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HomeMy WebLinkAboutHomestead_Roberts (4) S1411.FORM!Mt.la t f•NI thLASnlrn 10101 SIA .SEEM.'En BY STATE MaNUM'MY'Or.Ta.vr Etryg mBQ,BY 11W DEPA TMENT rLOCLL r ERNMFA1 ":Y4F M 6-IJ--'4.1 Gibson County Auditor PROPERTY OWNERS IMPORTANT NOTICE TO HOMESTEAD PR 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 than eser for homestead fraud.Homestead fraud causes higher tat bills for all:therefore. ® HEA 134:-3009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recehe the benefit and to provide additional identifyine information nece<ary to allow county government to better monitor homestead filings.This information will he kept confidential and on only he accessed by authorized county officials.The nepanntem 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 Roberts, Netah 208 Makemson AVE Princeton IN 47670 3768 Netah Roberts 208 Makemson AVE State Parcel Number Legal Description Princeton IN 47670-2930 ltlullutItlIulnllll I ��Ilnn��l��nl��nllnIllllrll 26-12-18-104-002.540-028 019-02540-00 PT NW 18-2-101.94 AC PART 2: TAXPAYER INFORMATION • Owner I rr First n Middle Last G N2-1'A y a ID ex-4-5 ig Address(number and street,city,state,and ZIP code) - _ - - Same as properiy address ` -- - --- a©S 1\1\0∎Ve—N-v,SO \It nc, i N 4-71 70 Spouse First Middle Last No Y\c Mailing Address(Number and street,city.state,and ZIP code) Same as property address Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below) sou 'II 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 Si a e Ro4p46 Date 0 �,. .,.,, a� ; CLAIM FOR HOMESTEAD PROPERTY TAX �;E-��e�r,+'� CREDITISTANDARD DEDUCTION ,��wa:;:�� Slate Porm 5473 (R2 / 5-92) . tJ �sii INSTRUCTIONS: See reverse side lor liling instructions. FORM HC10 YEAR ' We) `_��,/�„�` ���+� � certi•fn'U�hLat� ilie��y of March, 79 .e) occupied as our principal place of resfdence the following described real property for which a Homesiea8 Property Tau r it is h=r daimed: ❑ I(We) owned ❑ Are buying under coniract �• ❑ Have a beneficial interest in the entiry thai is liable for ihe property taxes on the property and ih t owa� n�rc�vi ��.�ng under a contract. . CONTRACT RECORDED � � II buyinq om m�traCl. Fee Simple owner's name - Recorder's office where croniract is recorded Record number Page PROPERTY DESCRIPTION Couniy � Tawnship Tvcing district (ciry, favn, rownship) P- - I num er Lega� description _b � _0� IJ - -/D If any ponion of the residential sirucwre or the land no� exceeding one (7 j acre that immetliatety surmuntls that swcture is used to ot ihe pmperty uNized ro produce income. PROPERTY OWNED BV CLAIMANT IN OTFiER County Township County ifeby certify the above statements are irue, correct and complete. Sign �� r f cla' ar Address (number and s(reet, ury, s1a1e. ZIP code) �� aog m� ASSESSOR USE ONLY Land noi exceeding 7(one) acre immediately surrounding residential improvements. Otherland Total land (line 1 plus line � Dwelling Resideniial improvemenis Garage Other improvements Total improvements (line 4 through lina � Total value (line 3 p�s line � I hereby certify ihe above is true, correci, and complete. ��ig aaion - Signamre of Auditor 19_Pay79_ Lesser of 1!2 Homestead Valuation or 52.000 TRUETAX ASSESSED VALUE VALUE I�) (21 (3) (4) (5) (6) I�l (8) Signamre oi Assessor STANDARD DEDUCTION AILOWAI S HOMESTEAD VAIUE income, describe the use and portion NON-RESIDENTIAL VALUE Date signetl signed . �M..� I � ��_/i� � I� . �