HomeMy WebLinkAboutHomestead_Bell LUTE FORM133r^Otr SWI TICLASI.atER roM SIA
•PPROVED BY STLTLvsrn OF...mittens.Zan PRF_Yl1f➢[nay 111E 0EPMMITNT 01 LOCAL CAmtiMxalrr fn:AYCEA'4-I.1-1`4.l
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 incenthe than exec for homestead fraud.Ilomestead 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 teethe the
benefit and to provide additional identifying 'atom-union necessary to allow county government to better monitor homestead
filings-This information will be kept cantidemiol and can only he accessed by authorized county officials.The Depannent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Bell, Norma M Life Est
9602
Norma M Bell Life Est
12691 S Owensville Rd State Parcel Number Legal Description
Haubstadt IN 47639-8704
hum Ilnrlrllnnllr lrinlulllnllllnuln 11.1 11111111 26-22-15-300-000.054-024 004-00054-00 PT NW SW 15411 3.259
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PART 2:TAXPAYER INFORMATION
•
Owner I First Middle Last
NoRM A M FELL
alpAddress(number and street,city,state,and ZIP code) - v-�� Same as „- - -
/,ies69/ sr, OWENBv=LLE Res flpu135rAbit 1"N [f7431- 81oce
-
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sex
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 eliuible to J
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 ,� Dale
FOflM HC 10 1979 .
Pies[riGeC By Stare BaarG al ia+ Commissioners
io Be FileO in Duplicate
CLAIM FOR HOMESTEAD PROPERTY TAX CREUIT FOR YEAR 19Z
SEE BACK FOR FILING INSTRUC
�(We) � � - certify that on the tst day of
��arch, 19��, , e) occupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
�G _ �� -�� �3cd -6a�. D � da �
1, (We) ❑ owned Q A�_ Qo� t�/—�^
❑ are buying under contract l� �� T c�G/
❑ have a beneficial intere�t in the taxpayer n ,�
Property Description
Township
Taxing District (Ei1�y--Tewri; Township):
Parcel Number or legal description shown on tax state �nta13
P�". .f�G!/ 4 �i �y / J � �/ � / / �<o
If buying Ofl contract: Owners name ��� smoie owneq
Contract recorded in Recorders Office - Record No. Page
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 reai property:
�hereby certify the above statement is true, correct and complete.
County Township
Gi�y. State an�
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) ac e im edia�!y�
surrounding resideqQ�l i�prove��ments�y� A ➢
Other Land � ��� ��
Total Land ��in� �t 1979
Residential Improvements Dwelling
–�1% � �� Garage�
(/1 �
AUDITOR Total
Other Improvements
To��' Improvements - Line (6) plus (7) equals (8)
I�bvi celtify the above is irue. correct. and complete.
O� A55¢55p�
Approved
True Cash
value
(�) SGO
(2) -f-�
(s) t�'--9 0
(4) / �/ 70
(5)
(61 /3/70
(�) —
(a) /.4 / 9 0
- ACTION BY AUDITOR -
Assessed
Valuation
i
.
���������
i
_•
'—= .
�� •
Homestead
Valuation
/ 70
5�/9' �y
Da:e
Date: �� ��