HomeMy WebLinkAboutHomestead_McCleary • SIAM£FORM 535e<00/&10) - TREASURER FORM TSIA
APPROVED BY 5-ME BOARD Or ACCOUNTS,203. PRESCRIBED BY THE DEPARTMENT OF LOCALGOVERNMS,7 FNANCE IC 61.1.12 4.I
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N.Main Street - Individuals and married Couples are limited to one homestead standard deduction. As the receipt of this deduction becomes
Princeton, IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher Lax bills for all;therefore, - -
HEA.1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
•
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
�1 filings.This information tinn will be kept confidential and can only be accessed by authorized county officials.eliminate homestead mestead fraud.
of
JOpL•�, Local Government Finance will use this information to create tools that will help county officials eliminate homestead feud.
PART 1: PROPERTY INFORMATION •
, MAY 10 2011 Taxpayer Name Location Address
McCleary, Thomas H/Betty
v - 9376E 300 S
•
IBSON COUNTY AUDITOR OAKLAND CITY IN 47660
Thomas H McCleary itvioiii:otuu out t uion iu oiiionii:iouottoin ii:iiiIIU I I iih outoii_ii-iu]ui n
' 9376E 300 S
OAKLAND CITY IN 47660-8438 °
111111111111111111111111111pilliilhltlltltlidliiit111111111111 State Parcel Number Legal Description
26-13-27-200-000.590-000/ PT NE 27-2-9 7 AC D-6 C-1
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_TA\PAl'ER INFORMATION
.v-. First Middle Last ----
1h0mA5 )-1ouJ4RI> ill& eiLEPIel
Mailing Address(number and street,city,state,and ZIP code) ❑ Same as property address .
43710 E 300 S Ua-KLam(') • C:F / Znf, LI7(o�CD
Spouse First - Middle Last
13e f 7 Jolu lI c GLEJQR I .
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as properiy address .
457 & - E 300 3 Ott. KLo�nsb( t4, .zw . v ' % 0
,
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 Signature Date '
J e CLAIM+ FOR ROMEST�AD P�RO�PIERTY TAX CREDIT FOR YEAR 19
SEE B ICK FOR FILING INSTRUCTIONS P/ 0d 3
I•• "NO `�+ d `r ' -� ertify that on the Ist day of
t. 19 I, (We) occupied as our principal place of residence the folio ving described real property for
w a Homestead Property Tax Credit is hereby being claimed:
I, (We)O owned ��-��J -�! - p��!!%- 7�• �9O _ Q�j
❑ are buying under contract
❑ have a beneficial int rest in the taxpayer
Property Description ina� County 0. Township
Taxing District (City, Town, Township):
Parcel Number.
If buying on contract: Owners name 'f� $1f ltle
or legal description shown on tax statement:
R- (-r) 114 - 0? -���j 7r cc
Contract recorded in Recorders Office - Record No. 'S Page 9°212-
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
I reby certify the above statement is true, correct and complete.
' igrulure
, aAl— Street Aa �� � �f,f ti i,• /,f,.O
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 -
APR 0 3 1989
-and not exceeding 1 (one) acre immediately
>urroundi residen�l row ents (11
)ther Land AUDITOR (2)
total Land (3)
lesidential Improvements Dwelling (4)
Garage (5)
Total (6)
)ther Improvements (7)
fotal�ovements - Line (6) plus (7) equals (8) (8)
het ertify the above is true, correct, and complete.
31gne1.1e a Assessor
Appro
True Cash Assessed Homestead
Value Valuation Valuation
- ACTION BY AUDITOR -
Date: ' 1 -v /V /_