HomeMy WebLinkAboutHomestead_Davis (8) Malt 10Fn1537M tic/Ywl MASUITA FORM SIA
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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 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 information necessary to allow county government to better monitor homestead
filing.Ibis information will he kept contidenlial and can only be accessed by:uthorieed county officials.The Detainment of
Local Government finance will we this information to create touts that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Davis, Willard M/Geraldine Trust Life
Es
1003 S Main
Fort Branch IN 47648
7045
Willard M/Geraldine Davis
1003 S Main State Parcel Number Legal Description
Fort Branch IN 47648-1733
IPtIItt rIrllLtrlrl II.11111 till tillIllIII111.11 11111111 26-18-24-204-000.151-026 011-00151-00 PT SE NE 24311 .30 AC
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PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
C
ArtaliPpti
ng Address(number and street,city,state,and ZIP code) - Same as property oddtrss
• El//0 3 <-7 it, . r > ,e}l.s mot - -.
Spouse First Middle Last
•
Mailing.Address(Number and street,city,state,and'LIP code) - y ❑ Same as property address -
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
Stet •
PART 3:CERTIFICATION
+ r 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
( )
•
PART 4:ADDITIONAL INFORMATION
•
FOFIA MC 10 1979
P�escri0e0 By State Bwrtl oi iaz Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 .7 9
io Be Fileo in OuDliwie
SEE BACK FOR FILING INSTRUCTIONS �// �D/S/- Od
�(We) ��--"-^-iO�' ��Jr-�-�-��� � t �-�-- ce�ify that on the 1st day of
arch, 19 ,7�1 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:
I, (We) fSl owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description i
Taxing District (E�ity, Town, Tewrts�ti�): �
Parcel Number
If buying Ofl contract: Owners name Pee simoie ownep
�� Township
or legal description shown on tax statement:
J�.t. 5E�% N���� a�f-3-�� ,.3of!
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 poriion of the property utilized to produce income
Any other counties in which individual owns or is buying real property: County Township
�hereby certiTy the above statement is, true, correct and complete.
��oo ��n , ,�a � a rn, ,
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 7(one) acre immediately
surrounding residential improvements
Other Land � � � � �
Totai Lantl
Residential Improvements Dwelling
'�� � 5979 saraqe
�/��� Total
Other Improvemen�--'
/ AUDITOR
T Improvemenls -�Line (6) plus p) equals (8)
I�by certify the above is true. correct. and complete.
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Date: ��3�< 9