HomeMy WebLinkAboutHomestead_Robinson (9) STATE MIN!1'MII(_'IYrq n1EiSnl1R FORM TS-IA
ArrRlwEI BY AAAUE BOARD Di ArCI*NI t,_Ins PAEYAInm BY Tilt DEPARMER(FL(KAC cAlc0.W.nN7 FE.SCE M 6-I.1-2-II
Gibson County Auditor
191 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc limited to one homestead sandanl deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than e'er for homestead fraud.Ilonsestead fraud causes higher tax bills for all:therefore.
HEA 1344--2IX9 requires taxpa.ers who receive the homestead standard deduction to verily 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 be kept confidential and on only be aceex.M by authorized county officials.The Depanmenl of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Robinson, Janet A Trust
1807 Cottonwood DR
Princeton IN 47670
2288
Janet A Robinson Trust
1807 Cottonwood DR State Parcel Number Legal Description
Princeton IN 47670-3327
1r1lt 11l rl1t11lt1ttt111 IlEttllt tt't'It ttl llttl'tt tl tlttll 26-12-06-204-002.417-028 019-02417-00 NORTHBROOK HILLS 54
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
whet �1 rr n(Sov7i-
g Address(number and sttmt,city,state,and ZIP code) — - -- —_ me as property odte.-
/&d 7
Spouse First Middle Last
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)
Sr
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.
• er 1 Signature Date
warn xc io isn
Reuri�M By State BaarE oi Tar Cammissioners
Q�,✓ CLAIM FOR HOMESTEAU PHOPERTY TAX CREDIT FOR YEAR 19 79
To & FiIM in Dupliwie
✓
� SEE BACK FOR FILING INSTRUCTIONS Q�Q� oac/,17�QO
_�
��yye� � � JAi✓E7 fY� -"P^"�"^ ��ertify that on the 1st day of
n�arch, 19�, 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) ❑ owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in ���50.✓
Taxing District (City, Town, Tow�ship): �'^��
Parcel Number �
If buying on contract: Owners name ��� simo�e owner)
�ounty n� "'T�KA
7on/ �/i✓n/ex �
Township
or legal description shown on tax statement:
/yo,2rN,8.2oo.e h�ic�s �o r S�
Contract recorded in Recorders Office - Record No. Page
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.
' Individuat 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 �(on� acr�dm�te�
surrounding residential improvements
Other Land �,r,qY 2'+ �979
Total Land
Residential Improvem� ���ti���Dwelling
� AUDITOR Garage
Other Improvements
T- Improvements
I�eby certify the
ot nssesw�
i
Total
plus (7) equals (8)
true. correct. and complete.
True Cash
Value
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(2) /'% a
(3) .�SSo
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cs� SJ� lSD
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(�) —
($) °�°�
� - ACTION BY AUDITOR -
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Assessed
Valuation
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S—/o-79
Da:e
Homestead
Valuation
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