HomeMy WebLinkAboutHomestead_Scraper 5
%LAME FORM!MOP IR:r Y0.1 TFASU EI FOAM:11A •
.ArrRrw'Er BY SI\tL BMROei ACCOUNTS_:Now PRr9(I11Bm By no DEPARP `T OF LOCAL 10M,10'FIANCE M■I.I-L'J.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple are limited to one homestead slatldanl deduction.As the receipt of this deduction becmres
more beneficial.there is more incentive than e'er for homestead fraud.Homestead fraud causes higher In bills for all;therefore.
HEA 1344--2009 requires taxpayers who receive the homestead standard deduction to yeti&that they are eligible to rvicebe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only he accessed by authorized county officials.The Ikpannient of
Local Government Finance will me this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Scraper, Dorothy J Life Est Etal
736 E State
Princeton IN 47670
2805
Dorothy J Scraper Life Est
736 E State State Parcel Number Le2a1 Description
Princeton IN 47670-1912
II'llllltlllllllll,tlll Old H.d.hdlidluihill 26-12-07-204-002.532-028 019-02532-00 NS PT LOT 1 R3
Nt
PART 2:TAXPAYER INFORMATION
Owner I r First Middle Last
/ i�� � ���
4111 e lJY.;.;(pumbe -scar, i an .... :adz) — ./ .. .. — _ .2-Seine r eddr�-
73 .fit t-r 9� 90 _-
First Middle Last
Mailing Address(Number and street,city,state.and ZIP code) air Same as property address
r f- r - 1ø
Social Security Number(last 5 digits) Drivel's License/State ID Number (last 5 digits) Other(please sptcifi'in Part 4 below) .
Rue
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 1 Siguatu Date
wnn+ Hc ia �e�s
kescnGeE By SWte BoarE of Ta. Cammiuioners
TO Be FileO in Mplicate
CLAIM FOR HOMESTEAU PflOPERTY TAX CflEDIT FOfl YEAR 19 �9 �
SEE BACK FOR FILING INSTRUCTIONS �(' �� a S 3�' I�
� _- ,n- _
+� (We) d. � -
arch, 19��`., I, (We) ccupied as our principal place of resi en�
which a Homestead Property Tax Credit is hereby being claimed:
ify that on the 1st day of
described real property for
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial interest p,in/ t�he taxpayer ,� /
Property Description in ' ��--^- County , ��'�" Township
Taxing District (City, wn, ownship): ����'�
Parcel Number . or legal description shown on tax statement: .
/l/- S - /.e 3
If buying on contract: Owners name �'� °""v'e °""ef� •
Contract recorded in Recorders Office - Record
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. —
< <. � �C'_A t",Gt / ��l�-�'t-�� T -��..._� d --�xc. U /!.1
K � %�o / v
� ana Zio 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 -
True Cash
i Value
Land not exceeding 1(one) acre immediately �
surrounding residential improvements � (�) J`��-�
Other Land � � � � � (2)
Total Land (3) � %L°"O
Residential Improvements 9
JUN ti g 1979. �weuin
Garage
/���tt�y �
Other Improvements ��
A�P�17�R
Tr� � Improvemenis - Line (6) plus (7) equa s(S)
I�by certity the above is true. correct. and complete.
Signawre ot Asussor
(4)
(5)
(6)
(�)
(8)
Assessed
Valuatior , „
� �
!� `7��
Homestead
Valuation
/�7t�
�' �Q�P�:��' �L����i�.
� -ai-�9
oa�e
Approved: ,,�� ����l���1�7 Date: �—�-79