HomeMy WebLinkAboutHomestead_Livermore (2) {
STALE FORM!kV.1R rYYI 1nFASUzQ FORM?SIB
Yr/ROVED BY STSIE DAVID Or MYY%T an/ PtEflBED BY ME DrPARMEY'.OF LIXAt FAVER.W.ma FINANCE M-I.t--r4.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 becomes
more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud causes higher tar bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recebe the
benefit and to provide additional identifying information racesvnv to allow county government to better monitor homestead
filing,.'.This information will he Lepl confidential and can only he accessed by authorized county officials_The Department of
Local Government Finance will use this information to create bola that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Livermore, Maxine Faye
209 Brown ST
Princeton IN 47670
422
Maxine Faye Livermore
209 Brown ST State Parcel Number Lena!Description
Princeton IN 47670-1145
Itlrlllrtrlllltrltttill lltrtlltltrlrltitlitttltltttllrrl 26-11-12-203-001.632-028 019-01632-OO PT NE 12-2-11 .23 AC
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 Last
n � o
IIr�� Y.IdA . 0__ e_12_ ti) 1a12C-
�tg Address(number and street.city,state,and ZIP code) FA Same as property address
9- t3icot-ki 1-/ 767n
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
Sate
Spouse First Middle Last
Mailing Address(Numb./ and street,city,state,and ZIP code) I spll Same 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 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
useSignatur e Date
FOHM MC 10 1979
PresuineE By State BoarG ot ia. Cammissioners
io Be file0 in Dupli[aie
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19�,� �
SEE BACK FOR FILING INSTRUCTIONS Q�9- D/�3a`��
��(We) N
,Aarch, 19 I, (We) occupied �as o p cipal place of residence the
which a Homestead Property Tax Credit is hereby being claimed:
I, (We)�owned
are buying under contract
❑ have a beneficial in rest in the taxpayer
Property Description in o �+�,
Taxing District (City, Town, Township): , _
Parcel Number or legat description shown on tax statement:
,�=-��1��� /� - � -/ / .-�34�en� ,
ify that on the 1st day of
described real property for
Township
If buying on contract: Owners name �'eP ��"'o1e
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:
' hereby certify the above statement is true, correct and complete.
� �,., . � � • � �
County Township
/ � Street naaress Ciry. Sia�e antl Zi0 �e / —
�76 7�
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 improvements
Other Land
,
Total Land
Residential Improve�ts� � � � Dwelling
Other Improvements
T�Improvement
I ,,_ „by certify�
Signa;ure al Assessor
Garage
: �• �9 �3 Total
Jlii�•� � / _
True Cash
Value
(�l l�—� �
(2) �
(3) ,�/ � O
(a) '��
cs� �_�_�
�s� �-.a'
(7�
Assessed
Valuation
_�,z0
i
����������
.O!y;�'///.'%%�
ni// /.� % .�' /.i!
Homestead
Valuation
��dv
�l,t7��,�,(���1 e4��' ($1 ($) �i� /'�� �i��
is�trUe.�otrectp�nfl complete.
_�QaZ��,e�� �° —2 a — 7
oa:e
- ACTION BY AUDITOR -
Approved: �� ���-���� Date: _l0 - x y' ? 1