HomeMy WebLinkAboutHomestead_Stevens MU FORM,,,.. -j IREASSRD FORM 711A
.leenm'ED BY',TOE BINPDOF neCnI TS.2wr EtLS(AmUI BY Tilt DPLMME`OCF LOCAL CewrtNMFAr EE:A\'CEKVI.I-ra'
Gibson County Auditor
101 N Main u IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead sundani deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ever for homestead fraud Homestead fraud causes higher tax bills for all:therefore.
• HEA 1343-3009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to pmside additional identifying information necessary to allow county government to better monitor homestead
filinty.ibis information will be kept confidential end can only he accessed by authorized county officials.The Department of
g 111 ♦♦♦ Local'Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
APR 0 7 20i0 Taxpayer Name Property Address
Stevens, Bonnie B
7170a,a/v...7 903 S Seminary
GIBSON COUNTY AUDt7OR Princeton IN 47670
1499
Bonnie B Stevens
908 S Seminary State Parcel Number Legal Description
Princeton IN 47670-2636
26-12-18-201-002.742-028 019-02742-OO SS ADD 177
u m
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
e I First ' Middle Last
d/✓//, ;- R/✓/C-,e- f ' lie /✓S
tg Address(number and street.city,state,and ZIP code)
Some os property address
ei v 9 o h .>7,. i 4/c,.A), , / , 7‘.,
Spouse First Middle Last
Mailing Address(Number and street city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
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.
•
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PURM MC 10 7979
Piescnbetl By S1ate Bwra ol ia. Lommissfoners
io Be FileO in Ouplicate
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 � 9 ��
SEE BACK FOR FILING INSTRUCTIONS D�Q— � p�'7(r 2_ O lri
•(We) ,�-�-�-�-� � � /.�• certify that on the 1st day of
�vlarch, 19� I, (We) occ pied as our principal place of residence the following described real property for
which a Hom stead Property Tax Credit is hereby being claimed:
I, (We) 4� owned
❑ are buying under contract
❑ have a beneficial interes in the taxpayer
Property Description in Count ��— Township
Taxing District (City Town ownship): �—� T
Parcel Number or legal description shown on tax statement:
5 .g fl�/�. /77
Ii buying on contract: Owners name ��� simple owner� ��,�,��
Contract recorded in Recorders Office - Record No. Paae
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: �
certify the above statement is true, correct and complete.
�
County Township
o -�- (1 . _ _
-'S19�n�ure ' Street nCEres3� O / Gity. S�a:e anC Zi0 �e"
4/t �� I I
( �� ' 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�meTifs
JU�' ?, � �979
Dwelling
Garage
� Total
Other Improve� T I
� A�DITOR
T '-' .Improvements �' Line (6) plus (7) equals (8)
l�oy certify the above is true. correct. and complete.
Siqnamre o� Assessor
True Cash
Value
(�l / 3.1�
(2) —
(s� 3sv
c4) �
�s�
(6) a'� � 1
c��
3�
(g) °2'
ACTION BY AUDITOR -
�v
Assessed Homestead
Valuation valuation
(7 —z z —�9
oa e
Approved: �! �/�` � �7 Date: — -z �- �_