HomeMy WebLinkAboutHomestead_Memmer r clan fnf i 3 tatact 3 I Fnf-1SULLR FORM T3-IA
nrnttn'EO AV ARM DOWDOF ACCOUNTS.LA r PLF2IITrnm BY ME DFPMTMEYF(F LOCAL t n_LNMFFr M ACE ICH.I-L'AI
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
• PRINCETON IN 47670 Individuals and married couples arc 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 tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verity that they are eligible to receive the
benefit and to provide additional identifying information neces rs'to allow county government to batter monitor homestead
filing.This infbrmaton will be kepi contidemial 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 I: PROPERTY INFORMATION
Taxpayer Name Property Address
Memmer, Jessie
83591:900 S R2 Box 314
Buckskin IN 47647
8810
Jessie Memmer
8359 E 900 S
Buckskin IN 47647 State Parcel Number Leal Description
26-20-28-200-000.512-001 001-00512-00 PT NE NE 28-3-9 3.2206 AC
D-19
X
PART 2:TAXPAYER INFORMATION
Owner I - First Middle Last
t9'Address(number and street city,state,and ZIP code) u Same as poi rty address - - —- -
9' 359 •E 400ff' 1 SeAzr°JOes,) :- 574 �C/
Spouse First Middle Last
Mailing Address(Number and sweet,city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
Sex
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
. ,
FORM HC 10 1979
Prescribed By Stare Board of Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 1912_
To Be Filed in Duplicate
SEE BACK FOR FILING INSTRUCTIONS 401- 00 e ) . OQ
(We) �^� ^a�yl�T -A°/ ��-< -&_ '9-49 - certify that on the 1st day of
alarch, 19_M I, (We) occupied as our principal plaCe of residence the following described real property for
.which a Homestead Property Tax Credit is hereby being claimed: �r s
I, (We) gowned (�Z '� o��-O7Q��c�QO.�%r -G®
❑ are buying under contract .
❑ have a beneficial interest I the taxpayer
Property Description in County Township
Taxing District (C-ity, Tewn Township):
Parcel Number or legal description shown on tax statement:
Pf. 411-JZ NEV 28 -3-
If buying on contract: Owners name ('- $11°p1e
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:
az -i97y
I hereby certify the above statement is true, correct and complete.
street Address
County Township
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.
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1 (one) acre immediately
surrounding residential improvements
Other Land
Total Land F I `� E
Residential Improvement q�9 JItU Dwelling
JUN 2I 1979 Garage
Total
Other Improvements a
To * -' Improvements - Line plus (7)AMIOR(8)
Ieby cer�fy the abpve is true, correct. and complete.
Of Als% sor
True Cash Assessed
Value Valuation
- ACTION BY AUDITOR -
•.
..
o0
Date
Approved: Date: 6- -Z
�17
Homestead
Valuation