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Home My WebLink AboutHomestead_Smith (19) STATE FORM]1364(N/RIO) TRFASURU FORMTS-IA APPROVED BY STATE BOARD OF ACCOUNTS.RON PRESCRIBED BY'Mb DEPARTMENT OF LOCAL GOATR MEYT FINANCE IC 6-1.1-22 4.1 Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS 101 N. Main Street Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes e Princeton,IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher Tax bills for all therefore, HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the FILEDbenefit and to provide additional ept coning inrornalion recess ey tc allow county grad count to bear monitor homesen f filings.This information will be kept confidential and can only be accessed by authorized county officials.The Departrnrn[of Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. PART I: PROPERTY INFORMATION APR 27 2011 Taxpayer Name Location Address C ny--g—_ , Smith, Patricia _(V�� 1007 S Center GIBBON COUNTY AUDITOR Fort Branch IN 47648 7227 Patricia Smith IIlIDIii__DIII II IIIIIUHI DIIIfIIII II DIUII II_IIIDI IIIEIIIU IIDII If hII�III 1007 S Center ,FORT BRANCH IN 47648-1700 ' iiilillrllillllrliIlllll'IIIliil"IlIllrllllllllll"IIIIIII'lilIl State Parcel Number Legal Description - - - --a-- - — -- -"- `— 20;1&24-204:000.729=026/6RENTON-ADD 11.PT 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. _ S . -__. _ - -----._.____FART_L_T,.SPAYER_INFORi\IATIO\ - '----__— ---------- --- - -- _ -. - Oa.... 1 First Middle Last Mailing Address(number and street,city,state,and ZIP code) © Same as property address . 10 07 6. ' ) a ¢t 13 Awn-4.1 • 4 7 6 `t , Spouse First) Middle 4 Last Mailing Address(Number and street,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) I I 11-I I - 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, i Date - ( ) PART 4: ADDITIONAL INFORINIATION FORM HC 10 1979 To Be FileO in Duplicate PrescriEeC By State Board ol ia. Commissioners CLAIM FOR HOMESTEA� PROPERTY TAX CREUIT FOR YEAH 19L � SEE BACK FOR FILING INSTRUCTIONS 0�� OO�a.�'�� (We) x`/� 1\ d\�'�u-�-�- certify that on the 1st day of Trarch, 19�� I, (We) occupi� u� rincipal place of residence the following described real property for which a Homestead Property Tax Credit is hereby being claimed: I, (We) O owned ❑ are buying under contract ❑ have a beneficial interest in the taxpayer 0 Property Description in County �� Township Taxing District (Cifq-Town, Towr�ship): �� --�.-� - Parcel Number or legal description shown on tax statement: ��-,... �.o-� �/�-�` • If buying Ofl contract: Owners name �� s�mv�e owner� Contract recorded in Recotders 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: certify the above statement is true, correct and complete. County �� Township // ' Shttt noorrys Gry. S:ate ana Zi0 �e �� (� � 6—I5–'79 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 T�otal Land � � � � � Residential Improvements JUN ? � 1979 Dweiling � �/��Garage Total Other Improvements � AUDITOR T�' Improvements - Line (6) plus (7) equals (8) ��y certify the above is true. correct, and complete. True Cash Value (�) % $ o (2) — (g) /� 8 0 (4) �— -�d cs� / o? 01 cro (6) �� (�) — (g) ° " 'r`� Assessed Homestead Valuation Valuation a3� �3� � � %%%/�%%%%%%% ' � j/�jj/�jjj/ j�jj�jjjjjj jjjjjj�jj/ �i' ^% i i oio��' /r%//7 �� %�/,%/%//� ia�„° ., �iii...,_ � ,._. • j�/jjjjjj� �'-' � jjjj��/� I ` ,. Date: