HomeMy WebLinkAboutHomestead_Nelson (4) ■
o STATE FORM i35.14101,-101 IRSA9INA EOLU IS-4.1
ne!PvenEllQ11E sosRnor t..t(tNn.Y4 PRI-SCRlbtD HI THE DPARMIL,TOF WEAL COIF'1a_V}LG'C'L IC FL."-u]`
Gibson County Auditor ' IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS'. .
101 N. Main Street
India iduals and married couples are limited to one homes read standard deduction.AN the receipt of this deduction becomes
Princeton, IN 47670 more beneficial.there is more iteentive than ever for hum:sird fraud.Homestead fraud causes higher my bills for all:therefore.
0 1344-2009 retsina taxpayers who receive the homestead standard on to goer that they are eligible tecene the
benefit anti to pros idc additional identifying in timution necessary to allow county government to better monitor homestead
This information will be kepi confidential and can only be at-tressed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead feud.
'PART 1:PROPERTY INFORMATION - .
APR 18 2012
Taxpayer Name LocationAddress
C. .n Nelson, Gary V/Marjorie L
109 CENTRAL AVE o
GIBSON COUNTY AUDITOR PRINCETON IN 47670
1334
Gary V/ Marjorie L Nelson 110101ii:011101101 III 0111001111011 II II ii ii:iii01_ iii ill fifth iii-_II II II
109 Central Avenue
Princeton IN 47670-3421
Illrllrrl1'IrII1IIRIrrtlllr1lrl1lllll1llllll"IIIIIIRIIIIIIRI State Parcel Number Legal Description
26-12-18-304-000.721-028 BROADLEIGH PARK 19 PT/20 PT
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 t • • • --
L .,er I First Middle Last
1 / I /
Mailing Address(numbcr/and street.city,stale,and ZIP code) // / (-Sarre as properly address
/0 91 on / 7 / /tilt. P//71 Ce to.1 Intl L/7, 7 0
Spouse S,/ First Middle Last
_Ala_Mailing Address(Number and street,city,state,and ZIP code) ri Same as property address
Social Security Number(last 5 digits) Drivers Licensc/State ID Number (las:5 digs s) Other(please specify in Pan 4 below)
I I I I I Some
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
-
�•�,-�• :
��` ° CL-AIM FOR HOMESTEAD PROPERTY TAX �
;���: CREDIT/STANDARD DEDUCTION -
,�,<� � Sta;e Porm Sa73 (R2 / 5-92)
�e��
INSTRUCTIONS: See reverse side7oi7iling insbuctians.
. � r : � ��
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L'i:..�ti ••�
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e) .� �. �certify ihat on the lst day of March, 79��
j;) occupied as ur principal place of residen ihe following described realproperty for which a Homestead Property Tax Credii is hereby daimed:
I(We) owned ❑ Are buying under contraci � . .
Have a beneticial inierest in the entiry thai is liable for the pmperty taxes on ihe pmperty and thai owns ihe property or is buying under a contract.
- � �_ � � � -0ONTRACTRECORDED
( If buying on coniract. Fee Simple owner's name ' � � .
Recorder's oHice where contract is remrtled Record number Page
PROPERTY
County
ParcQel i umber I Legal d scripti �� I� '
q-�o�a
It any portion of ihe residential svucmre or ihe land not exceeding one (7) acr ha� immediatery surrc
of the pwperty uulized to produce inwme. �
fownship)
is u9ed m produce income, describe the use and portion
� PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Counry Township - Counry . TownShip
��
�reby certify the above statemenis are irue, correci and complete. Signa� � ciaiman� �
Address (numberandsbeet. city, sta7e, ZlPCrode) �J
0 LG'/ T/�iL ve• /�2 JC�' ✓i�
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD . NON-RESIDENTIAL
. VAIUE VALUE VALUE VAWE
Land not exceeding 1(one) acre immediately
surrounding residential impmvements. (�)
Otherland (p)
Total land (line 7 p/us line 2� (3)
Dwelling (4)
Residential improvements
Garage (5)
Other improvements - (6)
Total improvements (line 4 through line � (7) I
Total value Qine 3 p�s line 7) �g)
1 hereby tertify the above is ime. Correct, and Signature ot Asseswr Date signed
complete.
�fyitg action - Signa;ure of Auditor Dare signed
19_Pay19_
Lesser of tl2 Homestead
Valuation or 52,000
STANDARD DEDUCTION ALLOWANCE
3
:ure of Auduor � Date sgnetl
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