HomeMy WebLinkAboutHomestead_Robling (2) 51AE fnRM !t IR2I RANI TR E6LGFR ro'.al 75-IA
nrVRm'EB BY STATE BOARD nr NO R:ATS.N R PRESr 1BEDBY THE DEPARTSLEVr(i URAI GOVERNMENT MANCE IC.-I.1.2G..1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ner for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
II HEA 1344-3009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recebe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.this information will be Rcpt cot edential and can only be accessed by authorized county officials.The Depanntent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. -
1 s-441 PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address .
Robling, Byron
211 S Seminary
Princeton IN 47670
1066
Byron Robling
211 S Seminary State Parcel Number Legal Description
Princeton IN 47670-2119
IIIttlltrrllllrrlriiiII tall llltrrllrrtllltl Iltttlltrrlli 26-12-07-401-002.421-028 019-02421-00 PT NW SE 7-2-10.13 AC
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)
VI/came as property address
Spouse First / Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
I
__Social Security Number(last S.digits)— _Drivels License/S ber_(Inq.S digits) Other(please specify in Parts below; _-- - - _
Soa
--- 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 be liable for back taxes and substantial financial penalties.
Owner Signature �Z �C9-�%I D - __ W ( /�
wan+ Hc io �sm
Prewnbed ey Stat¢ Bwrtl at 7a. Commissioners
to Be Piled in Dup�icate
CLAIM FOR HOMESTEAO PROPERTY TAX.CREDIT FOR YEAR 19� ,/
SEE BACK FOR FILING INSTRUCTIONS Q� g- O a�'I a I' ��
�(We) 'F certify that on the 1st day of
�narch, 19 I, (We) occupied as our principal pla 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,�e/st �in�the taxpayer
Property' Description in M-/�.-��^, County ���� Township
Taxing Districi (City, Town, Township):
Parcel Number
If buying O!1 contract: Owners name ��� s�mo�e owneq
or legal description shown on tax statement:
Gf Alw'�� ,SE��� '7-�-/0 ./3 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
siructure 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:
�her�ertify the above statement is true, correct and complete.
� ��.� �JI�
County Township
: ��-�: J.�Hi���i � v �i,U� 4 ro� S�,
Street AaOress � Ci�y, Sta�e antl Zip Cooe
�
Individual either owns or is buying under a cohtract 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 ���rrr�ia�y.�
surrounding residentia p v ent�0 1 1
Other Land ,� �J
Tota� �and JUZ� 2;� i979
Residential Improvemen /����
� r
� AUDITOR
Olher Improvements
Dwelling
Garage
Total
7D
True Cash Assessed Homestead
Value Valuation Valuation
(�) /�eoo 530
(2) —
(3) � /CnOo 530
(4)
(5)
(6)
(�)
Tr���,improvements - Line (6) plus (7) equals (8) (8)
I�sby certify the above is true. correct. and complete.
Signamre ol
Approved
'1
`
��ir^ — i
(o -.2/-79
Da:e
Date: --�.Ll����_—