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HomeMy WebLinkAboutHomestead_Mitchell (8) sl Mt FORM 53 4*.R:1,-n, MIASMA cr1101,71.0 APPA*'En BY StsTE la,iRO OrACT[1.1t Inn PIEYAT(D UN TIM DEPARTKEW OF LOALC.mERNMFICT FD4A\CE It t.t-_4.1 r 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 eter for homestead fraud.homestead fraud causes higher tat bills for all:therefore. HEA 1344-200c requires taapaycrs who receive the homestead standard deduction to verily that they are eligible to receive the benefit and to provide additional identifying information necessary to allow county go.matt to better monitor homestead Ming,.This information will he kepi contidemnial and ran only to accessed by authorized county officials.The Ikpanntent of Local Government Finance will use this information to create ours that will help county officials eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address • Mitchell, Gladys M 203 li Clark Princeton IN 47670 3012 Gladys M Mitchell 203 E Clark State Parcel Number Legal Description Princeton IN 47670-2109 lt ltrlltrrltllt rlr trlllrttrt lt ltttlliltt tltlttll Ilttttill 26-12-07-401-001.814-028 019-01814-00 WILLIAMS 2ND 9 PT PART 2:TAXPAYER INFORMATION Owner I ��aa First �j/ Middle Last LS Lh D YS /' /J-a J--/ 7 TG it E Li.- all teg Address(number and street,city,state,and ZIP code)(� RI Same as property address 2-o3 G. C' Lh271 ST , PR /A✓GETOlvr- N'D_ L('7L>m - ?) f 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 spu ity in Pan 4 below) saw 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 Signature Date • FOPM HC 10 1979 Preuri�eE By State BaarG o� Ta. CommiSSionea io Be FileO in MDlicate CLAIM FOR HOMESTEAU PROPERTY TAX CREDIT FOR YEAR 19 ?9 / SEE BACK FOR FILING INSTRUCTIONS D��— D( �I'I' O� �-�,� -� �-,� � ` . . '(We) � �� � —� certify that on the 1st day of arch, 19 I, (We) occupied as our incipal place of residence the following described real property for which a Homestead Property Tax Credit is hereby being claimed: I, (We)� owned ' ❑ are buying under contract ❑ have a beneficial interest in the taxpayer ' Q�/ i - ..,_ ' 1 Property Description in h!-c�(i-a-o—+�� County �-�-�'�O-� Township Taxing District (City, Town, Township): ' Parcel Number or legal description shown on tax statement: `�iw.. . �.�,...d�- Q-.oLcC • 9 i'1 �i. If buying Ofl contract Owners name ��ee s�moie owneq Contract recorded in Recorders Office - Record 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 property 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�� \� c �!+-�a.�,- o�- 3.0 3 �, C,'�,t,ti,� � ' 'Sipnamre Sueet Atltlress afp > 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 - True Cash Value Assessed Valuation Land not exceeding �(on� acrq im�te� surrounding resident{��i' im rovet�nts (�) a 030 ( 80 Other Land (�) �a— —o— Total Land JIJ�� %,<j Ii�J Residential Improvements � � i /���./i�� I � AUDiTOR Other Improvements T^'-' Improvements - Line (6) plus (7) equals (8) 1�6y certify the above is true�orrect. and c � Sl9na:ure o1 nssessor � �a� Homesiead Valuation , j�jjjjj/�j jj/�jj��j/ jjjjj�jjjj j�j�