HomeMy WebLinkAboutHomestead_Hirsch (5) 'LATE FORMn. IIC'/s i i TRFASIJILIER FORM 111A
Arrrr*'Eo nY STATE 00aRDOI.M rryxwrc tan PP.Fn(AlatDBY TEE DEPAATME4TOF LOCAL CAV?nh1EXT FIANCE h'LLI-:_-t.l
Gipson 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 ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-209 requires taxpayers who receive the homestead standard deduction to verity that they are eligible to recehe the
benefit and to provide additional identifying information neceseary to allow county government to better monitor homestead
tiling.'Ibis information will he kept confidential and ran only he accessed by authorized county officials_The 1lepannlent of
Local Government Finance will we this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Hirsch, Mary E Trust
11005
Hauhstadt IN 47639
10845
Mary E Hirsch Trust
251 W 1100 S State Parcel Number Legal Description
Haubstadt IN 47639-8838
1t�n�1utlt��un�lt�t�uln�t�n�t ul�tlu�u�t�nn�l�t t�r� 26-23-07-100-000.473-024 0-9
-00473-00 PT 7a 1036.576 AC
•
• PART 2:TAXPAYER INFORMATION `
Owner I First Middle Last
DY(� l 4
rsL
g Addl... (number and street.city,state,and ZIP code) - —--- — ------- same its property address- - - — -
aSJ G!/ sae /loos /9a0bs7bd�- rr�. f-/ 76 38
-
Spouse First Middle Last
Mailing Address(Number and street,city,state.and ZIP code) Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sus
PART 3:CERTIFICATION s`
Each undersigned certifies,under penalty of perjury,that the above and foregoing infonnation 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
•
FOFM HC 70 1979
Preuri�e0 By $Wle Bodrd of TaR Cammissfoners
CLAIM FOR HOMESTEAD PROPERTY TAX CREOIT FOR YEAR 19�
ta 8e Filed fn Duplicate
BACK FOR FILING INSTRUCTIONS DD(�c Q� �C f3_�
�✓� // / >� "�, - /' T/
�(We) �UC/LQ,n�h //i, � /f%
arch, 1�, I, (We) ccupie as our principal F
which a Homestead Property Tax Credit is hereby
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial i rest in the taxpayer
Property. Description in �
Taxing District (Gitq--Tcwn;-Township): 't-
Parcel Number
If buying Ofl contract: Owners name ��ee s,maie owneq
� certify that on the 1st day of
of res' ence the following described real property for
ing claimed:
��-�.3-Q�/�-DaO. j�o3 d�S`
�ounty � Township
��_
or legal description shown on tax statement:
NE/� Nwd� �-�_ia� �o��
Contract recorded in Recorders Office - Record
If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
structure is used to produce income, describe the use and portion of the property utitized to produce income
Any other counties in which individual owns or is buying real property:
hereby certify the above statement is true, correct and complete.
�
[�% � �/ . D . �,_. p �/ • D s, _ _
5vee�
County Township
r
Gry. State ana Zio Goae ,� J63 y
' Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial.interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one)� �m�te� D
surrounding residential impr me
Other Land
Total Land
Residential Improvements
Other Improvements
JUN 41919
��� AU/�9
9
Total
T�� Improvements - Line (6) pius (7) equals (8)
I�1!by ce�the above is irue. correct. and complete.
�
Signamre ot
True Cash
Value
(1) �5 O U
(2) 7D 70
(3) —,$"z0_
(4) ��
(5) —
�6� /�� � O
��� � �� o
�a) /�jioo
- ACTION BY AUDITOR -
Assessed
Valuation
i
• .-�
��
Homestead
Valuation
� ei
s =.� z— 79
oa:e --
Date: —FJ � � � �/