HomeMy WebLinkAboutHomestead_Lange (3) SThTt FORM!Men 1Re/SW I MIASMA FORM IIA
AFrUw'E0 BY SLUE MSRD Or ArrouNTl sow PRFSAIBED BY TIIr DEPARTME`TOF LOCAL CAV?RVMEta FD:.l\CE ice-a.!-r4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
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 incenthe than ncr for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receise the homestead standard deduction to verily that they are eligible to reeene the
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 be accessed by authorized county officials.The Depanment of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
�t PART 1: PROPERTY INFORMATION
F I
s
x Taxpayer Name Property Address
Lange, Phillip/Alice
APR 0 8
2°\0 224 S Hart
Princeton IN 47670
950
711T ljt
PhilliplAi. "t gITY AUDITOR
224 Ste""" State Parcel Number Legal Description
Princeton IN 47670-2126
�t�n�� t���unt�tt ut��u�t�r��nn�l�t�u��t�ul 26-12-07-302-002.408-028 019-02408-00 OLD PLAN 2 PT
utitllnln
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 1 i )( First Middle / �( e-
Last
am Address(number and sttt1 city,state,and ZIP code) r ,,,.
,Q EDSame as roperty address
—
Spot{fi /i First /4-Al a Middle / / Last
Mailing Address(Number and street,city',state,and ZIP code) 1 f%1 Same as property address'
tP2- I A t ��� t r aSet V---767° —
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
urplan'(olly,he or she may be liable for back taxes and substantial financial penalties.
Owner t Agnat e Date
•
1i:.1 I�V iJ .
P�esrnhr� 8� 9ate Boara o� la� Conmisvone�s
CLAIM FOR HOMESTEAD PROPERTY TAX CREUIT FOR YEAR 19�
/� , SEE BACK FOR FILING INSTRUCTIONS C,Q�q.�(ti Y
� (� {,"/����1� (�'y,p� ����
�• ) "•-'' `^"'—"'- v 1�'0� certify that on ihe 1st day of
M��, 19 � I lWel nccii�iari ac nii nrinrinal nlaro pf rggirion�a �ho f�!!�Ning described real property for .
, _ _ .. �.. ...r,... r........
which a Homestead Property Tax Credit is hereby being claimed: ��� _ Oa yD�, O p
I, (VJe) ❑ o�vned
� buying under contract
❑ have a beneficial inierest in the taxpayer � /
Property Description in � County _ �'C'(iv—� Township
Taxing Disirict (City, Town, Tovanship): 1r t(Sl^-'
Parcel Number or legai description shown on tax siatement:
nnn (�n ,. i
Ii buying on contract: Owners
Contract recorded in Recorders Ofiice - Record
Ss 8 3
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 o( the properiy utilized to produce incorne
Any oiher counties in which individuai owns or is buying real property:
certify the above
�
t is ir�e, correct and complete.
�
t
noaress
County Township
antl
Individual either owns or is buying under a contraci that provides he is to pay the property taxes
on the residence, or has a beneficial interesi in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 7(one) acre immediately
surrounding resitlential improvements
Other Land
Total Land
Residential Improvements
Dv✓eiling
Garage
Total
Other Improvements
Totai �:ovements - Line (6) plus (7) equals (8)
I hereuy certify the above is true. correci. and complete.
Sg�amre of nsseszo�
%�uUroved
True Cash
Value
(�)
(2)
(3)
�a�
(5)
(6)
(�1
�
Assessed
Valuation
u�
Homeste2d
Valuation
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