HomeMy WebLinkAboutHomestead_Summers (4) MIL FORM!tta IR_/%t TAFASUREE FORM 75-IA
.APPROVED BY AVE INVOD OF,N[TENTS.9N PUSEMBED BY 151E DEPMTMFYr OF LOCAL GOVERNMENT FTANEF MI-1.1'4.1
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 toe,for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who restive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county gorrrnment to better monitor homestead
filings.This information will he kept confidential and can only he accessed by authorized county officials.The Depanment of
Local Government Finance will tax this information to create owls that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Summers, Ronnie H/Barbara A
228 W Monroe
Princeton IN 47670
1141
Ronnie H/Barbara A Summers
228 W Monroe State Parcel Number Legal Description
Princeton IN 47670-2450
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F n t t ii t t t t t t ti is t t
4.
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
VO.
tli7/� UMM�i�—S
Tg Addr&tnumber mid item,cir state,and ZIY code)-- — —M Some us ptupertr udwes; -- ----
aa e id,41,44/ 6-57,--, aveFtile Z2 t'7G7I
Spouse First Middle Last� �25
Mailing Address(Number and street,city,state,and ZIP code) - ,, a as propeny 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.
r I S gnature Date i
PART PART 4:ADDITIONAL INFORMATION
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 V� /
✓
�.'.; : SEE BACK FOR FILING INSTRUCTIONS , / �9 _ ��3-Op
�n.,�.... ._ I 1 i i� A . � /1' r �/ [7
i �� .. . v ��n x �� �i ti v a_iv�.�c�t wu1 ��\.1i�C/1y� /»2Y AJ
certify that on the 1st day of
19�, I, (We) occupied as our principal place of residence the following described real property tor
a Homestead Property Tax Credit is hereby being claimed: . �_
I, (We) ❑ owned
❑ are buying under contract .
❑ have a beneficial interest in the taxpayer ` �
Property Description in Countv —
Township
Taxing District (City, Town, Township): �v���
Parcel Number ' or legal description shown on tax statement:
��� �� ��-�4 � �,��. � �Q�
If buying� on�eor�Gact]��'�@f5 name ��ee simo�e ow�eq
MAY 0 Q Contract recorded in Recorders Office - Record No. Page
If an 1989
y porUon of the residential struc[ure or the land, not exceeding one (1) acre that immediately surrounds that
structu�re y�se�to�roduce income, describe the use and portion of the property utilized to produce income
m
Any other counties in which individual owns or is buying real property:
I hereby certify the above stater�6ht is true, correct and complete.
County . Township
' ' ' . . .i ` . . strcet naaress . . r :. . . , GnY. Sia�c am Zio Coae
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 -
.and not exceeding 1(one) acre immediately
�urrounding residential improvements
Ither Land �
otal Land
lesidential Improvements
Dwelling
Garage
Total
(�)
(2)
(3)
(a)
(5)
(6)
True Cash
Value
Ither Improvements (7)
otal �ovements - Line (6) plus p) equals (8) �s)
here, ertify the above is true. correct. and complete.
igeuNre ol Assessor
- ACTION BY AUDITOR -
�pproved:
Assessed Homestead
Valuation Valuation
�
D:�le
D�te: __� � \—V�