HomeMy WebLinkAboutHomestead_Rostron (2) STATE FORM!M5 IRE I TAM TREASURER TORN IS-TA
AR/ROVED BY STx1E DORM OF.AMC:ErS.2VN MATURED BY THE DEPARTMENT OE LOCAL GOVERNMENT FINANCE IC 4-1.E.21-1.1
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
more beneficial.there is more incentive than exer for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpasers 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
filing'.This information will be kept confidential 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.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Rostron, Donald/Gayle
608 S Ilan
Princeton IN 47670
271
Donald/Gayle Rostron
608 S Hart State Parcel Number Legal Description
Princeton IN 47670-2442
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PART 2:TAXPAYER INFORMATION
Owner I First - Middle Last
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g Address(number end trceL city,state,and ZIP code) - --- -- D-Same m plopeny'nddrxa, - - - - --- — - - —
&o $' S. f ,-tSh f EATCDiv ZN '7o 70 -2.it 9-2--
Spouse First Middle Last
C � Yl DLit 6. RO5 1/C.0 J
Mailing Address(Number and street.city,state,and ZIP code) 0 Same as property address
(pos' S, II/t,Qf 51 net'Nc.ekon/ Zn4 1, 7676- 2r/1-1 2--
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
•
�
FORM HC 10 1979
Reuribe0 By S�ate BwrE of Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREUIT FOR YEAR 19 ���
To & FiIM in Wplicate
✓
SEE BACK FOR FILING INSTRUCTIONS Q�A _ Q'ay� /s ;�
7 '1
�1(We) `��--a�,�•., y�d'�-F--Q<� t �,�-� certify that on the 1st day of
arch, 19 8/ I, (We) occupied as our principal place of re dence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) C�7 owned
❑ are buying under contract
❑ have a beneficial interpe�st i,n the taxpayer
Property Description in ,�"'w0-^� County .
Taxing District (City, Town, Township): �
Township �
Parcel Number or legal description shown on tax statement:
oS Lv � i O /��r-.
If buying on contract: Owners name �'� ""'o'e °""e'�
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:
I hereby certity the above statement is true, correct and complete.
Sheet Aearew
County
� `
Gity.
Township
ii���.
coae
' 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 residential improvements
Other Land �����
Total Land
Residential Improvements
P;1�:2 � �°"t''-�,�T9 .
Gara e� (�
\� . � . l3ue��tr'c�i1
Other Improvements AUDITOR
Total Improvements - Line (6) plus (7) equals (8)
I��y certify the above is true. correct. and complete.
l n— ,�, 5t-.� _._
Sigwmre oi assezmr
�
True Cash Assessed Homestead
Value Valuation Valuation
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(2) � —
cs� /9e--o ( 30
(4) _ ,��.2,? o
�5� � 1
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- ACTION BY AUDITOR -
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Da:e
Approved: Date: