HomeMy WebLinkAboutHomestead_BirgeFawn HC 10 1979
Prescribed By State Board at Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 ?q
SEE BACK FOR FILING INSTRUCTIONS
To Be Filed in Duplicate
0/8— 90 ()Ylr
jtWe) �� 4- oC rze�aA certify that on the 1st day of
I 19oc upied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial inte est ij n the taxpayer
Property Description in F "= County
Township
Taxing District (Gi{�- Town, Tom): CJL-A ` C
Parcel Number or legal description shown on taxi statement:
n OG Pt-
. W q F
If buying on contract: Owners name ties simple awned
S ib_ IV L
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:
certify the above statement is true, correct and complete.
dJi
.freer naaress
County Township
,uy, care afro up woe
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.
Assessed
Valuation
apaq!!7 16
Homestead
Valuation
. 9 1979
Date
Date:/
pit FOR ASSESSOR'S USE
ONLY -
��
True Cash
.�
_
Value
Land not exceeding,�fgne) acre 3rpat tely
surrounding reside l�e
ents 9
(1)
GOO
Other Land /%"
(2)
.2-40
Total Land
qV
(3)
Residential Improvements
DR Dwelling
(4)
-3-3 Q cl
(5)
Z/ O
Garage
Total
(6)
3�cto
Other Improvements
(7)
11 * Improvements - Line
'improvements
(6) plus (7) equals (8)
(8)
I l certify the above
is true. correct. and complete.
Q'i-e-k
'52�4
Signature of Assessor
ACTION
BY AUDITOR -
Assessed
Valuation
apaq!!7 16
Homestead
Valuation
. 9 1979
Date
Date:/
•
spot IOtM 232..R2/.P. TRFASIItIA FORM 13-1A
••••En BY MATE OF Ac•OUNTS_!nw PRFYAPBF➢BY mF DrPARTxe4T OF LOCAL GOVERNMENTro:ANcr.IC VI.I-124.1
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 e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HE:\ 1341-2009 requires taxpayers who receive the homestead standard deduction to serifv that they are eligible to meene the
benefit and to pnn'ide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only he accessed by authorized county officials.The Depanment of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Birge, James H Life Est/Jimmy W
Main Cross
n 4 Patoka IN 47666
498 /VfL�
James H Life Est/Jimmy W Birge
P O Box 262 State Parcel Number Legal Description
Patoka IN 47666-0262
nn I I �� oI I II nn I I o III 26-04-24-303-000.045-020 018-00045-0o COL DIV OUTLOT 16 PT/9
111011101111111111011011 u t t rt t t t t PT/10 PT
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
r
Ji m n4/ kties1�{//� heir_
Pa (nu(nbe7and street,city,state,and z code) __ .___/—-.___ _____ -(a-Same - P c addtrs,.
i?o 80X c2h42 mod- Mit/ty �ss St ule 4 / t{ 76ro,b
Spank First q Middle /� Last
Mailing.4dtlfess(Number and street,city,state,and ZIP rude) to as propem address
Po_ An atei D_---Ina-f`v gross sr- "as 4)66h'
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.
Ow er I ature Date is, `
PART 4:ADDITIONAL INFORMATION