Homestead_Bartley (5) STATE FORM 53N•IArrWI MWIUFA!ORM S IA
APPRCOED BY sr&TEB ARD(I NYTI TR.`UN rrp(RIBW BY fir DEPAATYRYT OF LOCAL GT TRNMOCT FINANCE IC 4-1.1-22-1.1
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 bills for all:therefore.
HEA 1344-2000 requires taxpavers who receive the homestead standard deduction to verity that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor hornesteal
filimn.This information will be kepi confidential and can only be accessed by authorized courtly officials.The Depannrnt 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
Bartley, Johnnie F/Donna L /!f/0G1 S 950 e&
Oakland City IN 47660
654 •
Johnnie F/Donna L Bartley
1460 S 950E State Parcel Number Legal Description
Oakland City IN 47660-8447
26-13-14-300-000.024-006 003-00024-00 PT SW 14-2-956 AC
D-
\x/ D-6 C-1
PART 2: TAXPAYER INFORMATION
Owner I First • Middle Last
JoAnhit F 73��rttl&
.g Address(number and street:City,stare,and ZIP code) - ® Same as property addrr. - -
v 95or 0ak/amiciofy cur 476490
Spouse First Middle Last
Donna 4 • ak-111 a j�,
Mailing Address(Number and sweet city,state,and m
ZIP code) .QI Sae as property addrl5s
4/6o 5 9 co . OaR/and e ° 47(e60 JL,
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 1 Signal= Date
FORM HC 10 1979 To Be Filed in Duplicate
prescribed By State Board of Tax Commissioners .
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 'N ✓
SEE BACK FOR FILING INSTRUCTIONS INS - '0 OO N _ 00
certify that on the 1st day of
arch, 19—,, I (We) occupied as our principal place of residence toe following described real property for
which aHomestead Property Tax Credit is hereby being claimed:
I, (We) IJ J owned o?G -/3 -/.,l 3OO O,?�,L -G��
❑ are buying under contract
❑ have a beneficial inteyyy�yy,eest in the taxpayer
Property Description in K/ i% a1% County Township
Taxing District (City, Town, Township):
Parcel Number
If buying on contract: Owners name ilea simple owner)
or legal description shown on tax statement:
Ox.'wiy 4 -z -9 sza ,J
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 utilized to produce income
Any other counties in which individual owns or is buying real property:
certify the above statement is true, correct and complete.
30
County Township
City. State and Zip Code
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
Value
Land not exceeding 1 l med ately
surrounding residential impro erp
Other Land (2) rO yd
Total Land �i 1979. (3)
Residential Improvements
Other Improvements
n Owe �
AMR
Total
T'mprovements - Line (6) plus (7) equals (8)
I y certify the Aove is true. corect. and complete.
Signature of Assessor -
(4) 02 Y7�0
(5) — �-
(s) zi'730
(7) & 0
(8) 3 y 0 9 0
Assessed _ Homestead
Valuation Valuation
i5--/J'- %9
- — Date_ _ . _
A— C,TTI -ON BY AUDITOR -
Approved: Date: