HomeMy WebLinkAboutHomestead_Lloyd (7) SLATE FORMna lief,aril fPFAS1it1A FORM is-t5
.AI/ROVED BY SLATE[(WOOF<COR1'TS.211W FRIARIBW BY TIM Drr/0.ncNror LOCAL awERVMTT.T MANCEw�EI_J.i
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive dun eser for homestead fraud.Homestead Gaud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verity 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 be kepi confidential and on only be accessed by authnrired county officials.The Depannrnt of
Local Government Finance w ill use this information to create tools that will help county officials eliminate hoTncacad fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Lloyd, David UJudy
R4 Box 278
Princeton IN 47670
1 31 3
David LLloyd 0p62 N ern/1/z EL
1002 N Embree State Parcel Number Legal Description
PRINCETON IN 47670-1216
II III I III
r u nt t o tar 26-11-01-403-000.453-028 019-00453-00 PARKVIEW 7/8/9/10/11/12
II slI t I tar II r II n II lllll
BLK 4
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
04vea (a y/�
- g Address(number and atrcet,sit smt'e,atdZlP code)--_--- — - — ' — - - -- - 111-Same ru propcny address - -'— - -- —
Ua 2 N IFOI84ELc
/ -
Spouse First Middle Last
/ 4,0y &43,4g2 ka yY�
Mailing Address(Number and street,city.state,and ZIP code) ❑Same as property address
■152177c
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 nature Date
I
� CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
t CREDIT/STANDARD DEDUCTION HC10
Sta�e Fwm Sa73 (RB / 1-03)
Presaibed by the DeDartment ot Local Govemment Finance
INSTRUCTIONS: See reverso side for /iling insfrticfions.
��'��'."��'����'�_�-.' �-`�i-�a'""r:i�aiz-�i��CERTI.CATlO STATEMENT-�''�'�`°-�T�"._� ,. �_�._ Y , _.. .
_.,_ _s._- __ -���,zy>_��-��.��"�,�.,.�'.?�,°�'>-'k�-�L�)
I(VJe) � '" % ���r d � / certify lhat on th 1�day o a ch, 0
I(We) occupied as o principal place oi residence the foilowing described real property for which a Homestead Pr erty �C dit is re �
❑ I(We) owned ❑ Are buying under contract �
n � p�Q 3
. Have a benefidal inlerest in the enfiry that is liable for the pmperty taxes on the property and Ihat owns the property or ip�bely�ing�pd}fef%'YAntraU.
V �+ n
If buy'vig on coniraq, Fee Simpla ownefs name
Remrders oifice where conVaa is remrdeA
/�`�.G,aso� �"�,
Rewrd number Page
County / �� d� Tavn� //� /C n Tating di5tri�j� town, lownshi )
L _I / �� // �
Par(ce�l n m r L desc " lion. Is the property in Question:
(/ ��� ��� '� � 7 8 4/o i� i ❑ Real DroPerty ❑ Mobile Homo (I.C. biJ-�
H any ponion af Ne residenllel aW cWra w the land nd exceeAing one (1 � acre lhet immetliatety wrrounds that swcNre is used b produce income, desaibe Na use antl pwtion
o( the property ulilized to produce income. � N //
�,n�. 7
County
I hereby certify the above statements are We, coved and complete.
Addreu (numbereM sbeet city, s(ate, ZlPcode) �� I
� /a a 2 n� L=rrrR�t�F Pki.��i_>o.� T_ �n1 �l7G 7U
"'��'��_�'�r� u���''�"�sTnr�onRn nenucnoN a�iownrrce ti�.��,��""...�.„���`a��'�,����;� �
20 _ Pay 20 _
Lesser of 1/2 Homestead
VauaUOn a 535.000
S
SignaWraotlwditw � Datesigned
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