HomeMy WebLinkAboutHomestead_Roy (3) STATE FORM MAP IR3t R-In.) - TREASCRFR FORM IS-IA
.Y. APPROVED BY STATE BOARD OF ACCOUNTS.LW PRESCRIBE BY TF.DEPARTMENT OF LOCAL GOvERtMEYT FINAMCn IC 611324.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
Princeton, IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore,
HEA 1344-2009 requires taxpayers 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
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
_ • PART 1: PROPERTY INFORMATION
APR 1 1 2P..11
• Taxpayer Name Location Address
_ C. . Roy, Ronald J
604 Mccany RD
GIBSON COUNTY '
Princeton IN 47670 .
•
1240
Ronald J Roy 11111111_ilhlU MIIhi hIII liI ill O1111 MO MO ILIII 011111 III_I 11
604 McCarty Rd
PRINCETON IN 47670-2855 -
ItIILIIIIIttIII"IIIIIII'I'II'IIIIII'III"'ih'IIIIIIIIIIIIIIIII State Parcel Number Legal Description
26-12-18-103-001.269-0281 MCKAW SUM 1/2/3
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
Ow� First - Middle _ last -
gt a n a /d 3 o_nn e_S � -
Mailing Address(number and stmt,city,state,and ZIP code) IQI Same as property address -
WI- n- - Cccrft-t Rot. �l .
-
Spouse First Middle Last
Zara Inn Po y . - -
Mailing Addriss(Numb&and street,cny,state.arrd ZIP code).- -- - -_.•- ---- —-- Same as property address —
- .
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 1 Signature - Date -
;
•
L. „
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDITISTANDARD DEDUCTION
S shate F«m sa73 (R7 � 5-0�
PrascnbeE by ihe DeperN�ent d Lool Govemmanl Finance
INSTRUCTIONS: See reverse side fw filing instructions.
FORM `V` �R
HC70 �
I iWe) Cl '�jbn�fh�Tst day af March, 20_
I(We) occupied as aa prmdpal plaoe ol idence tlie fo ' escribed real property tor a ad Pro Tmc Gedit is hereby dairt�ed:
�cwe� � ❑ Pre buymg urder oontract AP R 3 p 0�1
ave a benefidal interest in the entity tha[ is liable for ihe property ta�ces m �he poperty and fhal rnms ihe property or is buying under a cantracL
I( buyug om m�trecL fea Sirtryle ownefs rame
Rewdefs o16ce whae wWad'u racarded
coiairy
Tovrchip
Percel run� �j� Legal desaipGan
�lo-I�-lo3-�1.11e9 oa4t ��
H e`ry portion of iha rmidential struchae a Ure Imd nol m�ceeding one (1) a
oi Ne prapaM1y uli6zad b p�otluce'v�mne.
�/3��
Rewd number
rown,
Pege
Is Uia poperty u� Question:
�� vwenr ❑ Mou�e rw� (i.c. �f.�-n
untls ihal atnrAae ia usatl tn pmdice eimrtie. dexribe ihe use aM poruon
' t?.v:�'�d�c�i' ,�.'.���i.1,4'?�i+.�c.�4 n�..i�«`fi,dz.7'.u'9�xi�i'�%'S!STANDARD'DEDUC710N:'AL''IOWANCE�-�i ' �y.�� �,Sr.i�_ <'t:�`#i'y 4a ; � �`��`�".���i�v
.'M?�i�},T.%� � � � Kl iAl��!.'i� . Lf`; ,. aY . n
20_Pay20_
I.esserof 72 Homestead
Valuatim or 535.000 S
signahue of Audita DaU signed