceOWNERS
Gibson County Auditor
101 N Main
PRINCETON IN 47670 Individuals 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.Ilomestead fraud causes higher tax bills for all:therefore.
HEA 1341-2000 requires taxpayer>who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.this information will he kept confid ntial and can only he accessed by authorised county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Krishna, M S/Daya
312 N 3rd AVE
Princeton IN 47670
2287
M S/Daya Krishna
312 N 3rd AVE State Parcel Number Legal Description
— - ---- Princeton.IN-47670-1014--
26-12-06-204-001.147-02 006-01147-00 NORTHBROOK HILLS
IIIllIIlllIlItllIlllIII IIII 111111111111111111111111 PHASE III 59
•
PART 2:TAXPAYER INFOR\1ATIQN
Owner 1 First Middle Last
. \LN
Addrus(numba mtd>trstis.city:state,and ZIP code) -- I I Same es property address -,-
3 \14-SM PC\ N u \� ' C S v 41 (c)-1 -0
Spouse rim L " etancrinv } iddlc last
Mailing Address(Number and street,city,stale,and ZIP cote) =@ Sant as property address
-
Each undersigned certifies,under penalty of perjury.that the above and foregoing information is true and correct and that he or she is eliuible 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
�re;cribed.By State Bcz�rd of Tax Conmissioners a
�I
CLAIh1 FOR H(�'�STEAD PROPERTY TAX CRmIT FOR YEAR 19_ 1p=1 ��
SEE BACK FOR FILING INSTRUCTIONS
i, `--r+e) %�i��,n .l� M�� /Ll .S �F- �" / J%i.u.2J certify that on the 1st day of
At�i, 19' ', I, (I�le) occunied as our princioal�lace of residence the follaaing described real
ni�erty for cahich a Homestead Property Tax ae�t is hPSeby being claured:
Z, Q•,e) � awna3 OV/_ _(/I'(I�
� are buyinq under contract �/_/ . lY 7
�P a-��-� -c��. �y7_oa�
� have a beneficial interest in the taxnayer .
Prooerty Description in , ,��� �t�ant]'. �� Townshin
Taxing District (City, Ta�m, Township):
?ascel titmiber
or legal descriotion sha4m on°tax statenent:
`2i.���.�=,�.�`zl�� ���. . � / ��-r s9
I= buvina on �ntract: Owness nan�e (fee sirtmle oumer)
Contract recorded in Remrder's Office - Record No. Page
I` any portion of the residential structtiire or the land, not e�eeding one (1) acre that
ism�ediately surrow�ds that structure is used tn pzoduce incane, describe the use ard portion of
;he oroperty utilized to pmduce income
Pr.y other �unties in which indi��i.dual owns or is buying real property: : Co�tv
R�mship
T�rel�y certify the above statere-nt is true, wrrect azrl coirq�lete.
*Signature Street Pddress � City, State and Zip Code
*Zndividual either aans or is buying imer a mntract that provides he is tn nay the
oroperty,taxes on the_residence, or has a beneficial interest in the taxp3yer.
- FQR ASSESSOR�S USE ONLY -
i��d not exoeeding 1(one) acre inmediately
surrnun3ing residential i�iov�nents
. - ..
Total Land
P� sid�ntial 7lmsove�its
Aaelling
Garaae
7bta1
True Cash
Valt�
cl> s�
iz)
Assessed
Valuation
98v
' „ v
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Oth�s I�rovanPnts (7)
Tc •� Ir�ZOV�nents - Line (6) plus (7) equals (8) (B) loD a 3 O
I hereby certify the above is true, correct. and �mlete.
�� �_ �., n ��_ _ _ � �
- ACTION BY P.UDITnR -
�nDroved: Dat�:
,�nn Rd
nate
ilac�estead
Valuation
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