HomeMy WebLinkAboutHomestead_Phillips (2) HATE FORM.!'NIKrI•-.PI M150IEA r00.V 7-IA
AFVROCED BYSTATE IXMROT Mw*OTS9x RIIffiAIDED BY THE DERAanVEYTOF LOCAL IXwERNS1Q.r FINANCE MH.ISN.1
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
`la more beneficial.there.is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344 2009 requires taxpayer who receive the homestead standard deduction to verify that they are elicide to recene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.11tis information will he kept confidential and can only he accessed by authorized county officials.The Depanntent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
—. Phillips, Donald Lee/ Barbara
203 N West
Fort Branch IN 47648
6826
Donald Lee/Barbara Phillips
203 N West State Parcel Number Legal Description
Fort Branch IN 47648-1039
II III I II I III• •• I I II II III 26-18-13-403-000.610-02011-00610-(10 PT W SE 13-3-11 .3708 AC
r rt rrr 1 rrl rl rr 1111 r r rr I1 1 1
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Doha14 Lem. 19h ; ll1pS
•rye Address(number and strut,city,state,and ZIP code)--- - - ---0 Snore as propene address - _ _ _. . - __
do3 1v . West 5-I- EL 6rshcJh 1 n 41(e1/415? - / o3?
Spouse First Middle Last
anrlaara \Tee., h Ph l I ; p
Mailing Address(Number and street,city,stale,and ZIP code) e Slone as property address
A 0 N . he st S i . r+ -Branch�
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
unlawfirlly,he or she may be liable for back taxes and substantial financial penalties.
r I Signature zT (//%/�` �I Date
1p_
POFM HC 10 19i9
Prewi�ea By S�ate Boara ot iaz Commission¢rs
To Be FiIM in MWi[ate
CLAIM FOR HOMESTEAD PROPERTY TAX CREOIT FOR YEAR 19�
SEE BACK FOR FILING INSTRUCTIONS
�(We) (�"`�-��•--�a ��+--e�- �-e-�- *- �ertify that on the 1st day of
oiarch, 19 '� I, (We) o upied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is, hereby be1ing claimed:Q L
gu � �1 -�"i�r��9{� T40bgfaUJ S+4�f' V ohn
I. (We) ❑ owned � 5 � �// /J��/.f� �,+��
❑ are buying under contract L`(�C% /C/ ��
❑ have a beneticial interest in the taxpayer �
Property Description in � County ��Y Township
- Taxing District-(2it�-fiown, �ow.oskip): ��'- �i1-�-yt-�-�--
Parcel Number or legal -description shown on tax statement:
.. �P�L . cJ ��z, S E �i4c /3 - 3 -/ � , 3 7 = 8/�,
If buyin9 Ofl coniract: Owners name �1ee simoie ownerl
Con[ract 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: County Township
� hereby certify the above statement is true, correct and complete.
�j/�/ 7 4 p
i���l.A � �� �.� d � � �i.�.�'�o..Y �e 3���. ��e
'Signature Sure� AtlOress � Ci:y� Std�e an0 Zip Code
' 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 -
True Cash
TT�-���111 Value
Land not 9xceeding ��a�i�di el G�
surroundin resitlenti m v n (�) 3 0
Other Land (2)
Total Land JUN 1 u 1979
Residentiai Improve��/�/��
i
AUDITOR
Other Improvements
Dwelling
Garage
Total
Tc'-' Improvements - Line (6) plus (7) equals (8)
i��y certify the above is true. correct. and complete.
Sig�mre ol Asussor
�3� �3�
(4) �
(5) _'�--�o
Assessed
Valuation
�3Q_
a 3�
. - - - � : , �
(�) —
(g) �"�o 0
- ACTION BY AUDITOR -
�` �
�a �
Dare
Homestead
Valuation
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Date: —12�!_4 f_!�