HomeMy WebLinkAboutHomestead_Barker (7) t1VE FORM!lw.R_IUAI 1RL SUILA FORM MIA
MPKIWEn BY 51•E UOrMV tL t,.:S PLfXAmro BY ME DEPAREWNHF LOCAL rOVtLNMEKT MA.E IC 1.-1.1-2:-$.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 ter for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying infonnation necessary to allow county government to better monitor homestead
tilings.this information will be kept confidential and ran only h:accessed by authnrized county nficials The Depanment of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY LXFORMATION
Taxpayer Name Property Address
Barker, Clarence W
906 Ii Walnut
Fort Branch IN 47648
7777
Clarence W Barker
906 E Walnut State Parcel Number Legal Description
Fort Branch IN 47648-1242
II III ' II I II III I III' II III 26-19-18-304-000.041-026 011-00041-00 HOLCOMB ADD
t tt 111 t tit 11 11 1111 11 r r tt tr r Fitt ttr tr 8PT/9/10/11/12
CLARENCE
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
WEsLEy BARKER
--.ng Address(number and street,city,state,and ZIP code) -- — - _--- - -- me as property aodicss-— --- -- -----
(9 E. WALNUT sr, FT. &RAN c /, IN. L/ 7( Lf 1
Spouse First Middle Last
N0 W
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as propeny address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
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PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury,that the above and foregoing infonnation 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
wwn nc io is�
Prescri0e0 By State Boartl of Tax Commissioners
CLAIM FOR HOMESTEAO PROPERTY TAX CAEDIT FOA YEAR 19 � 9
To Be FileE in UuO���ate
SEE BACK FOR FILING INSTRUCTIONS' �// QOD � O�
�(We) `�-ah--��-��+-, ��-Q-«-h�-�--«- �%• �• - certify that on the 1st day of
�v�arch, 19�, I, (We) occupied as our principal place f residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned •
�( are, buying under contract -
f7 have a beneficial interest in the taxpayer
Property Description in � County 7��-�x Township
Taxing Distric�_Town, �ewasH+�): � t• � 2''-""'�'
Parcel Number (,F -7 � (y g or legal description shown on tax statement:
i
'�-L- / o ✓- / /
If buying on contract: Owners name ��� simple o.�e,�
Contract recorded in Recorders' Office - Record No. Page
Ii 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
'�jifYt.�.
Any other counties in which individual owns or is buying real property: County Township
,�=r4� ,-�'c--
�hereby certify the above statement is true, correct and complete.
s�.�G�c�.�.,�,c. J?n/, %:i�vt�il �9oG ��. %Ir/cr/�-uT� °�.it`��� .�t 7c 4�y
'Signaivre . � Aaaress Gry. Sute a 0 2ip Caae
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 i�rov�nt�
Other Land �� ��
�� L�
Total Land
Residential Improver��lt� 1 1979
,/�� � /`j�1..k�"' .�
Oiher Improvement /� AUDITOR
(�)
(2)
True Cash
Value
Go
(3) / / � o
Dwelling (4) S � o
Garage (s) �° S�'sp
Total �6� �' �
(�)
\,T.��' Improvements - Line (6) plus (7) equals (8)
i�oy certify the above is lrue. correct. and complete.
� `--1 `_ _ � _t r, _ _
. ,.
Sigmmre ol Assessor
Approved:� ' ��-�-
(8) `-�-°'
- ACTION BY AUDITOR -
Assessed
Valuation
� �o
���
Homestead
Valuatiom
��o
- - '�/��jj�j�j/
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`7�2 aM. /� l 9 79
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Date:�; i479 .