HomeMy WebLinkAboutHomestead_Combs • , %LUTE FORM!t•MIR_I5 t TREASURER FORM 11.Y
AR/ROVED BY SINE IXNR001-AMR...TS."... PRreYNPrDnT 111E DEPMTxc4T OF LOCAL GOVERNMENT re:AVCE K- t.1-_4,1
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 exer for homestead fraud.homestead fraud causes higher In bills for all:therefore.
• HEA 1344-2019 requires taxpayers who receive the homestead standard deduction to verify that they arc eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
feints.This information will be kept confidential and can only he accessed by authorized county officials.The Department of
Local Government Finance will u*e this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Combs,Agnes
R2 BOY 150-I 4...)
HAUBSTADT IN 3763
10991
Agnes Combs
2753E Warrenton Rd State Parcel Number Legal Description
HAUBSTADT IN 47639-7959
III IIII I III IIII I I I I III 26-23-15-300-702.163-024 004-02163-00 BLDG ON LSD GRD M
t tt 1111 1111 11 tt 111 t 111 t t t ftl t ttr ttf t NIEDERHAUS 004-00757-00
X
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
fie N e s n1, e 0 rite s
lg Address(number and street.city,state,and ZIP code) _ ---- --� Same as ptnperty oddrCs - - --- -- —"
—
a 7 5 3 E
.
Spouse First Middle Last
Mir/,InEL �r Com /. c
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
a75 F /Pig 'kp/JT2N Rf /A 8s-rig-DT, _4 5{76 39
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 Signature Date
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
t �� State Farm 5473 (RS NO-0i)
��q Presaibed by Ihe DeparhneM of Local Govemment Finance
lNSTRUCTIONS: See reverse side lor filing insfructions.
FORM
HC10
, � .�� �
YEAR
�
I(We) � certi(y that on ihe 1sl day of March, 2Q
I(We) occupied as our principal place of resi nce the following described real property for which a Homest � Property 7ai Credit is hereby med:
��I (We) owned ❑!ve buying under contract G1850�7 COUF7���
�, Have a be�efidal inlerest in ihe entity that is liable for Me property taues on ihe property and that owns the property or is buying under a contrad.
If buy'v�9 on conVact, Fee Simple ownefs name
Retorders olfice where tontraq is retorded
� I ��
11 eny poNOn o/ Ne residentlal atrucWre w the land
ol Ihe property uLT¢ed tu produce iMOme.
�, � 1 , 1 .
descripUon
.. � ;.�.,�� �
Remrd number
m,m,
the property in question:
❑ Real Droperty
is used b produce
Page
� Home (1.Q 67.1-�
desttibe the use and portbn
�-•�y, 7�� " � ` '
�i ' `� ' � '-� - .
�:.+:' ��'�1*�=�t'"'3�"'rai u+'�'�-�??'"3��.��:�'�+'.'sS�-;3STANDARD DE_DUCTION'ALLOWANCE �,�'"`r.". �'" • ::"° „` •"" •�-' '�" =yrK
f �Ys§�S'' <1tS+�`S.'o �74:.¢f:ltk�±-`3i.Y`'%.�.a!�"�=
20 _ Pay 20 _
Lesser o( 1!2 Homestead
Valuation or $6.000 �
SignaWre of /wA'itv � Date signed
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