Homestead_Hurst al(LE fO[\I`!k�1R:r' l TRIASUAEH FORM T IA
.VrtwEo DT STATE WsXO of VYMPT%.YN PUSCIRIDED BY Till DEPMr5 MT(rt LMTL rovaNmon FINANCE ICH.62:--A1
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 ever for homestead fraud.Homestead fraud causes higher in for all:therefore.
®
HEA 1344--209 requires taxpaycls who receive the homestead standard deduction to verify that they are eligible to receise the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing-.This information will he kept conlidential and can only he accessed by authorized county officials.The Depanment of
Local Government Finance will we this information to create tools that will help county officials eliminate hanestcad [mud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Hurst, Fred L/Mary Louise
418 S Hall ST
Princeton IN 47670
2895
Fred UMary Louise Hurst
418 S Hall ST State Parcel Number Legal Description
Princeton IN 47670-2316
III I III
26-12-07-303-001.270-028 019-01270-00 HALLS 2ND 20 PT/34 PT
nor III Iu I il Il I
PART 2:TAXPAYER 1NFORNIATION
Owner I First Middle Last
Mdt.-y .2.0 v/sue
I ntAddlus(number andsreat:ciiyestatc,and ZIP code)—_- -__ — - - 2 Same as property address _ _ _ _
4/45' sa gal/ s2
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)
Slate
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 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
FORM MC 10 1979
PiescriGCd Bv S�ate BoarG oi Tax Commissfoners
CLAIM FOR HOMESTEAU PROPERTY TAX CREUIT FOR YEAR 19 7�
ONS
To Be Filea in DuOficale
�
o�9-d/a�o-o�
(We) T certify that on the'1st day of
�. arch, 19 I, (We occupied as our principal place residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) $�owned _
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in���;�1
Taxing District (City, Town�ewasuip}: ���-�
Parcel Number �
If buying on contract: Owners
\ � �`'""" �-�0-� Township
or legal description shown on tax statement:
�e�. � ��,_.(� . `� ��%�
Contract recorded in Recorders Office - Record No. Page
If any portion of the residential structure or the land, not exceeding one (t) acre that immediately surrounds that
structure is used to produce income, describe the use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property:
,�jiereby certify the above statement is true. correct and complete
�
County Township
' Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY
True Cash Assessed Homestead
Value Valuation Valuation
Land not exceeding 1(one) acre immetliately
surrounding residenti mprove nts - � (�) s�0
� '� C)
Other Land � � � � ��N$� (2) '- " - —
Total Land � \ (3) c� � a"0 �� Q
� ; �F :�-� �
Residential Improvements ;�`� �_ � �q�
Dwelling
l/[ dU�� �—Garage /`��5�
, � `'-d�it�fotal �6�
�r auoiroR
Other Improvements V (�)
Line (6) plus (7) equals (8)
�ove is true. correct. and complete.
- ACTION BY AUDITOR -
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