HomeMy WebLinkAboutHomestead_Skelton (4) •
MATE FORM!)W 12'1 S-•1 1REAStJU1 FORM 71-IA
mutt-nen
NOTICE TO DEPARTYLNTOF LOCAL GOVERNSIMT FINANCE if -a
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
more beneficial.there is more incentive wh ttun ever for homestead fraud.d deduction fraud causes higher tax bills for all:therefore.
• 1't101i-i.,,l] 1 HEA 1344-2009 requires taxpayers who remise the hornestead standard deduction to randy that they arc eligible to Forme the
i,? benefit and to pmvidc additional identifying infurmanun recess n•to allow counts gus'emmenl to boner monitor homestead
I ftlin��.'Ibis information will be Lepr mntidential and nn only her)
arceauvl by authnrLed county nnicials.The Ikpanmeau of
Local Government Finance kill use this information to create tools that will help county officials eliminate homestead fraud.
APR 1 6 ZUlU PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Skelton, Vivian B
GIBSON COUNTY AUDITOR 911 E Broadway
Princeton IN 47670
3333
Vivian B Skelton
911 E Broadway • State Parcel Number Legal Description
Princeton IN 47670-1923
1r1rr11tts1r11t t1r tt1�� ���t�ttt t�t�t t��tt tt��ttt���r�rt� 26-12-08-301-002.621-028 019-02621-00 HIGHLAND HOME 34 PT
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
/7( I/ A *1 ra
�tg Address(number and street,city,state,and ZIP code) — -0 Same as property address
91/ k- /jRotsO wA i '<
Spouse First Middle Last
Mailing Address(Number and street city,state,and ZIP code) El Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
sex
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 I Signature Date
•
F-0flA1 HC 70 1979
ReuriEed By State BoaN of Tax Commissioners
To & FiIM in DuWiwte
CLAIM FOR HOMESTEAD PROPERTY TAX CHEDIT FOR YEAR 19 � 9 �
o"'SEE BACK FOR FILING INSTRUCTIONS Q�9 ' DO( �p p�I '��
�(We) �`^- •"�"z-t-� ��—�' //-�-�r-t-�,.- ��• certify that on the 1st day of
�v�arch, 19 �9 I, (We) occ ied as our principal place 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
O have a beneficial interest ien�the,, taxpayer
Property Description in �-�^ County ���''� Township
Taxing District (City, `liTownship): �/�u-e��
Parcel Number or legal description shown on tax statement:
� .�.c_.l__ �4 ,3 `I�'
If buying on contract: Owners name �'� "'"v'e °""ef�
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
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.
) ,;,,�,� � �s � � ` 7G7�
'Sigwmre Snee� naareu Ciry. Sta�e ana Zip 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 exceed� 1 t.one)�re i�fhed te
surrounding resi �ntial E{mpr mert"F�
Other Lantl -,
Total Land �u�12b ��'�
Residential Improve@gnts / /I//�i� ��-
(�! �� �� '�iV
AUDITOR
Dwelling
Garage
Tolal
Other Improvements
Tf' Improvements - Line (6) plus (7) equals (8)
I�oy cerlify the above is true. correct. and complete.
Signawre o� ASSPSSO�
Approved
(1)
(2)
True Cash
Value
Assessed Homestead
Valuation Valuation
/�o o �70 `f7o
(3) /`�oo
(a) 7.9��/�
(s)
(6)
(�)
($)
- ACTION BY AUDITOR -
c/ 2l '7� °
G � �.� -
Date
Date: �6 !9 ?