HomeMy WebLinkAboutHomestead_Deputy (3) girl MRM53'MIR_,sal rwAA:tIY FORM TS-IA
nrrdn'En BY srklE 5 D(W Anny..'rc.!nv Prfg?DW BY THE DEPMhn:Yrti doled COVER-WM,FINANCE IC 0-1.1-2:4,1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
1 PRINCETON IN 47670 Individuals and married couples are limited to nee 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 tar bills for all:therefore.
41111 BEA 1344-2010 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to receue the
benefit and to provide additional identify inn information nemnn to allow county government to better monitor Isom -read
��rr--�� tilin is.aThrsis�i�n_formation will he kept cnnlidentinl and can only he accessed by authnrimd county officials.The Ilepannlent of
F oral :�'aV altai nee will use this information to erca:c touls that will help count'officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
:n
Taxpayer Name Property Address
APR 7 LULU Deputy, Mary Jo
RI Box 82 A
7 4 Oakland City IN 47660
4342 GIBSON COUNTY AUDITOR
Mary Jo Deputy
11111E 100 S State Parcel Number Legal Description
Oakland City IN 47660-8650
�r�lh��u t�t��nt��u��nt�hl�ll��m�t�t�� ��nt��t��u� - 26-13-13-401-000.234-006 CC-i 00234-00 PT SE 13-2-92.50 AC
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PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
M4Ny J70 0e.-Pu7—y
Address 1 bee d- tv,state,and ZIP code) —�' -. Same as property address
r 1 I Qlc) 4 0d (Q ry, Z/(7, `/ 7(6_ O
Spouse First Middle Last
Mailine Address(Number and street,city,stale.and ZIP code) ❑ Same as properly address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 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 Signature Date '
•
FORM HC 10 1879
Prescribed By State Board of Tax Commissioners
To Be Filed in Dupliute
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19—V_ -
SEE BACK FOR FILING INSTRUCTIONS 003. 00,3,1►
�Ve) certify that on the 1st day of
March, 19 I, (W occupied as our principal pla residen the fol wing described real property for
which a Homestead Property Tax Credit is hereby being claimed::
I, (We) ❑ owned 6e-1,5 -�� - 74/'�� o�•�� -GG�
❑ are buying under contract
❑ have a beneficial inter t in the taxpayer
Property Description in County) Township
A
Taxing District (City, Town, Township): t
Parcel Number
If buying on contract: Owners
or legal description shown on tax statement:
. j f %yL /3 -a - 9 ;? - SO a c L J
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
I - hereby certify the above statement is true, correct and complete.
db%
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 -
Approved: 4e•4 -
Assessed Homestead
Valuation Valuation
/7'a /70
Date
Date: � -/3 `7�F
True Cash
Value
Land not exceeding 1 (one) acre immediately
(1)
surrounding residential improvements
cJ
Other Land F L E D
(2) 7s"O
Total Land
(3)
Residential Improvements JUN 13 1979
Dwelling
(4) °20790
Garage
(5) _ J
(6)
Total
—4-0-7-f-0
Other Improvements AUDITOR
(7) /°S'? 0
Te' -' Improvements - Line (6) plus (7) equals (8)
(8) � %0
10y certify the abov s true. correct. pnd
complete.
Signature of Assessor
_
_
Ar` Ifl Al
RV Al Inl Tf1R _
Approved: 4e•4 -
Assessed Homestead
Valuation Valuation
/7'a /70
Date
Date: � -/3 `7�F