HomeMy WebLinkAboutHomestead_Burdette STATE FOAM tt5t.IW: ■ ', 1ILA5Ut1A FORM ZIA
.APFRIT'ED BY STATE BRVIOO'.WTxlST3.2n.x rrr9[AIBm BY THE DEFARfl 4T(a'LOLAI rOStt'YMrT7 ntCA4'E K'a-I.I-1-a.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples ate limited to or homestead standard deduction.As the receipt of this deduction becomes
1s more beneficial.there is more incentive than escr for homestead fraud.Ilomestead fraud causes higher tax bills for all:therefore.
�\ HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to serity that they are eligible to eternise the
benefit and to provide additional identifying information necessary to allow county'government to better monitor homestead
filings.This information will be kept confidential and can only he accessed by authorized county officials.The Ikpanmenl of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead (mud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Burdette, Glenn/Kathy N
k2 �5
Oakland City IN 47660 I O
1943
Glenn Burdette I
R2 Box 269 State Parcel Number Legal Description
Oakland City IN 47660-8137
26-14-18-204-000.117-006 003-00117-00 PT SE NE 18-2-8 1.95 AC
Iu Iu n II tt II r Ire I r II r r I u I n Itt II /. C-1
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2:TAXPAYERINFORMATIQN
Owner
-
Spouse First Middle Last
Ke>0 AI4
Mailing Address(Number and street,city,stale,and ZIP code) Same as property address
/I I 6 8 et. /p* --y7640 —g/37
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.
a
FORM HC 10 1979 To Be Film in Duplicate
Prescribed By Slate Board of Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 " C J
SEE BACK FOR FILING INSTRUCTIONS oo3x- 0oin- p0
(We)�Rm�. certify that on the 1st day of
l arch, 19_1—?, 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:
I, (We) ❑ owned ':'�—��'�6 'vZO7— 4 :% �
❑ are buying under contract
❑ have a beneficial int rests in the taxpayer
Property Description in County Township
A A
Taxing District (City, Town, Township):
Parcel Number
If buying on contract: Owners name l'ft snore
or legal description shown 'on tax statement:
9,t . Jf to % /P -.2 8 /. 9Sac —o
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:
hereby certify the above statement is true, correct and complete.
County Township
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
Residential Improver I 6] D Dwelling
U 1979 Garage
��� n `7 Total
Other Improvements
T --• -' Improvements -4e /s/trfue. l
(r -by certify the abcy0�e corrAljplT0Q complete.
Signature of Assessor
True Cash
Value
(1) '/ -�
(2) 5'-,' O
(3) 9 'V0
(4) 4s,:30
(5) —0—
(6) S3 0
(7) /4-O
(s) 14 30
Assessed
Valuation
i
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i
Homestead
Valuation
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Date: _7-? 7-7—,9