HomeMy WebLinkAboutHomestead_Galvin 'Twh rnam!!t. VIM tarASUREu FORM 711A
APPROVED BY.t.)E WARM*MYYtn't+.\.n rtIARtnm BY Dr YARTMEYT wtflAtoOVEtNMrsa FQ:nViF.I.1-E'-,.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 sandanl deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever for homestead fraud homestead fraud causes higher to bills for all:therefore.
HEA 1344-2009 requires oxpayen who receive the homestead standard deduction to verify that they are eligible to receve the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kepi confidential and can only be accessed by authorised county officials.The Depanment 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
Galvin, Michael LNarbi J
12226 S Brook Dr
Haubstadt IN 47639 _ _
11013
Michael L Galvin
12226 S Brook Dr State Parcel Number Legal Description
HAUBSTADT IN 47639-8000
III IIII I III I I I I 11111111111141 26-23-16-100-002.065-024 - 004-02065-00 COUNTRY AYRE EST#2 8
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PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
MC 1 e10.e,1 LWf enc.e GC�� v i r,
_—•tg Address(number and stray,city,state,and ZIP code) _ - - - -- , 'Same as prupertv address --
129210 5ot,A1- rot lc 'b eve
Spouse First Middle - Last
Va.(-till- eo_rx ,
Mailing Address(Number and street,city,stale,and ZIP code) t'Smne as property address
1 1
I2224 Sn �y �OOIc �r e_
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 thaL by claiming additional homestead deductions
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Owner I Signature� ih Date
•
�} CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Sute Fwm Sa73 (RB / 403)
Presaibed by Ue Department of Local Govemment Finance
INSTRUCTIONS: See �evcrse side /or liling insfmcfions.
FORM —_ _ YEAR
HC10
�� � � � �
I(We) _� //�( " Ll _���ri-! ���U�� certify lhat� the 1st day�of March. 20 ..
I(We) occup�ed as our principal place of residence lhe (ollowing described real property (or which a Homestead Property_Tac,Cr�ed�l�is� h/eie6y daimed:
� I(VJe) owned ❑ Fve buying under contract �� GIBSON CGUN i Y HU�ITO?
� Have a benefidal interest in the en6ty that is liable for the pmperty taxes on Ihe property and that owns the property or is buying under a wnVaU.
If buying on conVad, Fee Simple ownefs name
Recmders olfice whaze conVaa is remrdetl
Tamship
Legal descriD�n
the
town,
Record numDer � Pa9e
�'�� �� � d " v� � I �eal property ❑ Mobila Hamo (1.C. 61.1-7) .
If any portion of the residenGal sW ctura ar Na land not axceeding one (1 � aae l0et immeCiatety wrtounds that s cWre is used b produce income, describa Ne use and poNon
of the properry util¢etl b produce income.
-ooa. o��-d��
covory
I hereby certify the above statements are We, wrteG and complete.
city; state, ZIP code)
20_Pay20_
Lesser of 1/2 Homestead
vauatron a E35.000
$
Signatura of Audita � � Date signed