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Home My WebLink AboutHomestead_Hall • ..• alATE I ORM 11512-/Yrl TREASURER FORM ZIA APPROVED BY SLATE WARD M AMLNI S.Yiw PREYNam BY ME DEPARTMENT Of LOCAL COVEP20413.1 FINANCE 11C•1.1.22-{.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 more beneficial,there is more incentive than ever for homestead fraud.Ilomeslcad fraud causes higher tax bills for all:therefore. ® IAEA 1344-7009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the benefit and to provide additional identifying information nece'sary to allow county government to better monitor hornestead filings.this information will he kept confidential and can only be acce:,ed by authorized county officials_The Depannunt of Local Government finance will use this information to create tools that will help county officials eliminate homcscad fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Hall, Dallas G/ Deborah K 107 E mulberry Fort Branch IN 47648 7011 Dallas G/Deborah K Hall 107 E Mulberry State Parcel Number Leal Description Fort Branch IN 47648-1517 I rInIIu Eitilua�uliuln nllrltknn��lnrIIIruIu utIIItr rI 26-18-24202-000.287-026 011-00287-00 MCCRARY ETAL B6 PT Spouse First Middle Last Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address Social Security Number(last 5 digits) Drivers License/State ID Ntnnber (lust 5 digits) Other(please specify in Part 4 below) sax 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 FO�lM HL 10 19i9 PrewiOetl By 9a�e BoarE o� ia. Cammissfoners CLAIM FOR HOMESTEAD PROPERTY TAX CREUIT FOR YEAR 19 �9 io Be FileC in Dupliwte SEE BACK FOR FILING INSTRUCTIONS �//_ .$,/, ��' �J D n ( C/U / C/ ��(We) �, �� -�-�-- �� certify that on ihe 1st day of arch, 19 � 9 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) � owned ❑ are buying under contract ❑ have a beneficial interest in the taxpayer Property Description in � County � Township Taxing District (.Gity,- Town, T^ •��hip): �-/1- �^�----�--�. Parcel Number � or legal description shown on tax statement: �f� . d/c �/� 2�F- 3 -/i s If buying on contract: Owners name �� zimole a.,�e,� VP 1', HE �y ay - 3- �l ��O�- 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. � . County Township Ciry. S�are a/a Zio �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 - True Cash � � � � � Value Land not exceeding (on ) ac m at surrountling residential improvemenis (�) —L3l�19 Other Land ,i!iv (; IQ%9 Total Land Residential Improve�� v1, , i , � 1 � AUDITOR Garage Total Other Improvements T� Improvements - Line (6) plus (7) equals (8) I�by certify the above is true. correct. and com Sigew:ure o� Assessor (2) � �3> /3 6 0 Assessed Homestead Valuation Valuation ,r' �jjjjj/�jj� j�jjjjjjjj - - - �iiiiiiiiai �OODOOO00%00%00% %%//o// / .�p � ��/ � i%i • '',/�� %�� ,�� – _ • --• _ �� jj�� r • � ' � ��j�jj�jj - ACTION BY AUDITOR - �' / �-a...��, �� i �l � 9 oa,e —�' __ Approved: (� Cl • �/1�[.c--r��r�% Date: lD— ��%_�