HomeMy WebLinkAboutHomestead_Lamey (17) TEE RI-KM.).W IP-r.+O IEEAS000R FORM 75-IA
APPROVED BY MIT&WU)OrsxxR.T%.•m. PRISTUPrD BY TIIE DEPARTAINTOF u AL COTTRVMEvi FINPNCE ICVI.1-"A.1
Gibso- County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple arc limited to one homestead standard deduction.As the receipt of this deduction becomes
_ more beneficial,there is more incentive than ner for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
0 HEA 1313-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the
benefit and to plucide additional identifying information necessary to allow county government to better monitor homestead
filings_This information will he kept conlldetaial and can only he accessed by authorized couny officials.The Depenment 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
Lamey, Terry J/Mary Jane
R 113ox 345
llaubstadt IN 476391
3348 Q\
Terry J Lamey IIGG
1002 W 1200 S State Parcel Number Legal Description
HeubstadtIN 47639-8728
26-22-12-300-000.616-024 004-00616-00 E SW 12411 3.33AC
111111111 III Iinnlllltlu iu ltlntlultlludtll unrItIr ItrII
•
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2: TAXPAYER INFORMATION
Owner I First Middle / Last
Je ,/1 Jec beim,e /
®ig Address(number and- t,city,state,and ZIP t.f
IP code) 1 address
�sSame as property addre
)ooi-W Dods Ha 4 h 6 744 c7' fig/ 'f74, 39
Spouse First Middle 1 Last 0,41,7
Mailing Address(Number an street,city,slate,and ZIP code) Zt Same to property address
/aa?V\/ /d-r/o$ NG(4 la sAelf .3'N 74 39 .
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.
Owner I Signature Date
III
FORM HC 10 1979
PreSCriDe4 By $Iale BWrO al ia. Commissioners
to Be Fi1M In DuD��cate
CLAIM fOR HOMESTEAU PROPERTY TAX CREDIT FOR YEAR 19�
SEE BACK FOR FILING INSTRUCTIONS
�(We) � certify that on the 1st day of
March, 19�, I, e) occupie s our cip ' lace of residence the following described real property for
which a Homestea Property Ta Credit s here y being claimed:
I, (We) ❑ owned �Q �� �v `�l�O �ov
O are buying under contract �f/ _o�_ ?_ 3� _��• �/(� - d� �
❑ have a beneficial �i /erest in the taxpayer ��
Property Description in�'![�!�^a County Township
Taxing District ((si2�-�owr�Township):
Parcel Number or legal description shown on tax statement
,D�,� E� sG�%,C /�-5�-/r � ���
If buying Ofl contract: Owners name ��� simo�e owneq
Contract recorded in Recorders Office - Record No. Paae •
If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
structure is used to pro.duce 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.
�
*�/ �� �` �
Svee� naaress
County
J O-S
Township
SY7C�; �i � 6 c> %
ue ana 2ip Coae
,_�_�9 �
' 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 excee�t��cf*!7nl'�'�tely
surrounding resid ial m ove j�is+r
Other Land
Total Land ��� g 1g19
Residential Improve ents Dwelling
� Garage
A�
Total
Other Improvements
T' Improvements - Line (6) plus (7) equats (8)
�eby cg�tify� the above is true. correct. and complete.
Signamre o�
True Cash
Value
( � ) So 0
(2) /�8�
(s� �-�
(4) S�� 0
(5) �
(6) S-�(o fl
(�)
(al .�`��� o
Assessed
Valuation
i
� �
�j�jj/�jjj
�/�jj�jj�
, �
� -
Homestead
Valuation
�d �
a�qo -
.s-=ZZ—
oa:z -
- ACTION BY AUDITOR -
Date:
II