Homestead_Cummings Sn.art',"„3re an Swl MAStJLE1 FORM 13-IA
AMRSWED 9Y SIAM',CAROM 4 YYM:1S.s,. Far$ANFD BY Till DE/barmen OF LOCAL GOVERYMrM EE(ANCE IC.1.I.1-r24.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple.are limited to one homestead standard deduction.As the receipt of this dedllnion becontes
more beneficial.there is more incentive than tier for homestead fraud Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-3009 requires taxpayers who receive the homestead standard deduction to sexily that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county gormnRnt to better monitor homestead
filings. this information will he kepi confidential and can only by accessed by authorind county officials.The Depannicnt of
local Government Finance will we this information to create[Olt that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ - Cummings, Michael W/Vivian
— -R-1-Bea-346-13- E V&w 10065
Ilaubsmdt IN 47639
3346
Michael W/Vivian Cummins ��'
R 1--Box 346 D I t(08W I A00S
Haubstadt IN 47639-8731 State Parcel Number Legal Description
I rinllnrlrllnulll lllnlnitlntlnllunllllntl ttltt It rll 26-22-12-300-000.605-024 004-00605-00 PT W SW 124 11 1.00 AC
_____-
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
mie n.41 t./..)a.td nP rant Ali
"IT Address(number and street.city,state,and ZIP code) Er Some as property address
IUOE La ia-OOS k\o,u..6s ic at,. `'l o39 CRI 6oxatad..
-
Spouse First n nn Middle Last
V1V A
ian ek. rnyr\t noiS
Mailing Address(Number and street,city,state,and ZIP code) Q Same as property address
1y 08 W \a.00S 4a u bstcult In LOln13
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 '
•
� n��
e� �; CLAIM FOR HOMESTEAD PROPERTY TAX
� CREDIT/STANDARD DEDUCTION
}� �
` State Porm Sa73 (R2 / 5-92)
•�'
..,. .
INSTRUCTIONS: See ieverse side lor7iling instruc�ions.
!�� •� �, $ 1�
►- �6�
� 1 j ���
""e� I U.c �n�{� �✓�rv wtai+� �.�.v�r�sr,� � -�9
�) occupied as our principal place of residence the following described real property for which a Homestead Property i reby daimed:
❑ I(We) owned � Are buyinq under comract - .
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and ihat owns theproperty or is buying under a contract.
� � - � • CONTRACT RECORDED - - ' - � �-
If buying on contract, Fee Simple owner's name '' . .
�
Recordefs office where contraa is recorded Record number Page
- � � � �� � PROPERTYDESCRIPTION �
Counry ' ' Township � � Tazing disvict (dry, fown, lownship)
Parcel number_ Legal de �on � ` _ — —
lnJ � �
It any portion of the residential simc[ure or the land not exceeding one (7) acre Ihat immediatey rrounds ihat structure is used m protluce iraome, tlescribe Ne use and portion
oi [he pwperty utilized to produce inwme. ,
i �ir_�_r_sP�.�-.sa��s�rr.���rr ■
ASSESSOR USE ONLY TRUETAJ( - ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE. VALUE VALUE
Land not exceeding 7(one) acre immediately
surrounding residential improvements. (�) � �
Otherland (p) �
Total land Qine 7 pNs line � (3)
Dwelling (4) � .
Residential improvements
Garage (g) �
Oiher improvemenis (6) �
Total improvemenis (line 4 through line � (7)
_TOtal value (line 3 pbs line 7) (g)
I hereby certify ihe above is irue, correCt, and Signamre of Assessor Date signetl
complete. �
�ng action - Synawre of Audiror Date signed
79_Pay19_
l.esser of 7/2 Homestead
Valuation or 52,000
S
SignaWre of Autlitor � /�� / ,� O.^ va�e sgneo y
�/� �� �.L/ / / � v�/l./� - _ _ ''�"� .Q �
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