HomeMy WebLinkAboutHomestead_Epperson SIME FORM`)`MIR't.+NI fl.L SUtrd POaM 131 A.
APPROVED ST St KURD OF 1TYRLTS.94 PRIgtmw BY TIr DEPARIY£R(4 LIXAI CJr2R.ND:I FINANCE Ice-Li-rat
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
mare beneficial,there is more incentive than exer for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
to
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reecho the
benefit arse to provide additional identifying information necessary to allow county government to better monitor homestead
filing.This information will be kepi confidential and can only he accessed by authorized county officials.The lkpannxnt of
Local Gosermnent Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION --
Taxpayer Name Property Address
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Epperson, Eleanor E Trust .. VVV
RI Box 48 I 5.
O 0
Cynthiana IN 47612 0
1864 hU/ ,� l/
Eleanor E Epperson Trust
R1 Box 48 State Parcel Number Legal Description
Cynthiana IN 47612-8819
Illrtllrttllll Ilttltlltrltltrlttttllltl Iltllttltttll 26-22-07-400-000.301-024 004-00301-00 PTESE 7411 60 AC
PART 2:TAXPAYER INFORMATION
Owner I Val y.'f y First ce Middle to `j 9 !' I NHS tEc/ t
eC
IHe5 / // G / r/
AAdddrtss(ntimbcr and itree.cit.sstite,and ZIP Code) - - _ __ •
d
First Middle Last
Mailing Address(Number and street city,state,and ZIP code) ❑ Same as property addrcus
Social Security Number(last 5 digits) Driver's License/State ID Number Oast 5 digits) Other(please specify in Part 4 below)
sax
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.
Ow r 1 Signature ' late fi Telephone
q-n7.-7-------- 41 .?/1:7,- All//57• P C---(,)-----------------------
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�� Dated Telephone
PART 4:ADDITIONAL INFORMATION
•
•
F00M HC 10 19i9
hesuiGeO By S�ate Boare ot ia. Commissionerz
7o Be Filed in Duplicate
CLAIM FOR HOMESTEAU PROPERTY TAX CREDIT FOR YEAR 19Z�
SEE BACK FOR FILING INSTRUCTIONS
�(We) ` y'- - certify that on the 1st day of
�vlarch, 19 I, (We) occupied. as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) � owned Gi�� ��o�-i�� �-�6d. o'�Ol-��
❑ are buying under contract !%�� 4��0/— D� �
❑ have a beneficial in rest in the taxpayer
Property Description in � � County Township
Taxing District {6�Hq-T�wrr, Township): T, L- _
ParceF Number
If buying on contract: Owners name �'� 5inip1e °"ne'�
or legal description shown on tax statemeni:
�T, E/ SE/�L �—f�—// 7 Sz���
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 real property:
' hereby certify the above statement is true, correct and complete.
.-
�„�-�-�:'��Q d�..r�� f� � 2�! J> a�-, 'a
County
'� o�
Township
Gny. 5ta�e ano zio �e
' 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 nol exceeding 1(on�) ac h im�jerdiat
surrounding residen � imp�rovem�ents F�
Other Land ���
Total Land „ � �, - ��;�
„�i\ L �
Residential Improvements Dwelling
� ������d��Garage
� AUDITOR Total
Other Improvements
T '-' �mprovements - Line (6) plus (7) equals (8)
I�uy cerji�he above is true. correct. and complete.
Signamre ol
True Cash
Value
(1) _SO O
(2) 7 � a
�3� �z y o
(41 � 8'�0 0
(5) —
(e) �_�/��
��� 3 '7 0
(g) �z 3 0
Assessed
Valuation
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oa��
Homestead
Valuation
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- ACTION BY AUDITOR -
�lln Date: ��� 7G