HomeMy WebLinkAboutHomestead_Spurgeon (3) - ' '- STATE FORM.)!M tt n-u.I TREASURER FORM:11.5
.ArrRovto BY ET OIL MSPD(K MtI•.TS.2t%N PRr]YAIBFD BY TEE DEPARTMF!R OF LO CAL GOVERNMENT FINANCEIC4-I.1_4.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to ore homestead standard deduction.As the receipt of this deduction becomes
_ morn beneficial,there is more incentive than net for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
• DEA 1344-1009 requims taxpayers who receive the homestead standard deduction to verify that they are eligible to recent the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing-This information will he kepi confidential and can rink be accessed by authorized county officials.The Department of
Local Goverment Finance will use this information to cream tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Spurgeon, Joseph A/Dorothy F
R4 Coal Mine RI)
Princeton IN 47670
661
Joseph A/Dorothy F Spurgeon
749 N Coal Mine Rd State Parcel Number Legal Description
Princeton IN 47670-8324
-_ _ X 26-11-01-403-002.725028 PT SE 1-2-11 .30 AC AGAR BROS 3
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PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
3-05EPI—( ALLEN SPURGEON
•m Address(number mid street,city,state-rand ZIP code) -- �/ Same us ptupcny udda s — - – __ ._.
749 NoR—i H CoacNin:E PoAD-}R1NccTotJ,1N. 476170-5324
Spouse First Middle Last
DOROTHY/ FRY SPURGEON
Mailing Address(Number and street,city,state,and"LIP code) [Same as property address
7.49 NoRm ConL N ENE POtAD —PRwce cu Li. 476'70-8324
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.
Owne I Signature t. � � }n¢5-8-200
•
FOFlM HC 10.1979
PreuriDeO By Sute BoarE af Taz Commissianers
To Be FileO in Du0licate
CLAIM FOR HOMESTEAD PROPERTY TAX CAEUIT FOR YEAR 19 �9 �/
SEE BACK FOR FILING INSTRUCTIONS Q(C� _ o a�as' i0 m
�(We) �"�°-�� a��� �• certify that on the 1st day of
�Glarch, ?`1 ,(We) occupied as our principal pla e of sidence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We)�wned
O are buying under contract
❑ have a beneficial interest,�n the taxpayer
Property Descriptian
nty ���✓ Township
Taxing District (City, Town, Township): /��✓
Parcel Number or legal description shown on tax statement:
PSE�,F. /-a-ii .3o a,�..
If buying on contract: Owners name ��� simoie o,.�e,� �"� 3
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:
hereby certify the above statement is true, correct and complete.
� � � ��
- � _ � ..�.. _ �__ - �.
County Township
- - -- .----
�z5, ia7q � �
' 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 Improvements wellir q�
JUN 2 6 19�age
Total
Other Improvements
T'�' Improvements - Line (6) plu (7) equals (
I�.my certity the �ove is true. correct, an��Qi��l@te.
oi Assessor
True Cash
Value
(1) �oo
(2) "_
(g) %o
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.
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- ACTION BY AUDITOR -
Assessed
Valuation
� 5�0
z �o
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Homestead
Valuation
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Date: �� � Z;Z— 7�i!'