HomeMy WebLinkAboutHomestead_Taylor (6) SLATE FORM!aW ILIE• I TP.EASULEx FORM T-IA
- sprt rD BT SLOE Bn1Ro Or,MWVSrs=w.Y prrsmnn)BY THE DEPARTMENT OF LOCAL GOVELYMFAT ENACCE M 6-1.13}LI
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple:are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ever for homestead fraud.I Iomestead fraud causes higher tax bills for all:therefore.
I� HEA IS44-2004 requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to recene the
benefit and to pnavide additional identifying information necessary to allow county government to better monitor homestead
filings_This information will he kept confidential and ran only he accessed by authorized county officials The Department of
Local Government Finance will we this information to create hots that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Taylor, Phyllis
203 N Church
1
Fon Branch IN 47648
6883
Phyllis Taylor
203 N Church State Parcel Number Legal Description
Fort Branch IN 47648-1103
I n
II nIII I II ti I uu II uIII I II II I I tit III 26-18-13-404-000.773-02 011-00773-00 GENUNG&WALTERS 179
t r tit ti r 11111 111111111 PT/180 PT
PART 2:TAXPAYER INFORMATION
Owner I First 1 Middle Last
\i.Li\, x s F�q 2�r 51 e_ 1 a`y OY
�ng Address(n+umber\ond street,city,state,and ZIP code) (D� \\— -- -- ®"Same as property oddress-- - ---— --- — "
10 3 N C.�l �"\ S 1- - co c LJ Y ELNtt�'1N ZN 4-.1 D l" D
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as properly address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sox
PART 3:CERTIFICATION 1
Each undersigned certifies,under penalty of perjury.that the above and foregoing infonnation 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 l Date
•
FORM HC 10 1979 io Be Filed in Dupli[ate
HescriDeO By Sia�e Boam al ia. Commissinners '
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19�_ �
SEE BACK FOFi FILING INSTRUCTIONS Qr'� 00��3 - � 0
�(We) �°-"�'�`���" certify that on the 1st day of
�arch, 19� occupie as our principal place of residence the 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 interes/t �in the taxpayer
Property Description in ` g- �� S�^? County u N�' °'� Township
Taxing District (6rfp—Town, Towusbip): �% �� /�-e-+�--�—
Parcel Number or legal description shown on tax statement:
� G-� t WrL.2.Lte- I 7 q�°
N-e.-�t P.Q.._.�- f So Po'
If buying on contract: Owners name ��� simple
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.
s�,��
County Township
Cny. Sta;e antl Zip Cooe
' 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 residentiai�i�Rve�entSr7 �
Other Land j 1 L j
Total Land
Residential Improvements •��N 12 1979
Dwelling
�����u�2� Garage
v� ,
AUOITOR Total
Other Improvements
T�' ' Improvements - Line (6) plus (7) equals (8)
I�by certity the above is true. correct. and complete.
Signawre oi Assesm�
True Cash
Value
(�) i0 0O
(2)
13) �coo
(a) l lZ�cr
�5> -1�%lv O
(6) L/_7—'�-0�
(�) --
($) �
- ACTION BY AUDITOR -
Approved: .� ` V1 • � [��^
Assessed
Valuation
c� � o
fi . .
��
0
S��-o�75
oai�
Date:
Homestead
Valuation
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