HomeMy WebLinkAboutHomestead_Malhotra %MMTt FORM n)'Mla=r•■•I ntrAsuala FORV YIt
AITIOWEID
NOTICE TO IRMA:MEW OF LOCAL
PROPERTY uOWNERS
Gibson County Auditor
101 N Main
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 net for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reeene the
benefit and to provide additional identifying infomtmion necessary to allow county government to better monitor homestead
lilinga.-Ibis information will he kept confidential and can only he accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Malhotra, Kawall/Karen
1410 Mary Lee DR
Princeton IN 47670
3221 -
Kawall/Karen Malhotra
1410 Mary Lee DR
Princeton IN 47670-3116 State Parcel Number Legal Description
11 111111111111111411111 1111111111111111 1111111111111 26-12-08-104-001.691-028 019-01691-00 EAST HILL 17
PART 2:TAXPAYER INFORMATION
Owner I First Middle last
AK/A L L MALI-I I K
-- • (numb=and str- t:city, and ZIP cadc). --_ — . — - 'Same as property address- --__ - ____ _
,/WO, MARY LEE )RIVIa / 7AINCETON 2N f7670
,
Spouse First Middle Last
XARE/V /✓1 ALF(OTRA
Mailing Address(Number and street,city,state,and"LID'code) Ef Same as pmpeny address
/4/8/(GARY LEE �R PRIac'TON -rN 976'7D
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
S
FOHM HC 70 1979
PreuribeU By State BoarE ol Tax Commissioners
To & FileO in Duplicate
CLAIM FOA HOMESTEAU PROPERTY TAX CREUIT FOA YEAR 19�� �
SEE BACK FOR FILING INSTRUCTIONS QrLfl- D�Ipq'��OU
�(We)��.�-�"�-�- ��.�-A�^� certify that on the 1st day of
�vtarch, 19 I, (We) occupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
J
I, (We)� owned
are buying under contract
❑ have a beneficial interest in the taxpayer
0-/ , � �
Property Description i
Township
Taxing District (City, Town, Township): `� �
Parcel Number or legal description shown on tax statement: .
�'�. �C�.2_e., �,u �- �'-w-. /�
If buying Ofl contract: Owners name ��� s""o�e owner)
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 oi the property utilized to produce income
Any other counties in which individual owns or is buying real property:
certify the above statement is true, correct and complete
Lee
� Svee� naareu
County • Township
�1. 4 76�0.
Ciry. Sute and Zip Coae
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 t one) acre immediately
surrounding residential pro�emer�js � �
Other Land �
Total Land ,�UN 2 6 �9%9
Residential Improvements Dwelling
h/�����tk. // �arage
v� , 'd��t�
AUDITqR To ta I
Other Improvements
T Improvements - Line (6) plus p) equals (8)
i�oy certify the above is true.�rrect. and com�lete
Sigeumre oi asseswr
T.rue Cash
Value
(i) �830
(2) —��
(3) ���0
(4) ___� \
(5) O r
cs� /9A�y o �
c�� —a—
(81 �
���r•n�arm.�rr•�:�
Assessed
Valuation
� � -
— d —
�
�� o
Homestead
Valuation
�jjjjjj/�
jjjjjjjj��
jjjj/�jjjj�
j�jjj�
� • _ .
G— ,Cy—�y
oa:e
Date: � ' ? %- 2�