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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 \.}) 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---(,)----------------------- /spotripiltire" �� 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 /7-fJ SOD ,�.p .� _ ��• . S =�/— oa�� Homestead Valuation jj�jj�j�� ����������� jjjjjjjjjj/ j�jj�� - ACTION BY AUDITOR - �lln Date: ��� 7G