HomeMy WebLinkAboutHomestead_Williams (15) __ • lIML FORM!!'M,Ri'WI IRLASVarX FORMSIA
.ArmWw'ED FT[fIPL IID;SDOCAMIIsT am PALIOUB1LDY ilia DEPAFIME'T{*ISCAL“WER.'lMrh FD:ASCE ll'VI.I-U-A.I
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
mire beneficial,there is more incentive dun on for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-209 requites taxpayers who receive the homestead standard deduction to verify that they are eligible to reeene 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 on only be accessed by authorized county officials.The Ihtunment of
Local Government Finance will sew this information to create cards that will help count'officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Williams, R Frank/Grace
105 N Main
Fon Branch IN 47648
6888
R Frank/Grace Williams
105 N Main State Parcel Number Legal Description
Fort Branch IN 47648-1301
II III I II I II II II III' I I III 26-18-13-404-000.874-026 011-00874-00 GENUNG&WALTERS
t tt tit t tit tt rr lief rr t tttt t rrrt 160PT/161PT/162PT
j PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
jig ,7,-_,,,, /�- �,- %/7. ;? srr�$` Jh,
gip .Address(number and street,city,state,and ZIP code) —— -- - — - eme as praperry eddies; - -- - — -- - - '- "
J oc �/. '01 A, .'L/
Spouse First Middle Last
Gre aep nr - eLa LJ, xi, a , c
Mailine Address(Number and sneer,city,state,and ZIP code) Same as property address
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 Si£naume Date
G ? _,, ., v L, . ,. o _r / n) %IC- 4 e s .•'sL e0 bi g r._t r. 'S.4 e es i--.7-C-
--- .• n .�. ..J a S r. r 2. 7 C
FORM HC 10 7979 To & FiIM in DuD���ate
Prescri�e0 By Scaie Bwrtl of Tax fqmmiuianers
CLAIM FOR HOMESTEAD PROPERTY TAX CAEDIT FOR YEAA 192� ✓
SEE BACK FOR FILING INSTRUCTIONS ���. �O�'�1�-D'O
�(We) ��� � � ��-�-�x-� � -�-���- � �1-+��'-�- certify that on the 1st day of
.arch, 19��, I, (We) occupied 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 in rest in the taxpayer
Property Description in�� County L;�-�-+�� Township
Taxing District (GiEy�ew�r, Township): ��+�-�•ti
Parcel Number or legal description shown on tax statement:
Xo-�i � G o,a�. -� a i,aL.
i! / O�.r..t,tr .s G� f�Q G{yLp �- /(r oZ �L .
If buying on contract: Owners name
Contract recorded in Recorders Office - Record No
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.
� � �`�Street
County
Township
an0
' Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneticial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre immetliately
surrounding residential i�roTvem�s� �
Other Land 1
JL
Total Land
Residential �mprovements JUN 21 1979 Dwe��ing
� �/�/��Garage
AUDITOR Total
Other Improvements ��
Improvements - Line (6) plus (7) equals (8)
by certify-the aboye is true. correct. and complete.
OI A552550�
Approved:
True Cash
Value
(1) /J-'�O
(2) —
(3) 1 Sd'' o
(4) �',�=-r-�—
(5) / O o � o
(6) D
(�1
(8) 7-�O
- ACTION BY AUDITOR -
Assessed
Valuation
.5 30
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Homestead
Valuation
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�a�e
Date: 7