HomeMy WebLinkAboutHomestead_Shaw (3) APPROVED rORM!M.tat IIsR TF 5A'IIFA FORM:}IA
IMPORTANT NOTICE TO HOMESTEADrPROPERTY 0.OWNERS 6-1.1-22.11.1
Gibson County Auditor
101 N Main
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
MOM beneficial.there is more incentive than ever for homestead fraud.Ilumestead 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 intorm:nwn nemary to allow county gocerntnent to better monitor homestead
tiling+.This information will he kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance ss ill use this information to create tools that will h:Ip count:officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Shaw, Robert A/Ruth S
2308 G Lake RD
Princeton IN 47670```"`������3297
Robert A/Ruth S Shaw
2308 E Lake RD State Parcel Number Legal Description
Princeton IN 47670
26-12-08-204-002.575-028 019-02575-00 DIKE SUB DIV#1 17
1 C1
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
2.01) 71 Add/.5477 6A41--(2
•tg Address(number and street.city,state,and ZIP code) - - - - M-Same as propeity o —actrts - -
Spouse First Middle Last
/ele/1 05•nymog5- SA4k)
Mailing Address(Number and street,city,state,and ZIP code) (Same as property address
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is taste 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
•
warn Hc io iers
RescriGeA By S�ate BoarE ol Ta. Cammissioners
CLAIM FOA HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19�
To & FiIM in Duplitare
✓
SEE BACK FOR FILING INSTRUCTIONS o�q- oas�S• �
�(We) �u�� ��%�+-t%- �• -d-��-�-�'' certify that on the 1st day of
�narch, 19 '�% I, (We) occupied as our principal place of residence the following descritied real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) 6"owned
❑ are buying under contract
O have a beneficial intereIst in the taxpayer
Property Description in �-+.-�d-cr�.+ County `'�a.�o�c.� Township
Taxing District (City, Town, Township): ��x-<<-�-� Q�+�+s'N l U
Parcel Number or legal description shown on tax statement:
��....rl�, 5:,�.e--��,.r- "I �
If buying on contract: Owners name (�� Nmpla owner�
Contract recorded in Recorders Office -� Record No. Paae
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 rea pt�operty: County Township
�hereby certify the above statement is true, correct and complete.
' 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 immedi�ately � ��
surrounding residential improveme�
Other Land
Total Land
Residential Improvements
Other Improvements
P�ny 3' �979
Dw Iling
�%)� �!/ ara e
v�/'/f'• TotaI
(/ AUDITOR
T•' Improvements - Line (6) plus (7) equals (8)
I�by certify the above is true. correct. and complete.
ol Nsxs50r
True Cash
Value
(1) S90 .
(2) —
(3) �S90
(4) __�� �
(s) �--�
Assessed
Valuation
�60
.Pb o
(6) —� ��i/�IIP�
(�) — /_� � ^ O <
�8� 9 � �o �. � 7 �
�—
S'/ 7 -
Da�e
- ACTION BY AUDITOR -
Homestead
Valuation
F�c o
, i s / --�.
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Approved: (�` • �L• . �.cc..[.viCD., ) Date: �� .�l- % 9
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