HomeMy WebLinkAboutHomestead_Smith (38) .. _ MATE FORM`)w 1R=/awl TREASURIA FORM 75-IA
11,1140VE0 BY St tL tsMRont W.RPle mw PILESCRIBFD BY MIL DEPARTMEIT OF LOCAL GOVER.vMET'T FNA%CE
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
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 than eser for homestead fraud.Homestead fraud causes higher in bills for all:therefore.
• HEA 1344-2009 requires mxpasers who receive the homestead standard deduction to verify that they are eligible to receise the
benefit and to provide additional identifying information necessary to allow county goverment to better monitor homestead ,
filing'.This information will he kepi confidential and can only he accessed by authorized county officials.The Department of
Local Government Finance will use this infomation to create mvls that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Smith, Robert Lee
110 First AVE
Princeton IN 47670
1550
Robert Lee Smith
110 1st Ave State Parcel Number Legal Description
PRINCETON IN 47670-1002
1t1r t0ttr1r11tt1ttt 111 lt ttt IIII �� X26-11-12-104-002.664-028 019-02664-00 TOWER HG TS 22 PT/23 PT
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
gn7' !` EE Sea/Tf'
•g Address(numbs and st get city.state,and ZIP code) — - - -- - - — [Sawc usproperty addrca -- -
z/o F/RSrAva Pe/4/C677)4/ /n/ 1.f71e70-/a o2_
Spouse First Middle Last
DECEASED
Mailing 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 Pan 4 below)
sue
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury.that the above and foregoing infonnation 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
PORM HC 10 7979
HescriJea By $Iate BaarO oi ia� Commi55ioners
To Be PileE in Duplicale
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 � 9 �
SEE BACK FOR FILING INSTRUCTIONS o�9- oa���'`�O
�•{We)��� �� �-e-e-- �" /�— ��certify that on the 1st day of
�narch, 19—?�, 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),�I owned
❑ are buying under contract
❑ have a beneficial intererts� in the taxpayer
Property Description in /"�"'a-"-
Taxing District (City, Tow Township):
Parcel Number
If buying on contract: Owners name �'� ""'o1e °""ef�
� / �-1"�-�- Township
or legal description shown on tax statement:
�. -p- zz��
`� / ,o�c.��.e... /•1-vb , z 3 B a
Contract recorded in Recorders Office - Record No. Page
Ii 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
i Areby certify the above statement is true, correct and complete.
. � � � o
�v a...�a_ e i
'Signawr Sveet naaress C,y. aie a�w 2io �e
' 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.
��i7:�FXY��Y�I:i6Y�bY�iP►AZ
Land not exceeding 1(one) acre immediately
surrounding residential improvements
Other Land
Total Land
Residential Improvement� � � �
Other Improvements
Tr'-'-�mprovements -�
I ��y certify the above�
Sqnature ol Asseswr
,IUN � 9 1979
1 ,� �
�..'�, � •
True Cash Assessed
Value Valuation
� �. �_
(1) 3/00
(2) r
�3) 3�0�
(4)
(5)
(6)
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/ % b2 hl- o
� (8) / /
�mplete.
_ . (1N RV 41 IlIIT(lR _
O
-�o
Homestead
Valuation
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Da�e
Approved: ��.__z���!.���e � Date: _4°��`��