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Homestead_Buck n. STATE FORM"t—In.(!1.1 ttL',SUILIt FORM 711A ArIND:ED PT STSOL t *A l.sfl.Zane PUIYSUPW BY 111E DE?A0.MLYT(W LOCAL COVEAN 1rw1 FP&%CE MLI.t-3_-1.1 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 eta for homestead fraud.Homestead fraud causes higher in bills for all:therefore. Ali- HEA 1344-3009 requires taxpayers who receive the homestead standard deduction to serify that they are eligible to reeene the benefit and to provide additional idenufrine information necessary to allow county government to better monitor homestead filing_This infarmatinn will be kept road-mini and can only he accessed by amhorved county officials.The Ikpanntent 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 Buck, James Edward/Tara Michele 2 9 36 5 SR 77 / none Oakland City IN 47660 4740 / Jamee dward/Tara Michele Buck 2973 S SR 57 State Parcel Number Legal Description Oakland 7660 26-13-25-100-000.114-006 003-00114-00 PT S NW 25-2-9-998 AC D-6 C-1 PART 2:TAXPAYER INFORMATION Owner I First Middle Last Jarief Edwarel 13 14 (:16 1111,g Address(number and street,city,stage,and ZIP code) - - -- - -- - -- - © Same Cs-property address - 2 936 5 5A S7 69 arslfl/ (lf ITA/ g766c9 Spouse First Middle t? Last Taro /�lic'4ele , '- cf<1 . Mailing Address(Number and street,city,state.and ZIP code) -Same as property address Z 936 5 5M 5-7 ©aK/adrd Cf5 I -tAj -9 764-4 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 ignaWre / Date Telephone Spo se S . re ��� ✓Lee,/ tlilr� Date Telephone PART 4:ADDITIONAL INFORMATION • FORM HC 10 1979 To Be Filed in Duplicate Prescribed By State Board of Tax Commissioners CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 191E / SEE BACK FOR FILING INSTRUCTIONS o 3-- Op11�_�a (VVe) �c�eK, JH ME6 Er7wAQ D_ T /lq /YJrcf1EL6 certify that on the 1st day of arch, 19-2, I, (We) occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby being claimed: 1, (We)-la-6wned )CO- /,3- ��'�� -�� ❑ are buying under contract ❑ have a beneficial interest in the taxpayer - Property Description in 0'- ;R'5on/ —County � �otu�T7�7A Township Taxing District (City, Town, Township): 0, 0 Lr�_M 731 R Parcel Number or legal description shown on tax statement: Ft- S% nlw `14 .zs -a -9 •`198 �{ If buying on contract: Owners name (tee 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. (6,707A (��� 47 60 'Signature Street Address 1411 L 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 - Land not exceeding 1 (one) acre immediately surrounding residential improvements Other Land Total Land F L E D Residential Improvements . t I' G 1979. Dwelling (4) .24/ :;L/ 0 Garage Total Other Improve' T ' 'Improvements Lme (6) pl AUD�T9quals (8) Ieaby certify the abov&jis true. correct. and complete. Assessor (s) — (6) (7) (g) - ACTION BY AUDITOR - Assessed Valuation /7o Homestead Valuation 17 u7 ; "979 Bale Approved: A�f0a�� tc') Date: True Cash Value (1) .Soo (2) (3) Sao Dwelling (4) .24/ :;L/ 0 Garage Total Other Improve' T ' 'Improvements Lme (6) pl AUD�T9quals (8) Ieaby certify the abov&jis true. correct. and complete. Assessor (s) — (6) (7) (g) - ACTION BY AUDITOR - Assessed Valuation /7o Homestead Valuation 17 u7 ; "979 Bale Approved: A�f0a�� tc') Date: