HomeMy WebLinkAboutHomestead_Lucas STATE FORM!IM III/R.., TREASURER FOAM'Sln
.APPROVED BY MATE IrmRDtif :Mt`stn PRr9(NBFO BY TIE OtrAT TOF LOALOUELNMENT FINANCE 106-I.1-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
MOM beneficial,there is more incentive than net for homestead fraud Homestead fraud causes higher tax bills for all:therefore.
HEA 114-1-2009 requires taxpayers who receive the homestead standard deduction to verify that they are elitiWe to teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.this information will he kept confidential and can only be accessed by authorized county officials.The DepaMrent of
Local Government Finance sc ill use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Lucas, Paul H/Betty L
601 S Gibson S.F
Princeton IN 47670
1131
Paul H/ Betty L Lucas
601 S Gibson ST State Parcel Number Legal Description
Princeton IN 47670-2405
I I I I I I I I I I I I I I I I I I I I 1 111111111111 1I I I I I I I I I I I I I 11111111 26-12-07-403-001.659-028 019-01659-00 PT SE 7-2-10.16 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
Otncr I� First f' Middle / ..a// Last
gate Address(number and street,city,state,and ZIP code) II}-Cne as property address
Spouse First ,� Middle Last
CJ Q�° O r �t c-GaA
Mailing Address(Number and street,city,state,and ZIP code) I Lbarne 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 Si azure Date
FOflM HC 10 1979
Preuri�eG By S�ate BoarG ot Ta. Cammissfoners
io Be Filed in ouo���ate
CLAIM�OR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19=Z�
� SEE BACK FOR FIL G INSTRUCTIONS ✓
r
�(We) � certify that on the tst day of
��larch, 19�, I, (We) occupied as r principal plac f re ence the foilowing described real property for
which a Homestead Property Tax Credit is hereby being claime .
I, (We) ❑ owned O��_ ��6��` O�
❑ are buying under contract
❑ have a beneficial interes in the taxpayer
Property Description in�e � County ��G'� � Township
Taxing District (City, TawR; Ta+xas4ti�; ,�-/1—r� C�i-��
Parcel Number or legal description shown on tax statement:
�� S'E �� 7—� - i o , /� �
If buying Ofl contract: Owners name ��� s""oie owne.l
_ 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 statement is true, correct and complete.
County Township
0
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
T�otal Land � � � � � _
Residential Improvements Dwelling
.;��! 2 ? �979
Garage
�% i
Other improvements �/�� /,�
T� ' Improvements - Line (6i�plus p) eq�l9�T8�R
i�by certify�the� above is true. correct. and complete.
Siqwmre of Pssessor
True Cash
Value
(�) / o a o
(2)
(3� / o 0 0
(4) S�7 P D
Is> �2�'Q
(6) iL.Z�=�'
(�) /�� ��
($) "
- ACTION BY AUDITOR -
Assessed
Valuation
330
330
Homestead
Valuation
330
-, .
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Date: �' �-Z- %�/