HomeMy WebLinkAboutHomestead_Ringham SIAM.FORM!!KIII_-r)-N1 MIAOW(FORM 13-IA
APPROVED BY MATE MSRDOE MYr*ISWS.!mg ILFAYIBQI BY THE DEPARTMENT(W LOCAL C.waRVMINT FINANCE.ML1.1-r4.1
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
smore beneficial.there is more incentive than nee for homestead fraud.llomesread fraud causes higher tax bills for all;therefore.
e HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only be accessed by authorized county officials.The Department of
local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Ringham, Joanna G /.3/5 Vjr!'j•• I ',ha
PO Box 201 ry1�
Princeton IN 47670 V A
1444 ���GGG
•
Joanna G Ringham
P O Box 201 State Parcel Number Lesal Description
Princeton IN 47670-0201
IFILI II111ILI ILLIIIIII IIIIII ' III I'll IIIIIIII 26-12-18-103-002.390-028 019-02390-00 MCKAW SUM 21/22 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
Owner I First Middle Last
g Address(number and street,city,state,and ZIP code) Same as property address
Tlif5 V Re 'L ,61 lid-,
/7•.0 OP ,ao)C -4o /
Spouse 49 a�ywr Last
-, , First Middle L
Sim L
Mailing Address(Number and street city,state.and ZIP code) Same as property address
- Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please spr.cify in Part 4 below)
—
s cue_. •
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
•
•
FOFM HC 10 19i9
PrewiEeG By S�a�e Boa�G ot Ta. Commissioneu
CLAIM FOR HOMESTEAU PROPERTY TAX CREOIT FOR YEAR 19 7s
To Be FileG in Duplicate
�
SEE BACK FOR FILING INSTRUCTIONS Q/ L, _ p a 3 q o- o�
�`(We)�,� �—�-� certify that on the 1st day of
�vlarch, 19��, I, (We).occupied as r principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) C3�owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer ' n
Property Description in�'J��� County `�''�-� Township
Taxing District (City, Town, Township): �i7tix.lc.t".ei,� Qixin[.}c, �7
Parcel Number or legal description shown on tax statement:
�2�� ,E!�,..� 5�.�,-. a. a v� I�� �.
If buying on contract: Owners name �`� "`np1e °""ef�
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.
�.
' Individual either owns or is buying under a contract that provides he is to pay ihe property taxes
'on the residence, or has a beneficial interest in the taxpayer.
� n � � - FOR ASSESSOR'S USE ONLY -
6 �
True Cash
���, �� ,_�� Value
Land not exceeding e r�yi mediately
surrounding resid tial improvements (�) ➢3a
Other Land � � ��r�«_ "'�t— (2) --
Total Land � q�p 't' (3) R:�o
Residential Improvements �rOR
Dwelling
Garage
Total
Oiher Improvemenis
�� Improvements - Line (6) plus (7) equals (8)
•by certify the above is true. correct. and complete.
Sigwwre
(4)
(5)
(6)
(�)
Assessed
Valuation
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�-
(s) -� j �o 0
- ACTION BY_ AUDITOR -
y
5' %�%G
Homestead
Valuation
a ��
�-�y-�9
Da:e
Approved: �.�Y � �/ �" • o � Date/�� ��