HomeMy WebLinkAboutHomestead_Campbell r .
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MN(WED PT 9-ATE BOARD Of SU BAT'C.21,4 PIrYNPFD BY nn DEPARTMENT OF LOCAL GOVERNMMT FINANCE le 4-1Ar•.r_I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple.are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incenthe than cter for homestead fraud.Homestead fraud causer higher tax bills for all:therefore.
al 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 infornmmwn necessary to allow county government to better monitor homcstexl
lilingg.This information will he kepi cnnlidemial and can only be accessed by authorized courtly officials.The Depanntent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address >
Campbell,Allen K/Sherry E
103 W Strain
-- - Fort Branch 76
Branch IN 438
7010 _ ____ _ _ _ _ -_ _ _ , __
Allen K/Sherry E Campbell
103 W Strain State Parcel Number Leal Description
Fort Branch IN 47648-1327
�t�tT��ttt�t��ttt�tt��tt�tttt��rt��t tt�t��t tt��� 111111111 26-18-24-202-000284-026 011-00284-00 McCrary ETAL 74 pt./79 pt
PART 2:TAXPAYER INFORMATION
Owner I First Middle n Last
L a D.VP nU i ' l '.Am UL
isAddress(number and street,city,state,and-ZIP code) - -- j�/�/fir fLa-Samee as prope o y aa�ddd�reess —/{ 1 —yT -`
10 �I I A ) A/r cl A 11 V �- tr rCl h L7 n o t 6... , r 7 r /n 4 7
.
Spouse First Middle Last
�Q � r
\ti rV e Oh t n c. A 11M P.11k.
Mailing Address(Number aril s eel,city,stale,and ZIP code) 1 r l4rame as pm ny address
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
I/ 41 ' 4 " 2
�`^n
a/� � 4 CLAIM FOR HOMESTEAD PROPERTY TAX
i �. CREDIT/STANDARD DEDUCTION
.e ,
.
�,;;� State Form Sa73 (R2 / 5-92) ' �' '
, �eia � .
INSTRUCTIONS: See �eve�se side lor filing instructions.
0
STATEMENT-
FORM YEAR
HC1 ��
.Ne) . certify Ihat on the 76iQ8yjmfi�A2�n1,.70
z) occupied as our principal place of residence the followi described real pmpe y4or which a Homestead Property Tau Credit is�l�ievy
❑ I(We) owned ❑ Are buying under contract .
❑ Have a beneficial inierest in the entity ihat is liable for ihe property taxes.on the property and ihat owns the property or is buying under a coniract.
- �CONTRACTRECORDED � .
tl Wying on coniract, Fee Simple owners name
Recortler's oHice where contract is recordetl Record number Page
' PROPERTY DESCRIPTION �
Counry - Township . Ta+cirg district (ciry, fowq (ownship)
Parcel number Legal description �
- ��4�� ' 1
Ii any portion of the resitlential strucWre or the land not exceeding one (71 acre Ihat immetliatety surrountl at structure is used ro
of Ne property utilized to produce income.
describe the use antl portion
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES � -
Cauniy Township County Township
�reby certify the above statements are tme, correci and complete. Si � namre o� Uaiman� /
�Z,
Address (number arM street pry, state, Z/P code)
. ASSESSOR USE ONLY � TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediatety �
surrounding residential improvements. ��)
Oiherland (p)
Total land (line 7 plus line Z� (3)
Dwelling (4)
Residential improvements
Garage (5)
Other improvemenis (6)
Total improvemenis (line 4 through line � (7)
Total value (line 3 pUs line 7� (g)
I hereby certity the above is trUe, correCt, and Synamre of Assessor Dare signed
complete.
�ryirg action - Sgnawre of Auditor Dare signed
Autlitor
e
19_Pay19_
Lesser ot 1/2 Homesiead
Valuation or $2,000
e
STANDARD DEDUCTIC
S
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