HomeMy WebLinkAboutHomestead_Lamey • SERE FORM ;rc 414C 7,00 TREASURER FORM 75-IA
.APFR'En BY STATE BOMMM ART PUNTS.9• PE$RIBW BY fir DEPART (wtx:m.CAnr11.YSIrxt FINANCE IC e-it-r1.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual and lnarrinl couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than net for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
HEA 134}2004 requires taxpayers who receive the homestead standard deduction to verily that they arc eligible to recehe the
benefit and to provide additional identifvme information necesaarr to allow county government to better monitor homestead
�' 1, local This information will be a-c confidential
is in or Tl and yen only be accessed by elp authorized county officials.li in The est adlra of
i Local Government tion will
will u+c this information W n only
tools ee-e will h:ut mound officials elimll The l)epanJ fraud.
F
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
MAY 5 2010 Lamey, Larry/Donna
304 E Walnut
Fort Branch IN 47648
7708390N COUNTY ITOR
Larry Lamey
304E Walnut State Parcel Number Legal Description
FORT BRANCH IN 47648-1431
26-19-18-303-000.440-026 011-00440-00 WALTERS ADD
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PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
,LA I? 4. LAMey
•ng Address(number and street.city,state,and ZIP codc)-
— — - ._- 0Samc as propertv address — _ - __ __
304/ EAST WA1r/ q
.
Spouse First Middle Last
DOMNA S. LA- mey
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
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
FOPM MC 1� 7979
PrescribeE By State Baard ol Ta. Cammissioners
CLAIM FOR HOMESTEAD PflOFEflTY TAX CREUIT FOR YEAA 19 '%9
To & FiIM in MD����e
SEE BACK FOR FILING INSTRUCTIONS �///_��D���—�
�(We) certify that on the tst day of
arch, 19� I, (We) occupied as ur principal place of residence the following described real property for ,
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) CJ-owned
❑ are buying under contract
O have a beneficial inte,..r�es,t�in. �the` taxpayer
Property Description in �1/�-�-�-'
�, Township
Taxing District (City, Town, Township): �L- ��
Parcel Number or legal description shown on tax statement:
kiLL2�iwnJ Qd,d�- (.�UR/hl.vka 9�'��hq�/� �
If buying on contract: Owners name �'� ��^o�e o.,�e,�
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:
hereby certify the above statement is true, correct and complete.
�
County Township
v�6v
ana Zip Coee
' 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) alpre i�edi�t2ly
surrounding residential improvements
other �and �UN 111979.
Total Land �
Residential Improvements �
' A�'�i�6�
Garage
Total
Other Improvements
T'�' improvements - Line (6) plus (7) equals (8)
I��y certify the above is true. correct. and complete.
Sigw.ure
True Cash
Value
rl /300
c2� '
Assessed
Valuation
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