HomeMy WebLinkAboutHomestead_Lee (8) MIATE a FORM!300 IR_I 74,1 TEAAi{IA FORM:1IA
IMPORTANT NOTICE TO HOMESTEADFP PROPERTY OWNERS
Gibson County Auditor '
101 N Main
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 den ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
/11 HEA 1341--2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying infommmn necessary to allow county government to better monitor homestead
filings. Ibis information will he kept confidential and ran only be accessed by authorized county officials-The l)epanntent of
Local Covcm:nemm Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Lee, Stanley A/Cynthia
ti RI Box 226
Oakland City IN 47660
4745
Stanley A/Cynthia Lee
2802 S 950E State Parcel Number Legal Description
Oakland City IN 47660-8440
26-13-26-100-000.501-006 003-00501-00 PT NW 26-2-9 39 AC
to satI e I I sat I I n I I ntV etI e1I tI u III nt I I V I tI 1111111
C-1
PART 2:TAXPAYER INFORMATION •
Owner I First Middle Last
ak y nth i a rge/e6 i61
ig Address(number and meet,city,state,and ZIP code) Same as property address
7gaz S 15o E DPI cj- �6 , 1 N w7 ((gyp —
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) I r.TSatne us property address
Social Security.Number.(last 5.dieita)_ .Driver's License/State ID Number_(last 5 digits)__- _Other l pleasespecify.in Part 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 she may be liable for back taxes and substantial financial penalties.
Owner I Signal Date
-
S
FORM HC 10 1979
Prescribed By state Board of Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREOIT FOR YEAR 19 /7'
(We)
arch, 19— I, I
which a Homestead
To Be Filed in Duplicate
V
04 3- m4.Sak -00
ify that on the 1st day of
described real property for
I, (We) ❑ owned OICC —�J —�(o —��� -��• J�� L��o
❑ are buying under contract
❑ have a beneficial inter t in�yer
Property Description. in nCounty Township
Taxing District (City, Town, Township): f
Parcel Number
If buying on contract: Owners name )fee simple owner)
or legal description shown on tax statement:
Q-t .17[c X/ 9 09a "It J
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: County Township
hereby certify the above statement is true, correct and complete.
�Signalure O Street Address
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 reside ntia
Other Land
Total Land
Residential ImprovementgUN %8'1979 Dwelling
t. 0/" /4� Garage
AUDITOR Total
Other Improvements
Tr Improvements - Line (6) plus (7) equals (8)
1 -Ooy certify the bove is true, c ect. and complete.
Signature of Assessor
(1)
True Cash
Value
sp-o
(2) -74190
(3) 7 g8 0
(a) S -'76 -6
(6) 3 90
(6) ka9n
(7) / / ;7 0
(s) %Z /0
Assessed
Valuation
/�- 79
Dale
Approved:— /T Date:
Homestead
Valuation
/70