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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 ltlnllnrlrllrulr ell rtlnulltlnlrellnnlllluulullulil 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 °7� — ' / • • jjjj�j��j/ �oiii� :;�� ,%ii� !//n j/�ii/i%/ �-vir�i � I al • (�) ' �-, i�. �a� - ACTION BY AUDITOR - �o� ii- Dare . - -.. . • .�� _ w� ����������� ����������� jj�j/�jjjj ;i%..,�,,,,� p,0 !���' �%/ Zl • ��j�j/�j/ /������ Date: � � �