HomeMy WebLinkAboutHomestead_Almon (2) STATE F0RM 5)560(P31510) TREASURES FOLK TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS.EOI PRESCRIBED BY THE OF7ARn1r2aoF IDCAL GOYER.\MENTFmAV(£IC 61.1-214.1
• *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 fraud.Homestead fraud causes higher tax bills for all;therefore,
c HEA 1344 2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
�.A. F I L E benefit and to provide additional ept c fyine information necessary to allow county government so better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
' Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
. PART 1: PROPERTY INFORMATION
APR 21 2011 Taxpayer Name Location Address
C d� Almon, Robert!Jr Marcia 0
pig 9659 W SR 165
61D3 SON COUNTY AUDITOR Ii OWENSVI Le11iiIN 47665ippi��
Robert%Marcia O Almon Jr Jr. II�III�III-��II ��I�III �II�I� II 11111111 1111111111111H1-�III�II�IIBI�ulI 1111 111 1111 '
9659 W SR 165
Owensville IN 47665
State Parcel Number Legal Description
26-17-04-400-000.012-021/ JOHNSON 1ST ADD 19 PT
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.
_.
O I First Middle /� Last
IIDtes �1, f'/(,monJ
Mailing Address(number and street,city.state,and ZIP code) Same as property address,
/
Spouse First Middle Last
y1 )
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
SA to
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 Si: Lure. _ - Date
FORM HC 10 1979 To Be Fled in Duplicate
Premrieed By State Board of Tae Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 7?
SEE BACK FOR FILING INSTR
0(We) u'-r i4Sy, 1 'r �- ,C,2 a, . ' certify that on the 1st day of
arch, 1979 I, (We) oc upled as our rqincipal 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 V"
❑ have a beneficial interest in the taxpayer
Property Description in �J�
Taxing District (G4y, Town, Township):_ 232 z t
Parcel Number
If buying on contract: Owners name If" simple owner)
my L-�,, Aap 4- -- Township
r legal description shown on tax statement:
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.
- /S t '
Street Address City. State and Zip Code
Individual a ther 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
Value
Land not exceeding 1 (one) acre immediately
surrounding residential improvements (1) ar
Other Land FILED (2)
Total Land (3) -tT / o
Residential Improvements (a)
JUG! 1 - 1979 Dwelling
/ Garage (5)
Total (6) 7 9
Other Improvements ' AUDITOR (7) 73 o—o
T Improvements - Line (6) plus (7) equals (8) (8) Zj: rg S O
I eby certify the above is true. correct, and complete.
tSigwt e o assessor
/,� ," - ACTION BY AUDITOR -
46,5-
Assessed Homestead
Valuatinn Valuation
170
Daze
Date: