HomeMy WebLinkAboutHomestead_Haines n
STATE FORM!)M In:/•M1 mmrssumEA FORM 731A
APrstWtO BY STATE Bn1RD Of AXTtNlt lry PtI9LNhED BY ME DEPARTMENT OF LOCAL rovztNMENT FINANCE Ice-u-_4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and tarried couples are limited to one homestead standard 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 1344-2009 requires taxpaycn who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional idenufyinc information necessary to allow county government to better monitor homestead
filing..This information will be kept centennial and can only he accessed by authorized county officials.The Depannsenr of
Local Government Finance will use this information to cream tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Haines,Alan/Harolyn N Trust
213 S 1150 F
Oakland City IN 47660
59
Alan/Harolyn N Haines Trust
213 S 1150E State Parcel Number Legal Description
Oakland City IN 47660-8604
IF Irt ILttLIIlIIILFlltttlttltrlLFllrttJtdttdlttlLFlJtI 26-13-12-400-000.352-006 003-00352-00 PT SE 12-2-91 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.
. PART 2:TAXPAYER INFORMATION
Owner I A L Q 111 C0C O i t / IR Middle Last
40ag Address(number and street,city,state,and ZIP code) ® Same as property address
213 5 riSo E OAkI-f1An, G(T4 / N 47660
Spouse First Middle Last
f-l/9R0LyN NA-D4Av HAIruts
Mailing Address(Number and street,city,state,and ZIP code) ® Same as property address
2 / 3 5 //SO 4 Oftk/hN,b c/If //✓ yrGcci
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.
Owner 1 Si Date
FORM MC 10 1979 To Be Fileo in Duplicate
irtscritteo By State Boam of tae commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19-11— /
SEE BACK FOR FILING INSTRUCTIONS
,� a-T �Cea.Q� °03— 003Sa -o""
�(We) certify that on the 1st day of
March, 19--Tq, I, (We) occupied as our princip1d, place of residence the following described real property for
which a Homestead Property Tax Credit is-hereby being claimed:
I, (We) ❑ owned_ /3 /� - '�q -�ao.
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
r
Property Description in County Township
A /1 i
Taxing District (City, Town, Township):
Parcel Number
If buying on contract: Owners name Ifee simple owner)
or legal description shown on tax statement:
Contract recorded in Recorders Office - Record
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
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 (pae)re irt;mediy
surrounding residential Ihmiliro me
Other Land
Total Land .)UN 12 1979_
Residential Improvements` % welling
rage
AUDIMRTotal
Other Improvements
T Improvements - Line (6) plus (7) equals (8)
I< by certify the abbe is true. corrAct. and.complete.
Signature of Assessor
True Cash
Value
Assessed
Homestead
Valuation
Valuation
!Zn
/ 70
(2) —O— __0_
(3)
(a) 6 8Sa
(5) —0—
(6)
(7) 3 0
(8) %0.4
v ACTION BY AUDITOR -
If -
Date
Date: —(L