HomeMy WebLinkAboutHomestead_Greene FORPI HC 10 1979 To Be Filed in Duplicate
Prescribed By State Board al Tax Commissioners
n ' CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 7y ` ---.'
,, Q {/ SEE BACK FOR
� FILIFG--INSTRUCTIONS
020_ 00103
(We) ✓' & fl ���ec y-,._� �✓L2L�p / certify that on the 1st day of
arch, 19 I, (We) occupied as our prince l pea of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑❑pwned
led are buying under contract .
❑ have a beneficial intey�¢/�t in the taxpayer • _ ;; )
- Property Description in County ae ✓ Township
Taxing District (City, Town, Township): 1---- >t- cr-r1--12,-.2
Parcel Number • or legal description shown on tax statement:
In • ice:_•' a • a l
•
If buying on contract: Owners name (tee simple ownerlU(ta ....afar _-
Contract recorded in Recorders Office - Record No. Page
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.
-
.//__ ,.. /1_. • P. v. e - Q _i//. .. , / / II . 4 F.?
'Sig f'ure /' Street Address City. -.ate and Zip Code
* 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 -
True Cash Assessed Homestead
_ Value Valuation Valuation
Land not exceeding 1 (one) acre immediately 'J �y' "/��
surrounding_residential improvements (1) � .1fi 3Z0 _'d` //a e• fib
Other L (2) J—D— —O —
Total Land- L r (3) 0-3/o __IA/ iio
•
Residential Immergtr379 Dwelling (4) — j� /O100
Garage (5) zo n:0, /// iii��.a '
Total (6) 41+`-'81 B- 1 - f$ /dill
Other Impro ments AUDITOR (7) —o — — b—
T,Improvements -. Line (6) plus (7) equals (8) (8) _ �¢-� fl
- &
I : _,eby certify tie above is true. orrect. and complete.
a_.c.k--) .. -41.cai _ Siff-- /9
Signature of Assessor Date
- ACTION BY AUDITOR -
Approved: Date:
MIT IORM')Y/i1L'/vNI ITEASURQ FORM'SIA
.VPRrWED ST nal M1P OOP AnrItS.T[.gp flrzSUBFDaY urn DrPMnMLYr(IF LOCAL r TLNMR.T FIANCE In 1t.rr4.1
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 ncr for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 13-14-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to rrceise the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing,.This information will he kept confidential and can only be arrested by mohori/ed county officials.The Department of
Local Government Finance sill u.e this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
•
_ Greene, William E/Marilyn J
I Box 297
��
Somerville IN 47683
8417
Willi. E/Marilyn J Greene
10227 E North St State Parcel Number Lesal Description
Oakland City IN 47660-7679
26-20-02-204-000.103-003 020-00103-00 MOORES ADD 27/28/29/31
1111111111111111111 1111,1J11IL11111111III1 1111111111'1111111
,.„................ ___________y
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
/nrlay4 f/gPC7 G ,L N(----
lig Address(number End street city,,sstate,and ZIP code)
2 G,
I /O?
- 7 fro/{#14 ad k/4tvo ,
/ s 4• , 7 �p o
.
Spouse First Middle Last
Ma dine Address(Number and street,city,state,and ZIP code) ❑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)
Some
' 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 Signature Date
Spouse Signature Date Telephone
)
PART 4:ADDITIONAL INFORMATION •.
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