Homestead_Beauchamp ■
r ' S IAIE FORSI,x Nn,2q•wl TREASURER ROLM,l.-IA
AFtfWFD RV MAIL BOsRD OFMTYRNR.yx PREYAIaED BY 1nr DEPARTMENT Of LOCAL GOVERNMENT FD:ANCE IC 4.1.14:4.1
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 e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HE.\ 1344-2009 requires taxpayers who receive the homestead standard deduction to eerily that they are eligible to recebe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings This infnrnution will he kept confidential and can only he accessed by authorized county officials.The Depannent of
Local Gmcrnnlent Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Beauchamp, Eloise B Life Est Etal
R2 Box 73
Oakland City IN 47
5632
Eloise B Life Est Beauchamp
2272 S 1200E State Parcel Number Legal Description
Oakland City IN 47660-8124
�r�r r��rt t�t��t rt��tt��ttt�tt�tt tt��rr�r�r�rt��rrt�tt�t�tt��t� 26-14-19-403-001.389-006 003-01389-00 PT SW SE 19281.49 AC
C-1
-- - —'
PART 2: TAXPAYER INFORMATION
Owner I g ? / t o Fiat ' Middle
annar_ftlerryriia F
■g Address(number and street.city,state,and IP code) '1D-Sate as property—address __ _ ___ _ .___ _
72 -$ / LOE- �IILk
Spouse First Middle Last
•
Mailing Address(Number and street,city,state,and ZIP code) C 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)
PA'T 3:CERTIFICATION ` � r ` — ---
Each undersigned certifies,under penalty of perjury.that the above and foregoing information is true and correct and that he or she is eliuible 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.
Owner I Signaaatture _ Dattee
FORM HC 10 1919 To Be Filed in Dinniaie p
Resctibed By Slate Boand o: Tae Commissioners 7
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 191?-- /3 00
�DSEE BACK FOR FILING INSTRUCTIONS
® (We) certify that on the 1st day of
March, 19 (We) occupied as our principal place of reside a the following described.real property for
which a Homestead Property Tax Credit is hereby being claimed:
(We) Imo{ owned
�( are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description
Taxing District (City, Town, Township):
Parcel Number
If buying on contract: Owners name it- simple ownerl
Q
my Township
or legal description shown on tax statement:
Q.t• SW1 114 6ftgyV 19 -a —,P
Contract recorded in Recorders Office - Record No
/A./g,
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
d1 ./ / - Q3 -na/ 0 4- W6
Any other counties in which individual owns or is buying real property: County Township
hereby certify the above statement is true, correct and complete.
Stree.' ftdres — v `� Ca'. Stal'andZio Gone '
Indil either owns or is buying under a contract that provides he is to pay the property taxes —
Pon the residence, or has a beneficial interest in the taxpayer.
]T� FOR ASSESSOR'S USE ONLY -
Mq� 23 U -
Land not exce g 1 e) a9 e9immediately
surrounding r Identlal ' ve
Other Land A6plTOR
Total Land
Residential Improvements Dwe ling
Garage
Total
Other Improvements
T' " "' Improvements - Line (6) plus (7) equals (8)
by certify fie above is tru# correct, and complete.
Si9.,.,e of Assessor
60
True Cash Assessed Homestead
Value Valuation Valuation
(2) '7�� IJeT7Eo.� !20 -o "iii'_
(3)6 "e
(4)
(5) —D-
(6) /SO SO
(7) Pto Q
(8)
- ACTION BY AUDITOR -
W.
Dam
Approved: /(. ��� Date: 3 l