HomeMy WebLinkAboutHomestead_Matthews (3) SLATE EMANI`3K IR`l L.nt TPFASLAEA FORM'MIA
nrrRtwtn BY 5151E BOARD Of'M51*\icy"It,. Pl6LRIBm BY Tor DEPARTEENTOF LOCAL CDVRBNMLICT FINANCE If 64.-rot
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples ate limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ever for homestead fraud.I Iornestead fraud causes higher fax bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying infomvmion necessary to allow county government to better monitor homestead
filings.This information will he kepi confidential and can only be accessed by authorized county officials_The Depanment of
Local Government Finance will sew this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Matthews, Larry A/Christina J —1y
525 S Hall ST
Princeton IN 47670
964
Larry A/Christina J Matthews
525 S Hall ST State Parcel Number Leal Description
Princeton IN 47670-2325
llllllllllllllr llrtrl llrrlrrltllll lllllllrllllllllllllluleuell 26-12-07-303-000.765-028 HALLS 0.50 AC3 PT SW
___ \\_ _ __— _ _- —_ — __ _
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 4 Middle `` Last
L0.111 4N'c-2 s ayT'T-Le WS
lug Address(number and street,city,state,and ZIP code) ® Same as property address
ca S g' . 1.4-.-LL. x -.
Spouse First' Middle Last
Mailing Address(Number and street,city,state,and ZIP code) Et Same as property address
5 cP.-c CC / 1X--
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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 I/Siggnnature Date
a%��3
d � CLAIM FOR HOMESTEAD PROPERTY TAX
}��� CREDITISTANDARD DEDUCTION
�.` � State Form Sa73 (R2 / 5-92)
im
INSTRUCTIONS: See �everse side lor tiling instructions.
�"� p ���
CR�V r� 1 Y.EAI
� L
�IPSON
�� e) _� � certify that on the 7st day of March. 19
) occup as our principal plac of residence th Ilowi g described real property for wh h a Homestead Property 7ax Credit is hereby daimed:
(We) owned ❑ Are buying under coniract
Have a beneficial interesi in ihe entity thai is liable for the property tazes on the property and ihat owns the property or is buying under a contract.
� � � -- . - CONTRACTRECORDED� �
If buying on contracC Fee Simple owner's narne
Recortler's oftice where contraa is recorded Record numher Page
Caunry
Parcel number
" PROPERTY DESCRIPTION � �
Township �ing di5t¢Ft (Gry, towq township)
Legal description
J\`C ' CX� t lo �-OCl I
It any portion ot ihe residential siruaure or the land not ezceeding one (1) aae ihat immetliatety surrountls that swcture is usetl to protluce income, descnbe Ne use antl portion
ot the pwperry utilized to produce income.
County
PROPERTY OWNED BV CLAIMANT IN OTFiER COUNTIES
Township Counry
certiry the above statements are irue, correct and complete.
Address (number and s(reet city, sta(e.
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE . VALUE VALUE VALUE
Land not exceeding t(one) acre immediatety
surrounding residen�7al improvemenis. (�)
Otherland (p)
7ota1 land (line 1 plus line 7� (3)
Dwelling (4)
Residential improvements
Garage (5� '
Other improvements (6)
Total improvements (line 4 through line � (7)
Total value (line 3 p�s line 7� (g)
1 hereby certify ihe above is irue, correCL and Signamre ot Asseswr •- Dare signed
complete. '
�irg action - Signature of Auditor Date signed
�
� - - STANDARD DEDUCTION ALLOWANCE -�
79_Pay19_
lesser ot 7/2 Homestead
Valuation or $2.000 S
Signamre ot Autlimr - Date sgned