HomeMy WebLinkAboutHomestead_Bass -. MATE FORM 5356n•R_/•+n9 19IASIiAFR FORM T3-IA
.VfltOVEO BYSLVL N1nRDOE ACCOUNTS.an, PALANam BY THE DFPARTW^n OF LOCAL O ILYMEA-1 FINANCE If€1.1-2Z4.1
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
moe beneficial.there is more incentive than e'er 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 am eligible to recene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings'nth information will he kept confidential and ran only he accessed by authorized county officials.The lkpannent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpaver Name Property Address
Bass, Gloria K
513 N Main
. Fort Branch IN 47618
6761
•
Gloria K Bass
513 N Main State Parcel Number Legal Description
Fort Branch IN 47648-1009
I thnllnt�tllntlu i�nlnuillintllntitlruttliu lltlt ull 26-18-13-402-000.049-026 011-00049-00 PT SE I&3-11 .18 AC
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Spouse First Middle Last
r
aA0RIA KAy Bliss
Mailing Address(Number and street,city,state,and ZIP code) IBhmm as property address
S/3iv Mm �N ST PrbeRtAn/e_h .w',✓. 5' 9698'
: •
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.
PART 4:ADDITIONAL INFORMATION
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WftR7 HL 10 1979
Prescri�ea By S�a;= BoarO ot Ta. Commissianers
CLAIM FOR HOMESTEAO PROPERTY TAX CREDIT FOR YEAR 19 �9
ta Be Fi1etl in DupliGdte
place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned D/l � DoC/ �� 0�/
❑ are buying under contract
❑ have a beneficial interest in the taxpayer .
Property Description in �% b sv n� County �� �°'V Township
Taxing District (6+i-y, Town, T.ownsk�ip): �rt� ��� N� H
Parcel Number or legal description shown on tax statement:
�+. SC iy /3- s- ii , i8 A.
If buying on contract: Owners name �'� �""o1e
Contract recorded in Recorders Office - Record No
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:
hereby certify the above,statement is true, correct and complete.
iv-n�f1
Surei naaress
County Township
.� .��,-�l_ </7-GY:l
� Giry. State ana Zio �e
Individual either owns or is buying under a contract that provides he is to pay ihe property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONIY -
Land not exceeding t(one) acre immediately
surrounding residential improvements
Other Lantl
�al �and
sidential �ro�en
MP,Y 2 : 19?9
Dwelling
Garage
Total
�r� pro en s
T� �"'Tmproveme%� ine (6) plus (7) equals (8)
I.�by certify fli��a�e is true. correct. and complete.
Signamre ol Assesso�
True Cash
Value
(1) `� `� G
(2)
(3) �{�o
(4) �
(5) �O
(6) �
(�)
(8) �-�
- ACTION BY AUDITOR -
Assessed
Valuation
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Homestead
Valuation
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Date
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