HomeMy WebLinkAboutHomestead_Smith (56) STATED ORM,351.IR_r•.O TREASURER FOfM S.IA
Gibson County Auditor MIRMEDaT STALL MIMPU'FMir at\TS 9x rn ,1amD BY THE DrpAan&Nr OF LOCAL rinrt9MtxT FP:ASCE IC 6-1.1.1241
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 e'er for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
• HE.\ 1344--?00')requires taxpaxen who receive the homestead standard deduction to verify that they arc eligible to receve the
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benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
Minas This information will he kept confidential and ran only he accessed by authorized county officials.The Depanment of
local Government Finance will roc this information to create tools that will help counuv officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
APR g Zulu Taxpayer Name Property Address
Smith, Shirley J
pa, 2010 Glenwood Dr
GIBSON COUNTY ItQR Princeton IN 47670
1514
Shirley J Smith
2010 Glenwood Dr State Parcel Number Lesal Description
Princeton IN 47670-1041
X 26-11-12-103-002.647-028 019-02647-00 TOWER HGTS 212
�.
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Drivcds License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sore
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
•
FOflM NC 10 1979 �
Preu�i0ea By State Bwrd o� iaR Cammissioners
io Be FileO fn DuDlicate
CLAIM FOR HOMESTEAD PROPERTY TAX CREOIT FOR YEAR 19�2 /
SEE BACK FOR FILING INSTRUCTIONS Q�p� �'a���—OO
�(We) � ��� � certify that on the 1st day of
�v�arch, 19� I, (We)�occupied as our principal place of re id ce the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I. (We) led owned
❑ are buying under contract
❑ have a beneficial interest in the tazpayer
Property Description in �r County �%Q��+- Township
Taxing District (City, own, wnship): ����'�
Parcel Number or legal description shown on tax statement:
�e..- . /,��c/� � / Z
—�
If buying on contract: Owners name ��� smpie owneq
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:
�hereby certity the above statement is true, correct and complete
County Township
' Individual either owns or is buying under a contract ihat provides he is to pay the property taxes
on the residence, or has a bene(icial interest in the taxpayer.
� � � �FQ�,SSESSOR'S USE ONLY - _
.iUiV ! J lfl!�
Land not exceeding 1(on acr! imm iatel
surrounding residential rov e�t�
Other Land AUDITOR
Total Land
Residential Improvements Dwelling
Garage
Total
Other Improvements
-�r�' ' Improvements - Line (6) plus (7) equals (8)
rby certify the above is true. correct. and complete.
�i.a-v�c- �
S�gnawre ot nssessor
True Cash
Value
�,� /��o
(2)
(s) C�9�
(4)�-- /��/�--c���o
(5) �(6) // o0
(i) ��
�8� /r/
Assessed
Valuation
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Homestead
Valuation
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Date:
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