HomeMy WebLinkAboutHomestead_Montgomery SIVE mRM53Y.in r•M1 nlLEASI FA WEN TRIA ■
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VPIOWEO BY 5101.Rr1M(DBF.MYrrUNT3.2ad PngNBED BY IDE DEPARTe IT(fLO.:LL GOVERNMENT FO:AVrEa'H.1`4.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N Main
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 dun eta for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
tILED
benefit t atal to requires taxpayers who ying in the homestead standard deduction to verify that they are eligible to recehe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filinty.This information will he kept confidential and can only Iv accessed by authorized county officials.The Depanment of
local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
APR 7 LULU PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
774,--a Montgomery, David F $I� S' jyx
—
5
GIBSON COUNTY AUDITOR � 'p y_yIL
yawwiMt-114$7l4 l�`
3817 - .._ . - . -
David F Montgomery
816 S Gibson
Princeton IN 47670-2610 State Parcel Number Legal Description
26-12-18-201-002.476-028 019-02476-00 SS ADD 105 I I I I I I I I t t t l
PART 2: TAXPAYER INFORMATION
•Owner 1 First Middle Last
OA(-z� 10� i //h,/® ��.R' `y-
.ig Address(number and st-ma,City,state,and ZIP code)— - ---- _.— —❑.Same as property dress— -- - - --
g./ 6 s . 6 i45& A-)L5-72. Ai: -re.,} rte. v 7 70
Spouse First Middle Last
x4r1/, y,41 ,4A/A1 l AJCeo4/1 g_Ay
Mailing Address(Number and street,city,stale,and ZIP code) fe as property dress
g/ 6 3 . G , _o.-0 r /OR-f,3c. __• .A4 ,</. VX70
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
unlawful! •t : :•- may be halal' for back taxes and substantial financial penalties.
per Signer Date
_ ryn t CLAIM FOR HOMESTEAD PROPERTY TAX
' � CREDIT/STANDARD DEDUCTION
` / SUte Form 5473 (RS / 16-01 �
���� Prescribed by the Department of Local Govemment Finance
INSTRUCTIONS: See reverse side /or �ling instr�ctions.
FORM
HC10
1 � � �
YEAR
�
� N`'e� �� �� � certiry Uiat on the 1 st da or nnarcn, 20
I(VJe) occupied as our principal place of residen the followin escribed real pr rty for which a Homest PropeAy T Cr�is her6liy d� ed:
� �.�. {,6
❑ I(We) owned ❑ Are buying under coNract ,T ;�i ��iTn�
(;IBSON COU>
. Have a benefidal interest in the entity that is liable for the property taxes on Ihe property and �hat owns the ptoperty or is buying under a wn[raU.
If byvig on contraq. Fee Simple ownefs name
Recordefs ofice where coniracl is recorded
Taw�+sniv
Tacing
Is the property
I( any ponion ol ihe residantlel sWCture w the Wnd not axceeding one (1 � aae that immediatety surtounds ihat
ot ihe properry uUlized to produce income.
Rewrd number � Page
property ❑ Mobile Homo (I.C. 6f.7-7)
is used to produce income. dewibe Ihe use antl portion
.�.
' a°`� �`����� �{"' w� �TRUETAX � ASSESSED VALUE � HOMESTEADY- NON=RESIDENTIAL� ts
� �YASSESSOR�USE ONLY`�Y��,'�' � R''i,�"3�� :.r ., � �.., ... � � _..-.., .,.Ti,w.-� .r�,... ,.-s... �=
�„k rx,�-�,-y„v„ ���.;�� ,� S* ��'__ .,'�a„ ���Vl1LUE;r ,F ATi100/.OF'TN x3. } :VALUEr +�'3c. ����3}, "VALUE}� �sa;
`'`,�.. _ ��
Land nol exceeding 1(one) acre immediately �="*;'�.��Ya'�-' ',�*�'�;- ��;'� Q.�'�
surtounding residenUal improvemenfs. (�) „�,�-z�'r� .t,* .',.,�,_ �..r_x�'
Oiherland �`���_ �`���"` Y.
(zl �,�,�i���-�� s�f
.,��}� ^• _�
Tdal land (line 1 plus line 2) �3)
_'.}�,'�A+.E` ...� �"�t�y"�f":�.'{
Dwelling (4) _ ;F�•d- �f ¢ �t i�
Residential improvements -=��'•��`"=°� ��'��"'�"�
Garage (5) J.i � ,"`,'"'�P�ti�,�y �.s��.s;
�-mr. s,+... t!��
Other im rovements ��������' ° � �
P ls) r '��-��:�
Tatal improvemenLS (line 4 through Irne 6) ��)
Tctal value (line 3 plus line � (g�
I hereby teAify Ute above is We, corted, and Signanire of Pssessor Date signed
complete.
Verifying action - Signature af /wdimr Date signea
20_Pay20_
Lesser of 1!2 Homesiead
Valuation or 56,000