HomeMy WebLinkAboutHomestead_Bowen TM EE00.M9w1RU AT, nJA urns FORM B-IA
ATTUNED BY Sn".MMnM AlxTfSTS._i”M PRrwmtFD RY TIT DFPARTIEW OT LOCAL COVER.Y•Ff FIN'A\fE If 6-I.I-2-.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standanl deduction.As the receipt of this deduction becomes
Ô more beneficial,there is more incentive than ever for homestead fraud.homestead fraud causes higher tax bills for ail:therefore.
HEA 1544-7IX19 requires taxpayers who reecho the homestead standard deduction to verify that they are elicible to receive the
benefit and to provide additional identifying information necessary to allow county government ro better monitor homestead
filings_this information will he kept confidential and can only be accessed by amhori'ed cranny officials.The Depanmem of
Local Govermnent Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Bowen, Patricia A
900 Blackfoot DR
Fort Branch IN 47648
7614
Patricia A Bowen
900 Blackfoot Dr State Parcel Number Legal Description
Fort Branch IN 47648-9509
II seIII Iu II u t I II nII I n I I 26-19-18-101-001.026-026 011-01026-00 LITTLE YORK VILLAGE 58
t o tt set II t eo I t I t II nt I t I o t nt s _ / PHASE 1
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
�' e. P �_.�U W - eW 1L
Oi•Address(own d street,city,state, ZIP code) - - _ 1�d Same as property address -7 `
yOO �1 t l�C�� /chi -Ory l O—/ (ctfl4.. ), ) q 764
Spouse First Middle Last
Mailing Address(Numbe J and street,city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Drivels License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
sum
PARTi 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 propeny. Each undersigned also understands th:t.by claiming additional homestead deductions
unlaw he or she may be liable for back taxes and substantial financial penalties.
Cr I S. nat Date
I
a%�'�` g CLAIM FOR HOMESTEAD PROPERTY TAX
d CREDIT/STANDARD DEDUCTION
•. �� Stare Fortn Sa79 (a2 � 5-52) � '
r.s .
INSTRUCTIONS: See �everse side lo , liling instructions.
FORM
� H .- �
' �. '
n�aY 21994
YEAR
.e) _;��2�'�ONd/l�rT 7�����/� c�-thafo t�e LsjEday of March, 79_
i(We) occupied as our principal place f residence the following described real property for which a Homestead Pro�2r��ax Credit is hereby claimed:
❑ I(We) owned ❑ Are buying under contract ,
❑ Have a beneticiai interesi in the eniity thai is liable for the property taxes on the property and that owns the property or is buying under a contraci.
. . CONTRACT RECORDED -
IIt buyifg on contracL Pee Simple owner's name . - ..
Recorder's office where contract is rewrded Record number Page
Counry
Township
' PROPERTY DESCRIPTION
Parcel number Legal description f� y ,( q�
CQ I I-� /�� _C� i ��r-r e
< <,���.�^
It any rtion of the residential swcmre or the IaM not exceeding one (7) acre that
of the pmperty utJizetl to protluce income.
e
town, fawnship)
J
that strucmre is usetl m produce income, describe the use antl portion
� PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
�n�y TownShip Counry TownShip
1 hereby certify the above statements are true, correct and complete. �9na ure of claimam
�
Atltlress (number and sfreet. ury, state, ZIP code) �
oa %
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDEN'fIAL
VALUE VALUE VALUE VALUE -� -
Land not exceeding 7(one) acre immediately �
surrounding residen�iat improvements. (�) �
Otherland (p)
7otal land (line 1 plus line 2� (3)
Dwelling (4) ' . _
Resideniial improvements �
Garage (5) � -
Other improvements (6)
7otal improvements (line 4 through line � (7)
7otal value (line 3 pUs line 7� . (g)
I hereby certi}y ihe above is irue, correct, and Signacure ot Assessar Date signed
�plete.
_qing action - Signature of Audimr Date signetl
STANDARD
19 Pay19_ I
Lesser of ll2 Homesiead
Valuation or 52.000 S
3ture olAUtlitor
_ —