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Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than eser for homestead fraud.Homestead fraud causes higher tat bills for all;therefore.
HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to teethe the
benefit and to prm'ide additional identifying information necessary to allow county government to better monitor homestead
filing,+s nsis information will he kept confidential and can only be accessed by authorized county officials.The Depanment 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
Beck, Peggy Ann
R2 Box 51
Oakland City IN 47660
5540 - - - — . — _
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Peggy Ann Beck
1937 S 1200E State Parcel Number Legal Description
Oakland City IN 47660-8116
I I I I I I I I I I I I I I I III I III 26-14-19-104-000.052-006 003-00052-00 CAPT MCCULLOUGH 8PT
t n nl t ut n ut n nu nl I tut t tot tot \X, C-1
PART 2:TAXPAYER INFORMATION
Owner I }�''^�('J`, ('�) First /j/./t1�t/,x1 Middle Last
On Address(numJ&at.city,state,sett ZIP code)_ _ ` — _E^Snme as ptapem dress • --__ __ _ _.
lq ari aCO OOLICUIrla/13ZrA Lig (12_,S9
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
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Social Security Number(last 5 digits) Drives License/State ID Number (last 5 digits) Other(please specie'in Pan 4 below)
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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 Sign c Date
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FORM MC 10 1979
Prescribed By State Surd of Tax Commissioners
To Be Filed in Duplicate
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19� ✓
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�� ` \�� SEE BACK FOR FILING INSTRUCTIONS
� 0z3 00 504
®(We) �� � per— l r^ 'd`— certify that on the 1st day ofi
March, 19--17-f- I, (We) occupied as our princip iage of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) 9� owned
O are buying under contract .
0 have a beneficial inter st in the taxpayer
Property Description in
Taxing District (City, Town, Township):
Parcel Number
If buying on contract: Owners name "do simple owner)
Township
or legal description shown on tax statement:
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
fit _/ 9 -/o .&/U�- oa6
Any other counties in which individual owns or is buying real property: County Township
'•hereby certify the above statement is true, correct and complete.
Street Address
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 (ortn) aciim atD
surrounding residen I I rove ents (1) /9D
Other Land (2)
Total Land ;UN ? 5 }0 f� (3) /q90� �,
Residential Improvements Dwelling (4) c�
all , �� Garage (s) 6/10 �
AUDITOR Total (6) 5q 00
Other Improvements (7) —0—
Tr' ' Improvements - Line (6) plus (7) equals (8) (8) !10
�by certify the a ve is true. Corrr{p//�I.. and complete.
Signature of Assessor
ACTION BY AUDITOR -
Approved
Assessed
Valuation
Homestead
Valuation
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Date: