HomeMy WebLinkAboutHomestead_Pauley (7) ■ .- 515Th FORM!!.W tle I HNI TAFASU[ER FORM:11A
.VtRm'En BY STATE If 0110 OF ArcnoNn`Ira PREYWDWD BY PIE UEPARPWVT OF LOCAL W52RYNR.i FINANCE IC 6-1.1-224.1
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
—. mom beneficial,there is more incentive than eser for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who remise the homestead standard deduction to serity that they are eligible to recene the
benefit and to provide additional identifying informamon necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will me this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Pauley, Hazel
1510 Brentwood
— - -- - — _ _ - _ _ Princeton IN 47670
•450 - - -
Hazel Pauley
1510 Brentwood State Parcel Number Legal Description
Princeton IN 47670-3316
Itltrllittltlltaltttlll 11tttIltttt11l11 1111 1 11 26-12-06-401-002.106-028 019-02106-00 NORTHBROOK HILLS 16
,, PART 2: TAXPAYER INFORMATION
Owner I e �� ` First `ss_ w� Middle Last
- Sl Address(number and street.city,state,and ZIP code) G Same us property ud'
/ 57O e iii v -4 16 i,, . )r'A n ce...e.no . .97676 - 33/6
Spouse First Middle Last
•
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) I Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below) _— _ ___ —
Star
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 fm back taxes and substantial financial penalties.
Owner I Signature Date
7 •
•
FOPA1 HC 70 1979
HeSCriGW By Sute BoarE of Tax Commiuioners
CLAIM FOR HOMESTEAU PHOPERTY TAX CREDIT FOR YEAR 19 7s
�:�_�y:.�.�:.��
To & FileE in Duplicate
✓
ot9-oalo�-oo
'(We) '?� �' � '°°-�-'-� /�`� certify that on the 1st day of
March, 19?9 I, (We) occupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) I�owned
❑ are buying under contract
❑ have a beneficial int est in. the taxpayer
Property Description in
Taxing District (City, Town, Township): /��
��'� Township
st
Parcel Number or legal description shown on tax statement:
� f � ,..t / --Z-�o . 33
oQTh ��tr• l�e (� /
If buying on contract: Owners name ��� simple owner�
Contract recorded in Recorders Office - Record No. Paae
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.
' 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.
FILED
- FOR ASSESSOR'S USE ONLY -
Land not ��di�g jqfpR�e) acre immediately
surrounding residentiar'improvements
Othe��/LI/��
Tota La � 1
AUDITOR
Residential Improvements Dwelling
Garage
Total
Oiher Improvements
T�Improvements - Li
I ����et}� certify ihe abo
As��o�
(6) plus (7) equals (8)
is true. correct. and compiete.
Approved:� �%
True Cash
Value
(i> :77��
(2) —
(3) -? %SO
(a) �5 �70
(5) �
(6) � S�7o
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- ACTION BY AUDITOR -
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Homestead
Valuation
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Date: � � ��