Homestead_Beck (2) STATE FORM: SIli(f+MF TREASURER TORN S IA
.APPRinEO By STATE MIAOW Of.w"R]•Tc.21.4 rrryFA19m D5 no-DFrARMFNr OF LOCAL CAwEtNMrfl rgcA•cE ICVI.1-r-k1
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.Ilomesread fraud causes higher tax bills for all:therefore.
• ILEA 1341-2019 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reeeise the
benefit and to provide additional identifvine information necessary to allow county gmemment to better monitor homestead
lilimw.This inlbrmauion will be kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create teals that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Beck, Randy Gene/Lora Lee
J'
Oakland City IN 47660
4309 0--i
Randy Gene/Lora Lee Beck
106951075E 1 E R
Oakland City IN 47660.8 q_7_, , State Parcel Number Legal Description
I I I I I I I I 11L I� I I I I 26-13-13-300-000.051-006 003-00051-00 PT SW 13-2-9 1.352 AC
tr rrt r ter tt ttr rt tt ttr tMAY is t 2010 c ,
GIBSON COUNTY AtDITQH
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
RANdi a • iSe
ow Address(nut mid street,city,state,and ZIP code) _ 1. _I__—/}_ 1 D Same its property oddness _ _ _.
/06 € • , to76 E, Q Land
Spouse First Middle Last
LDRA Le eeK
Mailing Address(Number and street,city.state,and ZIP code) 0 Same as property address
/D/ 9 s 10166. t1;L62, 0,/iii Z�/ 4/7610
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
CLAIM FOR HUIESTEAD PROPERTY TAX CREDIT FOR YEAR 19_ .
SEE CL( FOR FIL r INSTR IONS ✓ 003_ 0006 -i -6 0
certify that on the 1st day of
r-• --:h. 19 I, (we) occupied our principal place of residence the following described real
:y for which a Hanestead ?roperty Tax Credit is hereby being claimed:
I, (we) F� owned
Flare buying under contract (� (n -�3 /3 -. � -Qom• Q�/ ��O
F-Ihave.a beneficial interest in the taxpayer /
N off .
Property Description_ in G/Q4° Coun tY 20 �'W In
Taxing District (City, Town, Township): ° /.
Township
Parcel ?hamper or legal description shown on tax statement:
�t. C l0 //� 13-.2-f • 347A
If buvina on contract: Owners name (fee simple owner)
Contract recorded in Recorder's 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 inane, describe the use and portion of
the property utilized to produce income
Any other counties in which individual awns or is buying real property: County Township
I`iereby certify the above statement is true, correct and complete.
Signature Street Address City, State and'Zip Code
*Individual either awns or is buying uner a contract that provides he is to pay the
property . taxes on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSORS USE ONLY -
True Cash Assessed
Value valuation
Land not exceeding 1 (one) acre immediately
surrounding residential improvements (1) 5-0 D 1-70
Other Land (2)
Total Land (3)
Residential Irmrovenents Dwelling (4)
Garage (5)
Total (6) a�7oo S %moo
other Immmrovenents (7)
To Inmrovenents - Line (6) plus (7) equals (8) (8)
I hereby certify the above is true, correct, and oo<mmlete.
- ACTION BY AUDITnR -
Date
Hanestead
valuation -
/7o
3 -1- ff%
Approved: Date: c�