HomeMy WebLinkAboutHomestead_Smith (67) MATE FORM!3e (II}WI TREASURER FORM—IA
AEIBT'EO BY SLATE BO.RMOE•YC%1TS.2nw PRESCRIBED BY ME DEEARMEIr(W LOCAL GOVERNMENT FNA\CE tri.tazga.1
Gibson County,Audiior
101 N Main' IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple_.are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than an for homestead fraud.Homestead fraud causes higher tax bills for alt therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction ty goer that they eligible to teoeine the
FILED benefit and to prmide additionl identifying n f information ce n to allow county government they barer monitor homestead filings.This information will be kepi confidential and can only be accessed by authorized county officials The Department of
Local Government Finance will we this information to create toils that will help county officials eliminate homestead fraud.
PART 1: PROPERTY LNFORMATION
APR 1 2 LULU Taxpayer Name Property Address
Smith, James Shirley/Wanda
'/1a, ,Cry O
Po Box 133
GIBSON COUNTY AUDITOR Princeton EN 47670
1224
James Shirley/Wanda Smith
Po Box 133
Princeton IN 47670-0133 State Parcel Number Leal Description
II Ill l ill II II II II II Il III X26-12-08-203-002.687-028 019-02687-00 DIKE SUB DIV 1 LOT
r n nr t n nt ul n nt nt set nt a 7PT/8PT
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
Owner I First Middle Last
deceased
ng Address(number and street,city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
Sure _
Spouse First Middle Last
V\a,r; rn (
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 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
0
FOIiM HC 10 1979
Preu�ibe0 By Siate Bw�tl ol iae Cammissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19��
ta Be Pilea in DuD����e
✓
SEE BACK FOR FILING INSTRUCTIONS D((�� Qal $7� �D
�0
�(We)�� ��- f" �'��� x�n- � certify that on the 1st day of
�vlarch, 1�L. I, (We) occupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) B'owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in � - County T'Q.ts�.� Township
Taxing District (City, Town, Township): l0
�
Parcel Number or legal description shown on tax statement:
If buying on contract: Owners nam
Co�tract 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:
hereby certify the above statement is true, eorrect and complete.
�
_ � � � �i�zr��� �� � ,�
County Township
a�a
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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 Impr veme ts
f �` �.f
MAY 2 5 1979
Dwelling
Garage
�_ Total
Other Improvemp� ������, , // , _
_��Improvements � ine (6) pl��d�e� als (8)
.�aby certify the above is true. correct. and complete.
Ot A552SSOt
Tr�e Cash
Value
(1) ��.?o
(2)
(3)
(4)
(5)
(6)
(�l
(8)
- ACTION BY AUDI
S —/7-79
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