HomeMy WebLinkAboutHomestead_Kramer (7) '• Lon FORM 5JY qR nix) TREASURER FOAM iSIA
nrrRovEn BY SPOT DEKKO OF ACCooNTT.LIEN PV3t1RFO BY THE DEPARTMENTOF LOCAL COvEtMM.ENr FINANCE IC 6-I.1-r-1.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to rate homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who reecho the homestead standard deduction to verify that they are eligible to recene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
tiling.this inform-tuna will be kept confidential and can only be accessed by authorized county officials. 11w Depannienl of
Local Govermnent Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY LNFORMATION
Taxpayer Name Property Address
Kramer, Dorothy Life Est Etal
303 N Main
__ - _ _ _ _ _
6784
Dorothy Kramer Life Est Etal
303 N Main State Parcel Number Legal Description
Fort Branch IN 47648-1053
II taIII I a II I III' uiI I in II it 111111111 26-18-13-402-000.421-026 011-00421-00 WALLACE 8 FRENCH
n
Iil tit titot ti I 270PT271 PT
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
x_e`E-!kr T 1\v ire Cie—.
"kg Address(number and stem city,state,and ZI c) —_ m
-- Sae as prope.rtyaddress -- — -__- - - — --
Spouse Mg-
Mailing First Middle Last
.Address(Number and street,city,state.and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last S digits) Other(please specify in Pan 4 below)
scm
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
unla r ,he or she may be liable for back taxes and substantial financial penalties.
:uses Date
•
wan� nc io is�s
Preuribe0 By State Board of Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOH YEAR 19 � 9
To & FiIW in Duvlicatt
SEE BACK FOR FILING INSTRUCTIONS \
v//-�o�a l oa
�(We) ->-^-'-^J �4-`-� -�-�-�-- certify that on the 1st day of
arch, 19 �` I, (We) occupied as our principal pla 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
O have a beneficial interest in the taxpayer
Property Description
Taxing District (6iEy--Town, Tewaskrip): "tT
Parcel Number
If buying on contract: Owners name �'� "nip1e °w^ef�
�^-�- Township
or legal description shown on tax statement:
�/ Sz�o �•
�a--Q-.Q.a.c_e� � �T���f/ �'� �
Contract recorded in Recorders Office - Record No. Page
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 th�ove statement is true, correct and complete.
,. /l „ , . > �3 �. �
'Signawre
AOGrlss
County Township
antl Zip CoCe
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 improvements r �\ �
Other Land �� T FI A �
Total Land � �e��a ,��J
Residential Improvements ��� ?, u 1979 Dwelling
(/T �1/��rti�fe _.!.r,¢S��arage
//+ :�C�I.Yotal
r� AUDITOR
Other Improvements
T' Improvements - Line (6) plus (7) equals (8)
I'�,by certify the above is true. correct. and complete.
Signamre oi nssesmr _
Approved
True Cash
Value
(i) � 5� o
(2)
(3) S `fo
Assessed
Valuation
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(8) � c-g6,—_ �-S.�CY
- ACTION BY AUDITOR -
Homestead
Valuation
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Date: _C.2! _ / /
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