HomeMy WebLinkAboutHomestead_BishopCLAIM,FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19-4?--
SEE BACK FOR FILING INSTRUCTIONS //0-00
I, (We)� � H272�r cer y that on the 1st day of
19 I, (We) occupied our principal place of residence the following described real property for
a Homestead Property Tax Credit is hereby being claimed:
I, (We) to owned
/❑ are buying under contract
❑ have a beneficial interest )n,the taxpayer `
Property Description in ounty To:mship
Taxing District (City, Town Township):_
Parcel Number or
_legal description shown on tax statement:
If buying on contract: Owners name tree sin,pie owner
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:
I hereby certify the above statement is true, correct and complete.
County Township
a, nano '/—, Street Address _ _ '. City. Slate and Zip Gone
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.
FILEf1 1 - FOR ASSESSOR'S USE ONLY -
MAY 0 ° 199
and not xi immediately
urround hW` WA ents
Ither Land
otal Land
residential Improvements Dwelling
Garage
Total
Ither Improvements
btal "vemenls - Line (6) plus (7) equals (8)
herE rtify the above is true. correct. and complete.
ignaWre of Assessor
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
WE
True Cash Assessed Homestead
Value Valuation Valuation
- ACTION BY AUDITOR -
D.n..
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sun FORM 5iW qR /•0'1 • • TREASURER FORM TS-IA
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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 ever for homestead fraud Homestead fraud causes higher in bills for all:therefore.
HEA 1344-2009 requires axpayen 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
filing>.This information will he kept conlidemial and can only he accessed by authorized county officials.The Depannamt of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Bishop, Don Earl Eugene/ Donna D
119 N Main
Patoka IN 47666
528
Don Earl Eugene/Donna D Bishop
Po Box 28 State Parcel Number Legal Description
Patoka IN 47666-0028
IuIuu IItFl IuIIIIFIIFFFIIt IIIt FFII 26-04-24-304-000.110-020 018-00110-00 COL DIV 43PT718PT
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PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
$0/1 £ /SHO
.tg Address member mid street:city,state:andZlP code)- —— -- - — -- — - -0 Same n property eddrrss--- —. — —
P&eBOA z9 PAToKA /N 517666
Spouse First Middle Last
—TO AvN4 —3/57f Di°
Mailing Address(Number and street.city,state.and ZII'code) (J Same as property address
P.0.-736 ze P/ rox� 97766
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
unlawfitlly,he or she may be liable for back taxes and substantial financial penalties.
Ow r I Signature Date '
Ogg ` e • yd6-20i6
PART 4:ADDITIONAL INFORMATION