HomeMy WebLinkAboutHomestead_Jones (10) STATE I(*NI'!!t+11L'/fall IAEASiLER FORM SIA
.ArrM*EB By RS1t BOARD Or CT'MNTCwB PR/IMBED by Timm DEPARTME4TOF UMW.C{wrR.VSmm'T FINANCE Ics-1.1-r-tl
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
more beneficial,there is more incentive than net for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HET 1344--2079 requires taxpayers who receive the homestead standard deduction to verify that they are clicible to receive the
benefit and to provide additional identifying information tea:Barr to allow county government to better monitor homestead
filing.This information will be kept confidential and can only be accessed by authorized county officials_The IXrynment of
Local Goverment Finance will me this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Jones, Gary W
//SF O S,/SG E,
Ilaubsadt IN 47639
10897 - _ - . _ . _
Gary W Jones
11380 S 150E State Parcel Number Legal Description
Haubstadt IN 47639-8010
1111111.111111m1111111111111111 111111tltt�t��trtt�r,11 26-23-09-100-001.404-024 004-01404-00 PT NW 9410 1.80 AC
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PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
Gf} t A- , :JDiv£ S
tg
Address(number and street,city,state,and ZIP code) - ---- — --/3 S.S. /SO �.
f//9 sri/OT pia. Y7(o3y '-Poio
Spouse ON L First Middle Last
N
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as propeny address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please spelify in Pan 4 below)
Stile
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 elieible 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 Signa� ture Date
•
• � CLAIM FOR HOMESTEAD PROPERTY TAX CREOIT FOR YEAR: 19�_
• . SEE BACK FOR FILING` INSTRUCTIONS ,/���°������
Y
I. (We) ��`'��^�� ��� ""`^-°"' certify that on the tst day of
�h, 19 I, �occupied as our princi I place of residence ihe following described real properiy for
n a Homesiead Property Tax Credit is hereby being claimed:
_/ c�� -�3-�9 /�o -a6/. ���a ;G
I, (We) L�l" Owned
❑ are buying under contract ,
❑ have a beneficial interest in the taxpayer
Property Description in counry_ ��^��°�^�
�
Taxing District (City, Town, Township): , . .
Parcel Number: or legal scription shown on tax, statement:
. . �t ti�►�4 q-y-lD 1.8D�c.
Ii buying on contract: Owners name ��ee s�mo�e ow�en '
n rded in Recorders Office - Record No. Page
If any portion of t�e����re or the land, not exceeding one (1) acre that immediately surrounds lhat
structure is used pro�e income, describe the use and portion of the property utilized to produce income
Any other counti�����'ns or is buying real property:
AUDI70R . • .
I hereby certify lhe above statement is true, correct and complele.
SUeel AEaresa � �
County Township
Ci�y. Sia�e an0 Zi0 Cotle
' I�dual either d'wns 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) acre immediately
surrounding residential improvements ,
Other Land ,
Total Land
Residential Improvements Dwelling
Garage
Total
(�)
(2)
(3)
(4)
(5)
(6)
True Cash
Value
Assessed Homestead
Valuation Valuation
Other Improvements ��) ���������
To mprovements - Line (6) plus (7) equals (8) (8)
I,(�y certify ihe above is true, correct, and complete.
oT��
Sigmwre oi ASSessOr
- ACTION BY AUDITOR -
(J../YVYLIL- �� {'��1 U�A" Date: �` � " �
Approved: _