HomeMy WebLinkAboutHomestead_Evans I
MATE.FORM!Mrs!P.:/3M t MIASMA FORM IS-IA
1 .VIROVEO BY STATE WARM*MIgL\TS.3.v rtmARTRI BY MrDEMMfCT(W LOALCovL' tntT FINANCE MN.I-r4.1
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 eser for homestead fraud Homestead fraud causes higher tax bills for all:therefore.
• HEA 1343-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reeene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only be accessed by authorized county officials.The Dryunnient of
Local Government Finance swill use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY LNFORMATION
257
Oakland City IN 47660
1661
£ /DCtse Rd
OAKLAND CITY IN 47660-B461 State Parcel Number Legal Description
�t�n�i u t�t��u r I I u IIr\1u1u1n1tII t i t i a n I IluIn 26-13-10-200-000.547-006 003-00547-00 SE NE 10-2-92.89 AC
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.
Spouse First Middle Last
W t// //P ` CI
Mailing Address(Number and street,city,state.and ZIP code) 0 Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
sew_
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 'he may be liable for back taxes and substantial financial penalties.
Owner I Sic Date
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
9? U ,
SOV4 COUKTI( AUDI foil
rhHave a beneficial interest in the entity that is liable for the property taxes on the property and that omYs I We property or is buying under a contract.
If buying on contract, Fee Simple owner's name
Recorders office where contract is recorded Record number Page
N
PRO P-E RTY,-dE S C RfR.TI
County I
Tavnship
Taring diSr
Par f COS V-7 LA—)
Legal description
Is the grope in estJ on-
property ❑ Mobile Horne (I.C. 6-1.1.7)
If any portion of the residential structure or the land not exceeding one (1) acre that imrriedutety wrtounds that uri,clure is used to produce income, describe the use and portion
of the property ulilfM to produce income.
a9— /2 —/v — —
N
County
Township
County Township
I hereby certify the above statements are true. correct and complete.
i noon
ss ( Wbi; and s ;r;ale, ZI-ZP � code)
911111� -?
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rETAXI -:
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ASSESSED VALUE
_ HOMESTEAD
ON!,
RESIDEKTALLYZ
R N .ft4
M1.
V .0,Aj
?ASS
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Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
(2)
Total land (fine 1 plus line 2)
(3)
'Residential
Dwelling
(4)
PCM
Improvements orAnnuagy
, -"=
A Mobie I Manufactured Hans
Garage
(5)
E,
XMe Mi
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pits line 7)
(8)
I hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
I
Verifying action - Signature of Auditor
Date signed
20_Pay 20_
Lesser of 112 Homestead
valuation or 535.000
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