HomeMy WebLinkAboutHomestead_Robinson MATE West O IRFATURE"FORM:SIA
APPMn'EO BY STATE VANnot YfRL%Ts F's PRESCRIBED BY nRDEPARTMENT OF LOCAL nospre Ict FDWCCE M4-1.r-r-t
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead sandanl deduction.As the receipt of this deduction become_
more beneficial,there is more incentive than eser for homestead fraud.Homestead fraud causes higher tax bills for all;therefore.
• HEA 1341-3009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.-this information will he kept confidential and can only be accessed by authorired county officials.The Depannient of
Local Gusemment Finance will use this information to create toola that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Robinson, Eugenia R
304 W Walnut
Fort Branch IN 47648
6829
Eugenia R Robinson
304 W Walnut State Parcel Number Leval Description
Fort Branch IN 47648-1338
IF Itt IIIFFLIIItJtalLalttttlltdLIJLLFLILIttLFLFIdI 26-18-13-403-000.665-02 011-00665-00 WEST ADD 3
. PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
�LLGJN/'J e f1�5/N g
g Address(number and street,city,state,and ZIP code) -- _❑ Mane as pert address
pm --
3o W. Watiktutk A-c .Y76 re
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
Social Security Number(last 5 digits) Drivels License/State ID Number (last 5 digits) Other(please spttify in Pan 4 below)
sae
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjuy.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(Signature Date
•
FOPM HC 1� 1979
N[scriDeO By Stnte Bwrd o� Taz Commissiancrs
To & Filed in Duplicate
CLAIM FOA HOMESTEAD PROPERTY TAX CHEDIT fOH YEAR 19�
SEE BACK FOR FILING INSTRUCTIONS
�0-"�"'�-'Q' �" ��-«-��-�-�- '� certify that on the 1st day of
the following described real property for
�arch, 19�, I, (We) occupied as our principal place of resid�n
which a Homestead Property Tax Credit is hereby being claimed:
I, (We)�owned D����DV�J ��
❑ are buying under contract �
❑ have a beneficial inter,e�'/st in the taxpayer
Property Description in �/-�-G e-�» County � Township
Taxing District (8itq;-Town, Towaship): J�• �/�-�-�-
Parcel Number or legal description shown o� tax statement:
Gc%.e.�t �'��2. .�
Ii buying on contract: Owners name ��� simo�e owner)
Contract recorded in Recorders Office - Record No. Page
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 i �c•. s�
'Sig��/�-� Sveet AOdres Ciry. Staie ana Zio e
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 �)�cT�'im�ai�ivl
surrounding residential pr er e s L
Other Land
Total Land
r �� 81979
Residential Improveme /��412�Dwelling
�� Gara e
�� AUDITOR 9
Total
Other Improvements
To,'��mprovements - Line (6) plus (7) equals (8)
11,'��y certify the above is true. correct. and complete.
Signawre ot Assessar
Approved
True Cash
Value
c>> � �—�
(Z)
�3, s � �
(4) '�` `�'O
(5) // � � O
(6) ��'d
(�) �-/�
cs� �
- ACTION BY AUDITOR -
Assessed
Valuation,
aso
�so
.�3�—
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5/2 9�7 �
Date
Homestead
Valuation
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Date: