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HomeMy WebLinkAboutHomestead_Mayhall (3) AATE IORM nsa IR]t s-1.1 WAFA4a[n roaM MIA APPROVED BYcIAPE BOARD OF M'ls,la.5/M PRESR1am BY Tut OtPARMLYT OF UMAL GOVERNMENT rD:&VCF MVI.I'_J.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 sundani deduction.As the receipt of this deduction becomes more beneficial.there is more incentive than eser for homestead fraud.Homestead fraud causes higher in bills for all:therefore. ® ILEA 1344-2009 requires taspavers who receive the homestead standard deduction to verify that they are eligible to receive the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead fling..This information will be Leo canhidetuial and can only St accessed by authorized county MLcials''tbe tkpannrent of Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Prnperte Address Mayhall, Mary A/Aaron W 210 Delaware Princeton IN 47670 1593 Mary A Mayhall 210 Deleware State Parcel Number Leoal Description PRINCETON IN 47670-3428 26-12-18-304-001.729-028 019-01729-00 BROADLEIGH PARK 109 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 42/1/Cy a i?»774 ng Address(number and sweet,city,state,and ZIP code) © Sam. property address ,t% /O G- 6",t - --- Mailing Address(Number and street city,stale,and ZIP code) ❑ Same as property address Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below) snw . , 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 properly. 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 • FOItM HL �0 t979 to Be FileO in �u0liwte PreunOetl By 9ale BoaiE ot ia. Commissioners � CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19� � �SEE BACK FOR FILING INSTRUCTIONS �(9_ A�?aq- 00 /�G�c��tJ � / _ �(We) • ���arch, 19 I, (We) occupied as our princi place of which a Homestead Property Tax Credit is fi by being' I, (We) C�owned ❑ are buying under contract ❑ have a beneficial interes; in the taxpayer Property Description in Taxing District (City, Town, Township): Parcel Number If buying Ofl contract: Owners name ��� z�moie owneq �certify that on the 1st day of the following described real property for �ounty i ��a � Township or legal description shown on tax statement: ��ia9 P,�. Contract recorded in Recorders Office - Record No If any portion of the residential s[ructure 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. avee� naaress County Township Ci:y. S:are antl Lo 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 1(one) e (� medFately� � surrounding residential impr�me�ts ��� Other Land Total �and ,�UN 2119�9 Residential Improvements pW � ' 9� � P�iapR Other Improvements T�Improvements - Line (6) plus (7) equals (8) I by certify the above is true. correct. and complete. Siqnawre Approved True Cash Assessed Homestead Value Valuation � Valuation (i� ti o0 %7� (2) — — (3) �� (4) �'-E3o (s) — (6) —a `-�-3° c�� — 18) -� �L-?° - ACTION BY AUDITOR - /70 PLo 8/0 � �a:e G� . ����������� jjjjjjjjjj/ . . . . . . . . . . . . . . . . . . . . . . . . . . . . /�j/��j/�/, ������ Date: (� �! ,�