HomeMy WebLinkAboutHomestead_McClure %1AfE FOR M:Wt.i Retw+l TREASUILEA FORM?-IA
.APPROVED BY Will MNM OF MI-14 MS.stn PIEKTIBED BY TIE DErARTIENT OF LOtALro'aNMtK.T FINANCEKr I.I-L'LI
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
more beneficial.there is more incentive than ester for homestead fraud.Homestead fraud causes higher lax bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the lwlnestead standard deduction to verify that they am eligible to reecho the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
fling.This information will he kepi cnnlidemial and can only be accessed by authorized county Mticials.The Department 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 Property Address
_ McClure, Karen A
440 W Spruce
Princeton IN 47670
2411
Karen A McClure
440 W Spruce State Parcel Number Legal Description
Princeton IN-47670-1248
111111111(1111111(11 111 Illtllltlt rllrt ltrlr tllirtrit tt il 26-12-07-101-001.650-028 019-01650-00 PT NW 7210.67 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Kan inn McClure
•g Address(number and svx[:i1,ra:e;and ZIP co,:.-i.- _ _ _ _ - Tine as property Bddrs-- - -- . _—. _ _ _-
Spouse First Middle Last
Mailing Address(Number and street,city,state.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 Pan 4 below)
sear
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjuy,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
0
wwn nc io is�s
PrescriCeE By Sute BwrC nf Taa Commissianers
CLAIM FOR HOMESTEAD PHOPERTY TAX CHEDIT FOA YEAR 19 g 9
7a Be FileO in Dupliwte
✓
SEE BACK FOR FILING INSTRUCTIONS �Q�9 p�[s0_�
, - w
�We) �"�' w• �� 1 a%'� �• �� C�1� certify that on the 7st day of
�.� rCh, 19$�, I, IWgI nr.riiniari as niv nrinr.inal nlar.e nf resirlgnca The fnlln�ying deSCflbed feal pfOpBrty fOr
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ned
are buying under contract . .
❑ have a beneficial interest in t e taxpayer - �,
Property Description in County ��� Township
Taxing District (City, Town, Township): �J �� T–
Parcel Number or legal description shown on tax statement:
. . - _�. C�.�. Nw �y 7-a-�� ._
If buying on contract: Owners name (�� simple ow�e��
- . Contract.recorded in Recorders Office - Record No. - ✓ Page 7°2
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 prope�ty utilized to produce income
Any other counties in which individual owns or is buying real property: County Township
�hEreby certify the above statement' is true, correct and, complete.
r�
% m � � ��F� �1 •
'Si na� e _ , Street ACEress . . Ciry. Slate anE� Zip Cotle
' Individual either owns or is buying under a contract that provides he is �o p—thye pro e es
on the residence, or has a beneficial in[erest in the ta�a�rr� _���
i�cFi
FOR ASSESSOR'S USE ONLY - . '�8(�
Land not exceeding 1(one) acre immediately
surrounding residential improvements
Other Land
Total iand
Residentiai Improvements
Dwelling
Garage
Total
�a��a � �� �
•. . Cl.w.�- fa •�. `m-.�c.�.o-
True Cash i'• , , I�'SS.e3� ' omestead
Value HlaRla%ivn Valuation
(�)
(2)
�3) .
(4)
(5)
(6)
Other Improvements (�)
T. Improvements - Line (6) plus (7) equals (8) (8)
I�._. •Dy certify the above is true. correct. and complete.
Sig�u:ure ol Asussor
- ACTION BY AUDITOR -
Approved:� �• �
Da:e
Date: �