HomeMy WebLinkAboutHomestead_Robinson (7) 'r
111ta FORM:99.• e/swr TREASUI[a W0.4SIA - t
�ArIMPORTANT?NOTICE TO HOMESTEAD tP PROPERTY OWNERS
t• r
Gibson County Auditor r
101 N Main
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes~
p more beneficial,there is more incentive than eter for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
al HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to receite the
benefit and to provide additional idemrtvmc 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 Depanment 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 PropeA4 Address
Robinson, Dorothy Etal
•
7 S Broadview Circle DR
Princeton IN 47670
303
Dorothy Robinson
107 S Broadview Circle Drive State Parcel Number Legal Description
PRINCETON IN 47670-9413
II uIII ii I tiIII I ( I I tiII ti II II I I III 26-11-12-301-002-4 16-028 019-02416-00 PT SW 12-2-11 -143 AC
o
t t i t tit t tit ui t t ur ut ii i BROADVIEW 7
• ' PART 2:TAXPAYER INFORMATION
itI First Mia i Last
o ra-I- h \1t/ C . tl , b / 7-) 5- 0n
a.Address(number mid i4ct.city,state.and"LIP code) u':wure tvs property addry -— - - -
I0 rj . hit ct 4f Inf (6 vtcc* / ',Li' ) Pr /hoe+'nSi. "-{747O
/
Spouse ?� ' First Middle Last
Mailing Address(Number and street,city.state.and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Drivels License/State ID Number (last 5 digits) Other(please specify in Pax 4 below)
scut
- 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
•
FOF1M HC 10 19i9 Ta & FiIM in Ouplicate
Preu�ibeG By State BoarE o� iaz Commissfoners '
CLAIM FOR HOMESTEAU PROPERTY TAX CREDIT FOR YEAR 19� /
SEE BACK FOR FILING INSTRUCTIONS o�9- oa4��- o�
�(We) ��"�-�^-+— �- ���-o-nJ certify that on the 1st day of
��larch, 19_-%._, I, (We) occu�ed as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We)�owned
are buying under contract
❑ have a beneficial inter st in the taxpayer
Property Description in County
Taxing District (City, Town, Township):
Parcel Number �
If buying on contract: Owners
Township
or legal description s�v n on�tax �S atement:
(�'.,t . 9 cc� �,L /oi - � — i / •
8it,a-n-�L,�.-�-w-��-.-� 7 . i s�a
. �-�
Contract recorded in Recorders Office - Record No
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:
certify the above statement is true, correct and complete.
County
Township
� �,L � -9G 7v
antl Zi0 �e
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.
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre immediately
surrounding resi�nti�l imp�veme�n�ts �
Other Land �
Total Land
Residential Improvements 2� ���� Dwelling
, �% � / � Garage
�/ ;��-��ti Total
Other Improvements AUDITOR
ET�r•-' �mprovements - Line (�, plus (7) equals (8)
I-�:iy certify the above ��Itrue. correct. Pnd complete.
Signawre o1 Assesmr
True Cash Assessed Homestead
Value Valuation Valuation
(�) 30 90
(21 —6—
�s> d3o �'�
(a) o
(5) \° —
(6) �5�a^`.3 O
��� — o—
($)
ION BY AUDITOR -
/0 3 0
6 —02�- 74
oa�e -�
Approved: �—,�-�a�� l Date: �-�-� 79