HomeMy WebLinkAboutHomestead_Beck (3) ^- LIVE Loau!ANA 12rf.n) TILEASTALLIt FORM 11A
APPROVED Brain KARI Or MTOIINTS_9'/ ptr mnrr)BY Mt DEPARTMENT OF LOCAL CAVERNMFXL FRANCE mars"
1.1-r-..1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 mdividuads and married couples are limited to one homestead Atandani deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than CNer for homestead fraud.I Ionlestead fraud causes higher tax bills for all:therefore.
HEA 1344--3009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifyinc information necessary to allow county-government to better monitor homestead
tiling.This information will he kept confidential and can only he accessed by authorized county officials.The Department 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. Walter J/Phyllis R Rr 2 Box 35
HICKORY Lane
Oakland City IN 47660
5601
Walter J/Phyllis R Beck
12033E Hickory Lane State Parcel Number Legal Description
Oakland City IN 47660-8114
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PART 2:TAXPAYER INFORMATION
Owner I First Midd _' •ems C._ Last
r
IDAddress(number and street,city,state,and ZIP code) — - --— ❑_Some as property nddFcss - - - _ -. - - - -
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sine
Spouse ^/ First Middle a Last
jeCjii
Maitiing Add (Number and street,city state,and ZIP code) ('vZ Same as property address
/e2 0 3 3 E e / ✓"j/yn`',.�%� a4 .t� ` S ee--sjt6d
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 Signature Date
di
FORM HC 10 1979 To Be Filed in Duplicate I
Prescribed By State Board of CLAIM Commissioners
HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 1g72
% SEE BA /CK FOR FILING INSTRUCTIONS O10-3 .'oDUS�• 00
46 (We) ✓' r � 9-=A�' -r ) /e• � certify that on the 1st day of
March, 1�9 I, (we) n�ied as our orii ioal place of residence the following described real property for
which aeao1rhe Hoomestead' Property Tax Credit is hereby' being *claimed: {
I, (We) ned � - �7 '�4- ofQ & -Gam. aJa —6JI6
buying under contract
❑ have a beneficial interest in the taxpayer
Property Description
Taxing District (City, Town, Township): c.
Parcel Number
If buying on contract: Owners name (fee simple owner)
Township
or legal description shown on tax statement:
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: County Township
Thereby certify the above statement is true, correct and complete.
ignature Street Address COy, Sta,;/6 Sip 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 -
Land not exceeding 1 (o a%e imptedia�eay
surrounding residential i ovllentit fC�
Other Land
Total Land
"!N 251979
Residential Improvements welling
r age
AUDIToPtal
Other Improvements
T ^' -' Improvements - Line (6) plus (1) equals (8)
,by certify the aboyp is true. correcto and complete.
Signature at Assessor
Approved
True Cash
Value
(2) —�-
(3)
Valuation
(4)
c,? 9so
(5)
— O-
(6)
(7)
— 0—
(8)
zo9so
Ir)lTnP
-
Assessed
Homestead
Valuation
Valuation
s - /d-
Date
Date: /