HomeMy WebLinkAboutHomestead_Howard (2) M.STE FORM 9MIRr/f•YI TREASURER FORM—IA
APPROVED BY MATE B(MRO OfMrOlI.TT.9v PtI IJBED BY tilt OEPMf@'f OF LOCAL GOV ERNMENT FB&SCF.le.-1.1-U4.1
Gibs County Auditor
Main
"101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
rr, PRINCETON IN 47670 Individuals and married couples are limited to one homestead sandanl deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than Ewer for homestead fraud.I lometead fraud causes higher tax bills for all:therefore.
6. HEA 1344--2000 requires taxpayers who teethe the homestead standard deduction to verify that they are eligible to teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he Eery confidential and can only be accessed by authorized county officials.The Department 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
Howard, Bernard G
205 N West
• Fort Branch IN 47648
6820
Bernard G Howard
205 N West St State Parcel Number Leal Description
FORT BRANCH IN 47648-1039
ltlttllrrslrilrrt lrrllrrirrr tllil 26-18-13-403-000.339-026 011-00339-00 PT SW SE 13311 .22 AC
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PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
liking Address(number and street,city,state.and ZIP code) - — — - — --- ame as pi—Oer),address ' — — -
—O 5 /U I,voST S�
Spouse First Middle Last
PC/Ce—Pi 6-1
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
sole
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
•
FOf1M HL IO 7979
heun0ea By State Boartl ot ta� Commissfoners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 Bo
io Be Filed in Duplicaie
SEE BACK FOR FILING INSTRUCTIONS
�}�� ../� ny�'��% � � /�,
'(We) i`✓-�`-t��!�-Lh�/* c�- X�- E�J d< certify that on the 1st day of
arch, 19�, I, (We) occupied as our principal place of residence the following described real property for
�hich a Homestead Property Tax Credit is hereby being claimed: ,
I, (We) O owned O/���0 �39 oQ
• ❑ are buying under contract �
❑ have a beneficial inter st in [he taxpayer -
Property Description in �-�-�-d-a�- Counry � Township
Taxing District (CzIEq; Town, T�ewftship): ��� �¢-.�-t-�J
Parcel Number or legal description shown on tax statement:
1��.o5u�'% �E % /03-.�-i� , aa �z.
If buying on contract Owners name ��� simo�e owneq
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:
I hereby certify the above statement is true, correct and complete.
�. .
L.0 A �r
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County
Township
ana
' Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a bene(icial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY' -
True Cash
Value
Land nol exceeding 1(8� r im ia ly
surrounding residential ir�o (�) 'i70
Other �and �g80
Total Land MAR 2'7
Residential Improvements/f /���� Dwelling
� � AUDITOR
Garage
Total
Other Improvements
Total Improvements - Line (6) plus (7) equals (8)
I'�>by certify the above is true. correct. and complete.
�1 ��� , �S�e �
SignaWre ol Assessor
(2) —
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(6) �
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- ACTION BY AUDITOR -
�
Assessed
Valuation
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Homesiead
Valuation
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Date: _� - a 7 - �O