Homestead_Crooks (2) •
Loaf.FORM•35.011C rwro TfALIIRER FORM iSu
Vrarw'EoBY MATE LOAM OF Nermet c.sin errsRnamBY lair DEPARTO:YC OF LOCAL CMrRYMrNT ro:A4'EIe.-1.1-r-1.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limbed to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than e'er for homestead fraud.Ilomeceacl fraud causes higher tax bills for all:therefore.
HEA 1344--2000 requires taxpayers who remise the homestead standard deduction to verify that they are eligible to recebe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
tiling.This information will he kepi confidential and ran only he accessed by authorized county officials.The Ikpanntent of
• Local Government Finance will we this information to create tools that will help county official,eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address L
Crooks, Thomas UTerry D Trust l�
I
K 3 Box If \\\ l ]�
Oakland City IN 47660 ,v(,,',('J[}`
4341 (
Thomas L Crooks `�f
11178E Lincoln Hgts Rd State Parcel Number Legal Description
OAKLAND CITY IN 47660-7604
26-13-13-401-000.226-006 003-00226-00 PT SE 13 2 9 1.32 AC
I I I n 1 1 n t 1 1 I I n t I 1 n 1 1 u t l n r l t 1 1 n 1 1 n n l n l l n 1 1 1 n I ll I t l t l -- _ C 1 — _ —.. -
PART 2:TAXPAYER INFORMATION
Owner I First Middle Las)
\V C) IY\A 3 e, c__ -► OokS �rt�Sl
�tg Address(number and street.city,state,and ZIP code) Same as property address
1
k t") ��� . 4—. NBC:FYI C\ 1J
Spouse First Middle Last
l Y r D0. \eN.e 0.-r-00 i / T( � s�
Mailing Address(Nu rand sweet,city,state,and"LIP code) ('j 'Same as property addles
– — —
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 elieible 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 Signal / Date
•
FOW3 HC 10 1919 _ —_ -- - -- = -_ -- - - - -- - -- —�� - -- _— - - -- -- — — to Be Filed in Duplicate
Prescribed By stale Board of Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 196 /
SfE BACK FOR FILING INSTRUCTIONS ✓ 003 -00zZ6 -00
-W certify that on the 1st day of
Ve) occupied as our rincipal place of residence the following described real property for
Property Tax 'Credit is hereby being' claimed: "
I, (We) M owned : Co - 0 -
❑ are buying under contf,@ .. . . _
❑ have a beneficial inter in tke taxpayer
J
Property Description in r/i- �jpunty Township
Taxing District (City , Tow n, Township)' C� L C lQ��i -fifty
Parcel Number legal description shown on tax statement:
( �f ,��ly i 9 38a,cvl, Wax— -
It buying on. contract: Owners name (lee simple owner)
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:
certify the above statement is true, correct and complete.
County
Township
Street Acccess Gty. Slate r�mf Code
Individual either owns or is buying under a contract that provides he is to pay t rf rty Lfrtx s�;
11 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 Dwelling
Garage
Total
0th #tprovements
Twat - Line (6) plus (7) equals (8)
109 certify the above is true, correct. and complete.
Signature of assessor
F,
- ACTION
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(6)
(7)
JAN 2 7 1989
True Cash ASSessAUDITOR Vjornestead
Value Valuation Valuation
Dana
Date: —�-