Homestead_Dyson n
MIT FORM sJsa IR:/Wel MEASURER FORM TS-1A
•PFKtn'ED BY St ill.WARD oF A/n EVE,.1rx Ptr_amam BY THE DEPARTIEVTOE LOCAL GOVERNMENT FINANCE IC 4-13-r-A3
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N Main
` PRINCETON IN 47670 Individual and married couples are limited to one homestead standani deduction.As the receipt of this dedtcion becomes
di more beneficial.there is more incentive than e'er for homestead fraud.Iomestead fraud causes higher tax bills for all therefore.
ILEA 1344-2009 requires taxpasers who receive the homestead standard deduction to verify that they are eligible to remise the
benefit and to provide additional identifyin_ infomemon necessary to allow county government to better monitor homestead
filings.This information will he kepi confidential and can only he accessed by authorized county officials.The laepannten of
Local Government Finance will me this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Prupertv Address
Dyson, Joseph W/Carol M
R 3 Iiox 26
Oakland City IN 47660
5533
Joseph W/Carol M Dys n
1884 S 1150E State Parcel Number Legal Description
Oakland City IN 47660-7622
ItIttlltttltllttJltllltrt tt IflLttt111tt1111trltrltllLtlJ 2s 14 .276OOS/ C-ioo27c>ooPTNWis2-81 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
"C-D 56p k lip I L Lit Pt-ma -DI5
•ng Address(number and street,city,state,and ZIP code) — - — —- - Same as property address - -- -
\ C3 wt s , l k 50 9G (.A- CL-`
Spouse First Middle fan
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
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 ignature Ihtc
FORM HC 10 1979 To Be Filed in Duplicate
Prescribed By State Board of Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 8 I
SEE BACK �FOR FILING, INSTRUCTIONS
(We)v� J certify that on the 1st day of
'larch, 19—XL, I, .(We) occu ied as our principal place of residence the following described real property for
which a�H/omestead Property Tax Credit is hereby being claimed:
I, (We) LSowned d '1_ 2 7,-_�
❑ are buying under contract -.
C3'have a beneficial intWeest in the taxpayer n ^
Property Description in County loo r Township
Taxing District (City, Town, Township):
Parcel Number or legal description, shown on tax statement:
9,4- AJw 'iti /9-.2- 8 A , .
If buying on contract: Owners name uee simple o.ne0
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.
/ l e iLI .n -
rn
Street
and Zip
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 -
Assessed Homestead
Valuation Valuation
/'70 /7o
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Cafe
Date:
True Cash
Value
Land not exceeding 1 (one) acre immediately
_
surrounding residential improvements
(1)
Other Land
(2)
Total Land
FILED
(3)
Residential Improvements
(4)
3 1j b o
MAR 24 1961rage
(s)
a 3 °
T tat
CA
(6)
`� 1 3 a
Other Improvements'
AUDITOR
,a f y a
Tnt I Improvements - Line (6)
plus (7) equals (8)
(8)
Iibby certify the above is
true, correct. and complete.
Signature or Assessor
'
ACTION
BY AUDITOR -
Approved:
Assessed Homestead
Valuation Valuation
/'70 /7o
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Cafe
Date: