HomeMy WebLinkAboutHomestead_Martin (23) • MUTE ror'.;s.,c, •l TRFISUEEI FORM:SIA
.APFflED BI'r MT en.RDIw•rrTR.1Ts.Y.r FPSSRIBFDOY MI DEYMTIE ThF LOCAL OOVEICIWn FO:AYCE M 4-1.1"-r.l
Gibson County Auditor
101 N Main H IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than e'er for homestead fraud homestead fraud causes higher tax bill;for all:therefore.
� HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to scene the
benefit and to provide additional identifying mformmun necessar to allow county government to better monitor homestead
filing,.'Ibis infnrnuunn will he kepi cnnlideminl and can only he arceased by authorized county officials.The Depanntem of
Local Government Finance will usc this information to create tools that will h:Ip county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Martin, Kenneth Earl
504 N Polk
Fon Branch IN 47648
6748
Kenneth E Martin
504 N Polk St State Parcel Number Legal Description
FORT BRANCH IN 47648-1020 •
I II I II I IIII 1 11 II I I I II 26-18-13-401-000.496-026/01P-oo496-0 ROBERTSON ADD
F Ir 11F F /1F Ira tF 1111 111 1111 It F Ft ,/ 22PT/23PT124/25PT
PART 2:TAXPAYER INFORMATION
Owner 1 First Middle Last
Ken•fi Marlin
g Address(number and street,city,state,and ZIP code) ' ---'.- -— - e as property oddres '— — `-
c-0 Li Al, Poi k S1-1-,
Spouse First Middle Last
N/A
Mailing Address(Number and str
N/4 et,city,state,and ZIP code) 0 Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
N/il sox 10 111
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
( )
PART 4:ADDITIONAL INFORMATION •
•
FOqM HC 10 1979 � 7o Be FileE in Duplicate
Preuri�eE By Stare Board al ia� Commissianers �
CLAIM fOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19�
FILING I
D//-Do �9�-�
�(We) �-0.'r-�M ,� �- ���' certify that on the 1st day of
�v�arch, 19�°,__, I, (We) occupied as our principal place of residence e following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) � owned
❑ are buying under contract
❑ have a beneficial intereQs�t in �the taxpayer •
Property Description in J�1-��--o-� County � Township
J
Taxing District (Citp-Town, Township): �-� • ���.
Parcel Number or legal description shown on tax statement:
/� �ry��"�' � 'Z' 2 �i. 1 3 �.i'
� �Q�c.i�a.e.� CA.�-�- . .-t "f � 1 S CP � .
If buying on contract: Owners
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.
�- n
County
�,�r.
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 beneficial interest in the taxpayer.` _ —�
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre immediately
surrounding residential improvements
Other Land
Total Land � � g T'°0 �
Residential Improvements f�p JJ welling
JUy 1 �f i979 �ara9e
Total
Other Improvements �
Tr� ' Improvements - Line (6) us 7) eQ��R
I�by cerlify the above is rue. correct. and complete.
Signamre ol Asseswr
True Cash
Value
( � ) �-S Ta
(2) -
(3) �-} a'
(41 �
(5) -�-�c�
.�o ;
�s> 1.�-6-
(�)
(g) /—`�-�°
- ACTION BY AUDITOR - -
Approved: � Q ���-���
�
�}aa
Assessed Homestead
Valuation Valuation
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S��y-�79
Oa:e
Date: l �� � 9