HomeMy WebLinkAboutHomestead_Marshall (4) SATE FORM!J.W0C/sWl nRr NAG TORN 13-IA
APPROVED BY MATE&sswrw SYr;l\T%.!AN PRr3RIBM BY THE DEPARINFM OF LOLL GOVERNMENT FINANCE 10611-"-I.I
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 es er for homestead fraud.I lomestead fraud causes higher in bills for all:therefore.
HEA 1344--2009 requires taxpayers who remise the homestead standard deduction to verify that they am eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be Leer aatlidcntial and can only be accessed by authorized county officials.The Depannrnt of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Marshall, Mark A
804 li Vine
Fort Branch IN 47648
2895
Mark A Marshall
804 E Vine State Parcel Number Legal Description
FORT BRANCH IN 47648-1230
1111111111111111111111111111111111111111111111111111111111.111 26-19-18-304-000.535-026z. 011-00535-00 HILLCREST 67PT
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This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2: TAXPAYER INFORMATION
Owner I �// First Middle Last
Xi/FA' ,4LLC / �i1�fRs/f t L
leg Address(number and strut,city,state,and ZIP code) Same as property address
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 Number (last 5 digits) Other(please specify in Part 4 below)
_ _
— � - PART 3:CERTIFICATION- - - --' -'' —_-- -i
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
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i
a�-- ----FO - Y
CLAIM FOR HOMESTEAD'PROPERTYGTAX, 6H,�;..� ,;,. ,
- CREDI7ISTANDARD-DEDIICTION - - � - - HCta- - -- -- -
� SWRF«mSt73(R6I4-03) ��� r �d� C 1 '
. ?9d rv � � i � i . 9 -�r 1 - . c t� �t t . �] i J3 Y-. . . . • . � �
i . Prescn6e0 by lhe Department o( Lotal Govemmenl Financ ' ' ' ' -' - ' ' � ' -
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' INSTRUCTIONSrSee'revcrs�`side/oi6hnr�msfrtirbons: 3 -'t `7�"3 y� _' _ ' -' -..// � lJ�;'�-.�/J `
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I(We) occupied as our principal place of residence the following described real property for which a Homestead Property Tac Credit is hereby daimed:
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� I (VJe) owned ��❑ 'Are burng unde'contract ; ,F ^ � . ^ ~ � � , ` �" � ' �: � `�
n a� o�y r. c.�r c�emc _n � � e� i� b r i . i..
Have a benefiaal mterest in lhe enGty that is liable.for the propelty taxes on the pwperty and�lhat owns the property or is buying under a contract.
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If buying on contracl, Fee Simpie owner's name
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RemrdeCs olfice where conVaU is recorded �"� j�. ,. .'rr�r� ..�n •o ��- i v'� r. r•�� .. � . Rewrd number. , Page
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�Parcel number L al es � tion /� Is ihe property' queslion:
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� �� _(,/ U / (,(! / Raal property ❑ AWbile Hwno (LC. 61.7-n
11( any portion of Ihe resitlen6al svucWre or Ne tand not exieed'mg ona (1 j aae ma immediatety surrounds Nat cture is used b Droduce income. desttibe the use and portlon
ot the properry utilizeE b Droduca income.
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�,�`#"�?�:�:�:'�g;;,,.�assc..'�*'��.�`',n-�?a�!',."'1�;-3ir'"�`�;STANDARU:DEDUCTION�ALLOMIANCE�i"�'�'�,,�''a•�+k."".�,?������YC' t��,s',����
20 _ Pay 20 _
Lesser of 1/2 Homestead $
ValuaLOn ot 535.000
SgnaWreofAUdicw " Datesigned