HomeMy WebLinkAboutHomestead_MorganOFCLAIM FOR HOMESTEAD PROPERTY TAX _ 1 FORM YEAR
CREDIT /STANDARD DEDUCTION HCtD_
State Form y the (Rep/ Department r r
Prescribed b Ue De artment of Local Government Finance J��, 'J
INSTRUCTIONS: See reverse side for filing instructions.
_ D n A
CERTIFICATION STATEMENT "'""�••S'"'�,? ,''``t
�}.✓'_KJl^. -�± .... �- ��G&>� ?i:,- s.''�'�°f`,+ta £•_
I (We) erti ion the 1st day o rch, 20•
�- /r U i- +;1� -L --
I (We) oau ed as ou rincipal p ce of idence the following described real property for which a Homestead Pr pert}! Tax Credit is hereby,datmed:
a owned ❑ Are
(W) buying under contract
ave a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
CONTRACT;REC_ORDED F'�'.•,.s_�+a,.*Jn x_ :�'.- ?' '_ .'„-,' •�^ta',
If buying on contract. Fee Simple owner's name
Recorders office where contract is recorded Record number Page
'b,, .c°t s' •'i ` PROPERTY�OIfJNED 'BY;CLAIIVIANT ;IN OTHER`COUNTIES,T. ',: �2 :5` Z. - ir.`_"s`'i^.+) . -
F1
ROP,EM DESCRIPTION¢Gw `,." '; .ir•K-•'>`r z'er` ". _iv' Y' #
County Township
I hereby certify the above statements are true, correct and complete.
T-17f istrict (a town, owmhip) kt
Parcel number Legal desc
n
Is the property in question:
O
Land not exceeding 1 (one) acre immediately
-1/
al u/'
❑ Real property ❑ Mobile Homo (I.C. 6-1.1 -7)
If any portion of the residential struchNre or the land not exceeding
one (1) aae that imun9diately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
'b,, .c°t s' •'i ` PROPERTY�OIfJNED 'BY;CLAIIVIANT ;IN OTHER`COUNTIES,T. ',: �2 :5` Z. - ir.`_"s`'i^.+) . -
F1
County Township
County Township
I hereby certify the above statements are true, correct and complete.
Signature of claiman
Address (number and street, city, state, ZIP code)
:h
" E'`'' •`- r2
r ASSESSOR'USE ONLYa
-TRUE TAX
s
ASSESSEDULUE
'.°AT�100
HOMESTEAD
°3"NON- �RESIDENTUIL n
��. *•e
z
HALl1E'
%'OF`ilYr�-
.yVAL"UE
�."•VALUE,�"
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
(2)`
y:�;
F,'j'� - :``•
e I'
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
ti
Residential improvements or Annually
Assessed Mobile I Manufactured Home
Garage
(5)„
.'r+,M
Other improvements
#yt02
(6)
' �T'. "v 1 it . .,t.T
Total improvements (line 4 through line 6)
(7)
Tdal value (line 3 plus line 7)
(6)
I hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete -
Verifying action - Signature oflwditor
Date signed
.,' :'". z;�- •'-+ -; uv v may. STANDARD 1DEDUCTION'ALLOWANCE'„°v�'�'��
20_Pay 20_
Lesser of 1l2 Homestead
vauabon a 535.000
Signature of Auditor _ Date Ted
/ `Q+
_ SATE FORM 531N(0.5/&10) TREASCRFA FORM ISIA
APPROVED BY STATE HOARD OF ACCOUNTS.2 9 PRESCRIBED BY THE OFPARTFEVI OF LOCAL GOVERNMENT FWAVEE IC 61.1-33x.1
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 Gaud.Homestead fraud causes higher tax bills for all;therefore,
HEA 1344 2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
F I benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
Lord Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. _
APR 1 8 14'! PART 1: PROPERTY INFORMATION
Taxpayer Name Location Address•C �•K`—� Morgan, Matthew A/Shannon M
v v Johnson
GIBSON COUNTY AUDITOR 110 Vine ST
. Haubstadt IN 47639
2725 , '
Matthew AMorgan 11EIn1111mi111111fullI 1III![lii1i1111�111111.11_111fIli II-III111111Iitillfliu
110 S Vine St
HAUBSTADT IN 47639-8180
ttllt311t111'I'11'Iltttlllllllll'1111'il'1'111111111111'll'll'lll State Parcel Number - Legal Description
26-19-31-303-000.338-009 ORIGINAL PLAN 226/227PT/225PT
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.
f 1 - • PART 2: TAXPAYER INFORiIATION
4.. . I First Middle - . Last
Mailing Address(number and street city,state,and ZIP code) e Ez Same as property address
11O Soam v 1 c.- I�cwl�kedil \7L13t .
Spouse First Middle Last
S ha l r\Kir\ I r f 1��1 C 1•'1101-0 C1-�
Mining P.ddress(Nu nbcr and street city;state;and 7.iP code) - :' - atone:s property address _ - _.
HO SoLUlf JIrd,- St . N-ri,1-1 Surat t do 47639
.
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
PART 4: ADDITIONAL INFORMATION