HomeMy WebLinkAboutHomestead_Lee (7) STATE FORM!)MIP`r TAP' ESLiSURIR FORM ASIA
APPROVED BY STATE BOARD OF.MYTANTS.mN PREYTIBW BY THE DEPARTMEIT{t lga1 GOVERNMENT FINANCE in-Lt-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 wandanl deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than eter for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to recehe the
benefit and to provide additional identifying information n cesaan'to allow county government to better monitor homestead
filing.This information will be LT.confidential and an only be accessed by authorized county officials.The Ikpanntent of
Local Government Finance'ill use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Lee, Joyce Rae
1108 F Water ST
Princeton IN 47670
1259 •
Joyce Rae Lee
1108 E Water ST State Parcel Number Legal Description
Princeton IN 47670-2252
111111111 t1t 1lrtltttllit ltl liii ttlt1F1t 1ttt1t111ttt1ttlt1tt tll 26-12-08-301-001392-028 019-01592-00 HIGHLAND HOME 56 PT
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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 e 6 Last
•tg Address(number and stmt,city,state,and ZIP code) ® Same as property address
/ /0 8' F, WsIe etok . (17670 aaSL
Spouse First Middle Last
Mailing Address(Number and street,ciy,state,and ZIP code) i� Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (lax 5 digits) Other(please specify in Pan 4 below)
"—`9" � 111�1/uu
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 1 S atme of Date
wnh+ xc �o isn
PrescriDeU By State Board of Ta. fqmmissioners
CLAIM FOR HOMESTEAD PAOPERTY TAX CREUIT FOR YEAH 19 %`
To & PiIW in Wplicate
.�
SEE BACK FOR FILING INSTRUCTIONS Q�9- �/SL��.Ofl
�(We) certify that on the 1st day of
�harch, 19�,� I, (W occ pied as our principal 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 in erest in the taxpayer ��%�/
Property Description in ���� County ,J�/,I-Ga-/ZQ � Township
� . .
Taxing District (City, Tewm-Tewrrship): / /�-�>L-�-�
Parcel Number or legal description shown on tax statement:
�
�e S� �.
If buying on contract: Owners name ��� simo�e ow�e��
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 buyin9 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 exceeding 1(one) acre immediately
surrounding residential improv�emen� � �
Other Land �
Total Land
Residential Improvements �• �R4 ? �� �� ��
�v' Dwelling
/��ti`1! �� i�9 e
.. ��� �
Other Improvements AUDITOR
Tr�lmprovements - Line (6) plus (7) equals (8)
I,._..:by certify the above is true. correct. and complete.
Signamre ol Asusmr
Approved
True Cash
Value
(i� ,�ao
(2) `_
(3) O 0 O
(4) `�i`_%'�
cs,ga$�-�o
(6) �— O
(�) ��
(8) � �
- ACTION BY AUDITOR -
Assessed Homestead
Valuation Valuation
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