HomeMy WebLinkAboutHomestead_Montgomery (6) •
�. .. STATE FORM 53560(R3 I 6-10) TREASURER FORM TSIA
- APPROVED BY STATE BOARD OF ACCOUNTS,20", PRESCRIBID BY THE DFPARTME\i OF 1.M,AL GOVERNMENT FINANCEIC 6t.1-114.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
�1 01 N.Main Strreet Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more 1344-2 al,there is more incentive than Eve for homestead fraud.Homestead fraud causes higher tax bills for all; cerc(ore,
s - HEA 1344-2009.requires taxpayers who TCCeiNT the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county goverment to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
MAY 6 2Ull Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
•MAY . • PART 1: PROPERTY INFORMATION
CTny - Taxpayer Name Location Address
v �V\ Montgomery, Everett D
GIBSON COUNTY AUDITOR 117 E PINE
PRINCETON IN 47670
2478
Ir L ill I 1111011I I 01 ID 111111.IL I _ii 10111101111 U111011 Everett D Montgomery
803 N Race ,
PRINCETON IN 47670-1663 `
"II'1I11II "I'II'llll'IIII'11111'1I111I"IIIIII111'I'IIIIII111 State Parcel Number Legal Description
•'I
26-12-07-102-000.342-028 / OLD PLAN 134 N112 PT
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This form MUST be returned to County Auditor's office.
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Please do NOT send this form back with your tax payment to the county treasurer.
_4 • . .
(� .....r I First Middle c,; . Last_—
(u etc �c"r U e/ / m r !;� pv�tn pJ l
Mailing Address(number and street,city,state,and ZIP code) Same as property s
/ �' 7m & > t Rf i e S-w ct-}-- -
Spouse . - First Middle _ Last
£Lr'6 /1Aabutjac /A00f 9 A-vte/1i
Mailing Address(Number and street,city,state,and ZIP code) Same as property s
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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
D
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDR/STANDARD DEDUCTION
smro F«m ure (r�s i s.o3�
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FORM YEAR
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I(We) / ' �"�LC/ certi(y that on the,7sl day of Marcl�, 20
.f�la _..C�11�"'• —
I(We) occupied as our principal place of residen the folio ' described real p erty for which a Homeslead Property Tac Cre�i��s hereby daimed:
❑ I(We) owned ❑ Are buying under contrect (91850N COUNTY AUDITOR
, Have a benefidal interest in lhe entiry that is Ilable for the property taxes on ihe properry and thal owns the property or is buying under a wntrad.
11 huy4�g on conVaG, Fee Simple ownefs name
whera contraa is recoMed
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County
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m produce income.
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I hereby cerUty the above statements are We, corted and complele.
Addreu (number end s6ee4 t]N. atafe, 21P cade)
Rewrd number � Page
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/J�j� Real Droperty ❑ Mobile Homo Q.C. bf.1-7)
surrountls ihet s cture ia used to praduca Income. describe Me use and poNOn
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20_Pay20_
Lesser d 1/2 Homestead g
�/eluauon a f35.000
SignaWreolAUd@w ' Datesigned