HomeMy WebLinkAboutHomestead_Mathew 57 AP.FORM 53.5M OU -N1 MASUREA FORM 7S-IA
.VYRIw'En BY STATEIXWARD°,accounrcaao p,EAAtnm BY PIE DEPARTY¢Yt.0F LCASaRsMrparn:ASCE IC 4-1.S-214.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple.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 tat bills for all:therefore.
• HEA 1344-2009 requires aspayen who receive the homestead standard deduction to verify that they are eligible to reeene the
benefit and to provide additional identifying infornaton necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only he accessed by authorized roomy officials.The Dgvnnmt of
Local Government Finance will use this information to crease tools that will help county officials diminatc homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Mathew, Harold/Patricia Life Est Etal
R I Box lit A
ynthiana IN 47612
9457
Patricia Mathew
6207 W SR 68
CYNTHIANA IN 47612 State Parcel Number Legal Description
26-22-07-100-000.695-024 004-00695-00 PT NE NW 7 4 11 29.095 AC
D-2
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PART 2:TAXPAYER INFORMATION
Owner First Middle MM Last
'7�t7,eWCIR1 n�r /'101
to Address(number and street,city,state,and ZIP code) _ - Same a s property a d d r e s s - -- - ---—
(2o7 td, cSt cep CYAJTHY1W , La �f?(4a
Spouse First Middle Last
DECCAsCb
Mailing Address(Number and street,city,sate.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 Pan 4 below)
sew
PART 3:CERTIFICATION
Each undersitmed 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 claimine additional homestead deductions
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Ow ignature Date
•
wwn nc ia �em
RescriDetl By SWte BoarE of Taa Commissioners
CLAIM FOR HOMESTEAD PAOPERTY TAX CREUIT FOR YEAR 19Z�
Ta & iilM in Dupliwte
SEE BACK FOR FILING INSTRUCTIONS�D �/���CQL` DO
%� ry• /.7
�(We����,��� � v�— certify that on the 1st day of
arch, 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
❑ are buying under contract
❑ have a beneficial interest in
Property Description in�
Taxing District {@ityr�owrt, Township):
Parcel Number
�'G -d?� -D%�-/Go - G�. G 9� - ��?f
taxpayer
If buying on contract: Owners name ��� simo�e
Township
or legal description shown on tax statement:
P�- /1�� � �/u�y �- y-// /�: �/o��
Contract recorded in Recorders Office - Record
If any portion of the residential structure or the land, not exceecJing 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: County Township
hereby certify the above statement is true, correct and complete.
�
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 ON�Y -
Land not exceeding 1(one) acre immediately
surrounding residential improvements
Other Lantl � � � � �
Total Land
Residential Improvements�UN 15 1979
''�
Other Improvements
APP
1
I ,
�� /
• � •-
Dw�elling
GaFage
Total
Improvements - Line (6) plus (7) equals (8)
by certify the above is true. correct. and complete.
oi asuswr
True Cash
Value
(�) S� o
(2) 3 � o 0
(s� 3 3� o0
c4� / / 9 v o
(s)
(6) / / 9 yo
(7) 3�io
�s� / _5 ,�7 So
- ACTION BY AUDITOR -
Assessed Homestead
Valuation Valuation
i �, w �
s-aa-�9
Da:e
Date: (_�