HomeMy WebLinkAboutHomestead_Leathers STATE FORM!3 W IR-/NMI TREASURE"FORM 75-IA
APPROVED BY WOE 95ARO(W M1;:YTS.SUM PRLflThW BY TM-DEFA TKEAR RACAL CAIrRNMri'r FD:A\CE rC♦1.1--_.I
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 bet-oats
more beneficial,there is more incentive than eser for homestead fraud.I lomestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taspayers 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
filing.This information will be kepi confidential and can only he accessed by authorized county officials.The Depannent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
- PART 1: PROPERTY ENFORMATION
Taxpayer Name Property Address
Leathers, Betty Lou
. 412 W Glendale ST
Princeton IN 47670
684
Betty Lou Leathers
412 W Glendale St State Parcel Number Legal Description
Princeton IN 47670-1222
It�tt��ttt�t��tt�rtt��� ��tt�t�tr�t�tt�t�ttt��tt�t�t��tt� 26-12-06-303-001.585-028 019-01585-00 PARKVIEW 12/13/36/37 BLK 1
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 I First Middle test
PEtt/ 1-10U U LEA -1 w-ERs —
Illtil
au Address(number and street,city,state,and ZIP code) ® Same as property address
•ii SL ,.y 4LESl• � ;f'�SIG roil ��p, 49674
Spouse First Middle Last
Mailing Address(Number and street,city,stale,and ZIP code) 0 Same as property address
•
Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
sax _ _ _ _ __ _ __ __
- PART 3i 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
•
FOflM MC 10 1979
PrtscriUed By State Board at TaR Commissfoners
CLAIM FOR HOMESTEAU PROPERTY TAX CREOIT FOR YEAR 19��
EE
io & FileG In wo�+ca�e
0�9 - o/S �S• o 0
�(We) certify that on the 1st day of
�Aarch, 19 I, (We) occupied s our p cipal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial ' te est in the taxpayer /�
Property Description in � County /`��� , Township
Taxing District (City, T���:����Towaship): /�i-/Ll�C-!�
Parcel Number or legal description shown on tax statement:
i.i—� 3�—/
_ y��.a %Luce�d-' ,/ 3 — / 3 7 — /
.
If buying on contract: Owners
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:
' hereby certify the above
� � .� O �
tement is true, correct and complete.
County Township
a�a �,o �e �� � � U
' 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 ihe taxpayer.
FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre immediately
surrounding residential improvements
Other Land � � � � �
Total Land "
Residential �mprovements JUN 2;,+ i97g
�l" . � j��1��,�
Other Improvements // AUDITOR
True Cash
Value
(�l /S6 O
(2) —
(3) / S a O
Dwelling �4) ��' O
Garage (5) _°� 194r-�-�
Tolal �6� ���
(�)
Assessed
Valuation
S'a o
S'o O
Homestead
Valuation
S—o O
�a l-fi�
T� �Improvements - Line (6) plus (7) equals (8) (8) 3�--a' �-�-f'��
I�by certify t¢e�above is true. correct. and complete.
- Slgwwre oi nssezwr
- ACTION BY AUDITOR -
Approved
G-//`-7
Da�e -
i
Date: 2/ �