HomeMy WebLinkAboutHomestead_Fulton (2) SIAIE I DRN 51 19111/f-N( TREASURER FORM:SIA
Amann BY slot.en RDM-ArrO NTS_Ym Ftr5(WBFD BY Tit Drrnitnea OF L(WAL MAT RVMFFT FBa%cE MH.I"4a
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead sandani deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than eser for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
ILEA 134-2000 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene the
benefit and to provide additional identifying information necessary to allow county goverment to better monitor homestead
firings.Ibis infnmutinn will he kept confidential and can only be accessed by authorized county officials.The D oriannsent 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
— — -- - - Fulton, Linda L.
807 E Vine
Fon Branch IN 476-48
7789
Linda L Fulton
807 E Vine State Parcel Number Legal Description
Fort Branch IN 47648-1229
�t�t t��t t t i I F t t t II t t I F I 26-19-18-304-000.233-026 011-00233-00 HOLCOMB ADD 29PT/30
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
�le Address(number and street.city,state,and ZIP code) _ q Same as property address
DSO 7E Ut ,UG Pf. 3rA- c . Tiro 4/76 tie
Spouse First Middle Last
Mailing Address(Number and street city,state,and ZIP code) Same as property address
Social Security Number(last 5 digits) Drixu's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
Stet
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 elieible 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
wxrn nc io iem
Rarri�e0 By State BwrE of Tax Commissionen
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19?L
To & FileO in Ouplicate
SEE BACK FOR FILING INSTRUCTIONS O�/�D� ���_QO
�(We) ���+� ��, t" �ta..�.� � certify that on the 1st day of
arch, 19 �� 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) O owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
.. , _
Property Description
Taxing District (rit� T�unsdip): <
Parcel Number
If buying on contract: Owners name �'� "tnp1e
nty �r Township
or legal description shown on tax statement:
�s�-�cc�,._.L- � • � � uJ �/z ¢ � o
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 portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property: County Township
;here y certify the above statement is true, correct and complete.
�
'Signa Street naaress Ci�y. Scaie ana Ziv e
' 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 pro`py emerrrrrr���s
Other Land � 5 � � �
Total Land
Residential Improvements `'U� 19 i979
Dwelling
��J/`�rage
° � tal
Other Improvemenis AUOITOR
T�� Improvements - Line (6) plus (7) equals (8)
I�oy certify the above is true. correcl. and complete.
Sigwture ol Assesmr
True Cash
Value
(1) �30
Assessed
Valuation
oC�'U
(2)
(3) 8 30 �g v
(4) �
cs) 7�f �D
(6) �'i-d
(�) �
(8) �
- ACTION BY AUDITOR -
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Homestead
Valuation
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Approved: �- ���-�-�'. Date: ��/ 9�� 9