HomeMy WebLinkAboutHomestead_Ambrose RATE tOR WMemit=i Swl TYE45URR 1OM1N 11A
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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
more beneficial.there is more incentive than ester for homestead fraud.I lomestead fraud causes higher tax bills for all;therefore.
• HEA 1344--2009 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to receixe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filins,6.'Deis information will be kept confidential and can only he accessed by authorized county officials.The Department of
Local Government Finance ssill use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Prnpertc Address
— Ambrose, Mathew D/Hollie
RI Box 124 K
llaubstadt IN 47639
3377
Mathew D/Hollie Ambrose
12680 S Scottsdale Dr State Parcel Number Legal Description
Haubstadt IN 47639-8675
itIu IIurItIIuullIll�uinln llnlntiIlI ltknitllntlutll 26-22-14-300-001.693-024 SCOTTSDALE ACRES 15 D-2
X
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
�RTTh �I �EI,DR4MF IimPf1)SE
tg Address(number and street,city,state,and ZIP code) R.Same as property address
12680 S . Sty ,--rstIPLLF bitiVF I-a lik1-RKT Tit LnVsq
Spouse First Middle • Last
gn11iF STENELLS Arn6ILbst=
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
k1) L0 ) S. .ScDTr.\ Mid F Q. I\RLlkctR(VC rtu W71n 39
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 1 Si Date
•
•
rt t CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
/ Slate Fwm Sa73 (R6 / M3)
PreStribed by Ne Department of Local Govemment Finance
INSTRUCTIONS: See revcrse side lor Iilin� msfmclinns.
FORM ' YEAR
�4{� HC70—ir—i
ti �� F ��1 k
� t1J iy� J_�
�(We) �C.L�C-U� i� certify thal on tl�e 1 rt''�ay of Maich,(2U_
I e occu ied s our rinci al lace of residence the followin described real m e for which a Home ts eadfP.to e� � �
�) P P P P g p p rtY p rfy.Tmc�Credit�jsJ�eiebydaimed
❑ I(VJe) owned ❑ Are buying under contract
'�Have a benefidal interest in Ihe entity ihat is liable (or the property taxes on the pmperty and ihal owns the property or is buying under a wntrad.
If buyinq om m�Uad, Fee Simple owners name
where coniract is remrdeE
Counry
Tamship
Legal description
Ue
i/-[//(p/� vv i v i
portion of Ne residential structure or Ne land rwt exceeding one (7 � aae thal immediatery wrrounAS that
proparty utiized tn produce income.
County
-i � a
��,��;;ai
Tavnship
I hereby ceAi(y the above statements are We, corred and complete.
city, sfate, ZlPcde
)Y /Z/��
County
Record number � Page
townshiP)
Roal Draperty ❑ Mobile Homo (I.C. 61.1-7)
ua is used to produce income. Eesaibe the use and portion
Twvnship
>. r= � ���.�� �Y ;.�. � �w.,g�. � .,,_ w t �.�.,. �•-
�-��� _'��,' . TRUETAX�+ ASSESSED VALUE HOMESTEAD��� t NON=RESI�ENTIAL
� ASSESSOR�USE ONLY�
�,a.���..�-�.c.g ��..�,_��,�.x,�'-y �""�'t �VALUE,��f"x4�;'� "AT*100%'OFpT:TV� �`=�x�:,VALUE� ���r�VALUE. �,-+y?�, �
Land nol exceeding 1(one) acre immediatety ��'i�m��°+n'.6�-F'�'��sk;=�?
1 � sr t". yc �i`,� -,�i
surrounding residen6al improvemenis. ( � � �����"F�-r�.�`�'._.
Otherland (2) ��.�; -_�� �
s. -.._✓:-?�t•°- '�"5
Tdal land (line 1 plus line 2) (g�
Dwellin ' " �Fi'u:' "' 'f .��y
"? �
9 �4 � �t s ,� ���.
Residential ImprovemenLaorMnually , ��`E"�G"#'`��"��"'-. - �'��
Assessad Moblb / Manufacttred Hmre Gara e �-^' �� � ., t ��`
9 (5) �+..```�3�` �. �':�'-��"s��_:�'
3=>S#'a� • �r
Otherim rovemenls ��'�r��= �
P (6) �5,;� �y�1.!�`, '
Tdal improvements (line 4 through line 6) (7)
TUaI value (line 3 plus line � �g�
I hereby certify Ne above is We, corred, and Signature of Assessor Date signed
completa.
Vaifying aclion - SgnaWre oflwditor Date signetl
_'�'��i-A�'r.��.?�='�=� ..'�s�'��,�«°..�.�`i.'�kr��'`�'xE+'°`--STANDARU;DEDUCTIONAL'LOWANCE:iK�'�nru�s��s`".-,.^c'`�+5�7'�'•."�'�.`<:".�+��.':�``"vse� w
',• F.�-a
20_Pay20_
Lesserof 1/2 Homestead
vauaUOn or 535.000
5
Signahire of Pudit« ' �ate signeA
�� ��\i