HomeMy WebLinkAboutHomestead_McDermott SIAtE EO10M5!$ IR_I uNl TRFASULEA PoR• .IA
APPROVED BY'TOE N' DW'INTENTS.9M PEI$NBW BY ME DEPAATMEW OF LOCAI&WEELMMINT FD&CE I 6-1.I-u4l
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and hurried couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than e'er 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 receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor horesead
filings.This information will he kept cnnfdential and can only be accessed by authorized county officials.The Depannlent 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
McDermott, Betty
603 F State ST
Princeton IN 47670
921
Betty McDermott
603 E State State Parcel Number LeEal Description
PRINCETON IN 47670-1909
ititlnDtituDiDtm IIIIIIPIItttlt't tll 11r t1rr 11 26-12-07-204-000.949-028 019-00949-00 ARCHERS ENLG PHASE I5
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
ETT, / ,02c DEie /11oTT
•g Address(number and street.fay.state,and ZIP code) — n 0 Same as property address
e 3 6" 5r47E- 5 J' /C E To / N 9.76 70
Spouse First Middle Last
NA
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as properly address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
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.
OW oar 1 Signature Date
•
s���m°s CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
sE�'� CREDIT/STANDARD DEDUCTION HCio
,�y ,; �� SWte Form Sa73 (R2 / 5-92)
�ei� �
INSTRUCTIONS: See ieverse side /or liling instructions. ��'1
Il. � � � �
- �� � ^ � � � CERTIFICAT STATEMENT � ' �
I(We) I� ' e � certify that on the 7 St day of March 79_
�%) occupied as our princip pl ce � residence ihe following described real property for which a Hom ad Property/Tax�� reb aimed:
,� I(We) owned ❑ Are buying under contract "`J�� 1�.Y�=v •.� �'iITf1F �
r;..-; :a C��. �.
❑ Have a beneficial interesi in ihe entity that is liable for the property taxes on the property and ihat owns ihe property or is buying under a contract.
� - CONTRACTRECORDED � '
If buying on contraci, Fee Simple owner's name . ,
Recordefs oHice where contract is recorded Recortl numher Page
PROPEflTY
County �(,� � I Township I T3<ing pis�r�t (c�y; town,
Legal
If any portion of Ihe residential stmcture or the land not exceeding one (1) acre ihat immediatety suno'uhds that struaure is used to produce ir�come, deuribe the use and portion
of Ne pmperty utilized to produce inCOme. �J
� ASSESSOR USE ONLY , TRUETAX ASSESSED HOMESTEAD NON-RESIDENTIAL
.VALUE VALUE VALUE VALUE .
Land not exceeding 1(one) acre immediately
surrounding re5identiai improvemenis. (�)
Otherland (p) �
7otal land (line 7 plus line Z� (3)
Dwelling (4) � -
Residential improvements .
Garage (5�
Other improvemen�s (6) . '
Total improvements (line 4 through line � (7)
Total value (line 3 p�s line � (g)
I hereby certify the above is ime, CorreCi, and Signa;ure oi Assessor Da;e signed
complete. �
Ver_ityirg action � SignaNre of Audiror � Date signetl
�
- � � � STANDARD DEDUCTON ALLOWANCE '
79_Pay19_
Lesser of 7/2 Homestead
Valuation or 52.000 5
Sig Nr otAud or / . ' e� d(l �
7
�