HomeMy WebLinkAboutHomestead_Williamson (12) )•!
i %UtE FORM.)K IRe set TVs,''ILEX FORM YIA
AP/ROVED BY STATE 9OARDDt.MYYUNTS.Zug PRPIRIBFD BY Mr DEPARTh 4TOFtDI'AL COraor net FINA NCE n'(.1.1"4 I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual and married couples are limited to one homestead sandard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than eser 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 arc eligible to rccei'e the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing.This information will he kept coin:&vial and can only be accessed by authorized county officials.The Depanntent of
Local Government Finance will use this information to create tools that will help county official eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Williamson, Blaine ,l/ �
dt'503 li Oak
Fort Branch IN 47648
2934
Blain Williamson
503E Oak St State Parcel Number Legal Description
FORT BRANCH IN 47648-1651
26-19-19-101-000.764-02 011-00764-00 CLAR-ENCE TERRACE B 18
to II nrI t iI t'n II III nn II r II rnI r I 'III II 14Ir Ir I
-
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.
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
sa\atne, = ass �-�t�1 , ` i Iancor-
ne Address(number and street,city,state,and ZIP code) 1 yl Same to property address
boa e- Oa\C Spree - FA .aranC4 � ,T J 4m , 4ej
Spouse First Middle Last
Mailing Address(Number and sweet,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)
sate _
° - PART 3:CERTIFICATION i — ' f — -- -
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 '� Date
S
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Smte Fw,n 5�73 (R7 � s0�
Preau3ed by ihe Depertrtient d Loml Govemrtiaa Foiance
' INS7RUCTIONS: See reverse side for filing instructions.
O M �
� JUN 0 1 2007
' GIBSON COUNr �Avtx�'
1(We) _ certify that on the 7S[ �ay rnm8r2h, 20_
I(We) occupied as our prmdpal place o( residence Uie fo0owing desaibed real propeAy tor whicA a Hanestea0 Property Tmc Gedit is hereby daimed:
�M�e) owned ❑ Me buymg urMv cmtract
iave a benefidal interest in the entily tl�at is liable tor the property tazes a� the propeAy and that owns the property or is Wying under a contracl
rc Gq'u�g on cmtreG. Fee Simpe ownera �mme
Coim�
Parcd rumber
Ila parinnalih
of e property util
� (� -/ 9
��;#. ��f�xa��
crn,�ry
�ry� Tp�¢ryP Tam� tlistnct (c
I � uN
Legal deu+iPiion Is the
C /.Q �'-P/XC.¢. .g / �'
residertlial ffiuc4rt8 a the Imd rql ntCeetlilg one (1) ecrB that unmBQa�PJy Surtoun�
ed ro woduce uimne.
-/9 - /o! -OoO. 7�4'-Oa-�o
Township
I hereby certiTy the abave sfatemenfs are We, correct and complete.
(nuMx end abeeG c�: sfam. IfP ooae)
S0� F_ `C�a� S��- ��_
County
Recud num6er I Paga
i quastion:
Real poperty � Mobile Fiome (LC. 6f.1-7)
ire is used m woduce uwome, desaibe iha use and v�n
i`§n.�.�'ikn����).3�3€i:`�"����,v^:s:l.., �..-�.�STANDARD�DEDl1C710NfAL''LOWANCE�..vki+.yrv,m'[��+.,A`a-.''� ?'<(�F:,:4�i..�Yi�°.`_r,e'��`.'.�.`±?A�en.�'-�5s��`�:�
20_Pay20_
lesser af 72 Homestead
Valuatian or f35.000
E
Signa4ce ol Pad'itu Dafe s9�+ad