Homestead_Almon ' • SIRE IMt4,!w ea
IR:1 veal TREASURER FOAM 73-IA ,
A rrMw'ED BY SPJL BOARD OF M'CAN;C_2104 PAEIIR1am Dv Till DAARMITOF LOCAL GOVEINMMT MANCE n'H.1-T-rI
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 ter for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
•e HEA 1347-3009 requires axpa)crs who receive the homestead standard deduction to verify that they are eligible to recebe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings. This information will he LTA confidential and can only h accessed by authorized county officials.The Depanment of
Local Government Finance will use this information to create routs that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Almon, Phillip R/Jaymie M SR a . 3 R bs
R l Box 38
Owensvl le IN 47665
5932
Phillip R/Jaymie M Almon
8903 W SR 165 State Parcel Number Legal Description
Owensville IN 47665
26-17-03-400-000.028-021 005-00028-00 PT SE 3 3 12 4.46 AC
D-16
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
�1, l‘ K 4/i4.0 4
l
�ng Address(nu and street,city,state,and ZIP code) U Same as property address — - - --
Y Ito 3 lass - s&-zi.4t 36..0( /@c 0&t,JJ j4 .z . 1/7665-
.
Spouse First ^I Middle Last
5 n171 !tit-1 e_ c_keE % A ( a ri
Mailing Addtess(Number and street,city,state.and ZIP code) 0 Same as propene address
F903 We, it st-c. Li (% S 60t.✓s f Ji, y76o
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.
OwneJAQtptQ nature Date
'rescribed,By State Baird of Tax Commissioners
CLAIM FOR HHSTEAD PROPERTY TAX CREDIT FOR YEAR 19
BACK FOR FILING INSTRUCTIONS
i
41nmc � �.o � , mortify that on the 1st day of
I, (We) occupied as our rincipal place of residence the following described real
property for, which a Homestead Property Tax Credit is hereby being claimed: p
I, ilia) [owned e4,NT_ ;Z$
are buying under contract
have a- beneficial interest in the- taypaver_. -
Property Description inJ County� /i7: Township
Taxing District (City, Tovm, Township) :
Parcel Number or legal( scription hown on tax statement:
If buying on contract: Owners name (fee simple owner)
Contract recorded in Recorder's Office - Record No. Page
If any portion of the residential structure or the land, not exceeding one (1) ac-.re that
immediately surrounds that structure is used to produce income, describe the use and portion of
the property utilized to produce income Wo " /e
Any other counties in which individual owns or is buying real property: County Township
A/o /,Je
` ®` shy certify, the above statement i true, correct and complete.
;,�2nS✓ � � Xna� y >b (mss"
*Signature Street Address city, State and Zip Code
*Individual either owns or is buying uner a contract that provides he is to pay the
property, taxes on the, residence, or has a beneficial interest in the .taxpayer.
T reby certify the above is true, correct, and �mlete. -
Date
Signature of 06sessor
- ACTION BY AUDITOR -
ADOSoved: Date:
Homestead
Valuation
i
- FOR ASSESSORS USE ONLY -
True Cash
Assessed
Value
Valuation
Land not exceeding 1 (one) acre immediately
surrounding residential improvements
(1)
Other Land
(2)
3 8
(3)
Total Land
Pesidential IJmrovements
Dwelling
(4)
30 O
Garage
(5)
Total
(6)
30 �O
9�0
—
�D�2
other Improvements
(7)
—L
To '; Improvements - Line
(6) plus (7) equals (B)
(B)
.30 Flo
/o a 90
T reby certify the above is true, correct, and �mlete. -
Date
Signature of 06sessor
- ACTION BY AUDITOR -
ADOSoved: Date:
Homestead
Valuation
i