HomeMy WebLinkAboutHomestead_Beasley ■ STATE font e)'MIR'(YYI TREASURYS fORM T]-IA
Arrrrwf0 BY snit.B(MRD Or MV'a:at.TB,. IRr3RIBm BY Till DEIARTME`R(F LD,AL GOVERNMENT fAA\'CE ICe-i.I-l`a.l
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
ficial,there is more incentive than net for homestead fraud.I Iomestead fraud causes higher tax bills for all;therefore.
.\ FILE H \ 1 i 2009 requires taxpayers who receive the homestead standard deduction to verily that they arc eligible to receive the
I}-'t tl fit • to provide additional identifying informaton necessary to allow county government to better monitor homestead
„tltlll gg ti rats.This information will he kept confidential and can only be acce..ed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will hap county officials eliminate homestead fraud.
APR 2 2 2 PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
`?w?�! tee Beasley, Larry M/Patricia A
GIBSON CoUNIY M I R ltd So A
Oakland City IN 47660///�x� m fi
4260 /{
,z6v
Larry M/Patricia A Beasley VV (l
X950 E State Parcel Number Legal Description
Oakland City IN 47660-8456
ltlnllntltllntlln lln tln lndultltln��nnttllulu�nll 26-13-11-300-000.040-006 003-00040-00
1 D00G040-00 NW SW 11-2-923 AC
(2.-3a)- X
PART 2:TAXPAYER INFORMATION
Owner I First M Middle Last
I-0.-U"`e y
{�a A dJC.4 5 ley
�tg Address(number and street,city,state,and ZIP code) - -- — - - Same as properly cadres — ---- - - - - - -
aag s ISO E_
(
Spouse First Middle Last
Prrijt ric(a._ A r qsl�/y(
Mailing Address(Number and street city,state,and ZIP code) ❑ Same as property address
dab 6 i'so
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.
Owne Signature f)etc
•
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� ✓
'V Na -aa -a-
SEE B LING INSTRUCTIONS copy0 - OQ
4 �¢�
(We) �erti`fy that on the 1st day of
March, 19---'U I, (W) occupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is her' by being claimed:
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial in tin the taxpayer
Property Description in County Township
Taxing District (City, Town, Township): o C can c�l t cLJ
Parcel Number or legal description shown on tax statement:
%?GU%
If buying on contract: Owners name flee simple owner)
Contract recorded in Recorders Office - Record No. Page 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: County Township
®hereby certify the above statement is true, correct and complete.
XZ�� /)n . 4" /&"x dso/9 &' aA&
'Siena rt�� treer Address Gry. State and Zip Cafe
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.
►jb�
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1 (one) acre mmeatelyy gZa
surrounding residential improvements k�
Other Land
Total Land
Residential Improvements
• e.
e.
Other Improvements
*Improvements - Line (6) plus (7) equals (8)
1 ltoreby certify t4 above is true. horrect. and complete.
Signature of Assessor
True Cash
Value
(1) 5-"
(3) Z71--6-7
- ACTION BY AUDITOR -
133
e4p,
Assessed
Valuation
Date
Homestead
Valuation
Approved: — Date: