Homestead_Edwards (2) -i •
MU FORM!O R'/5-0.1 TREASUIfl FOAM RIA
RPrIMIPORTANT NOTICE TO DEPARTMENTOF LOCAL GOVZPINNIM7 FINANCE
OPERTY.OWNERSF t r
Gibson County Auditor
101 N Main
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
y y more beneficial.there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
F i HEA I344-2009 requires taspapen who receive the homestead standard deduction to verify that they are eligible to recene the
gy benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
J / filings.This information will be kepi cmtidential and can only le 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.
FEB 2 4 2012 PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Edwards, Shirley
GIBSON COUNTY AUDITOR RI Box 102
Oakland City IN 47660
107
Shirley Edwards
9548 E SR 64 State Parcel Number Legal Description
Oakland City IN 47660
26-13-23-100-000.282-006 003-00282-00 PT NW 23-2-9 8.00 AC
C-1
i
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.
Spouse First Middle Last
5H/ E 414" hWARb5
Mailing Address(Number d street,city,state,and ZIP code) ❑ Same as property address
9011 4; 5i54 » f{DS//OAKJ AND c / r / N. i/7ath6
'
-- - Each undersigned certifies,.under.penalty.ofperjury.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 addiiionalhomestead-deductions " ' --
ill
FORM HC 10 1919 To Be Filed in Duplitale
Presaibeo By Stale Board of Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 �9 /
SEE BACK FOR FILING INSTRUCTIONS
,� �-� dL ,cam ,�aU o03' o0 2gy
� (We) certify that on the 1st day of"
4t
arch, 19 I, (We) occupied as our princip place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed: 77
I, (We) aYowned /3
❑ are buying under contract
❑ have a beneficial intere, t in the taxpayer
Property Description in County % Township
A
Taxing District (City, Town, Township): Cam.
Parcel Number
If buying on contract: Owners name " simple owned '
or legal descriptioitlshdwn 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
hereby certify the above statement is true, correct and complete.
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 Improvements
True Cash
Value
(1)
2) G so
L /SD
D elli (4) 70
N `� (5) �a o
Garage
ok (6) 6�9D
Other Improvements a ' fl
Tr.'-' 'Improvements - Line 6 plus 7 e ItYa s 8 AUDITOR(8) (p ar90
leby certify the abo� is true. correct.pd complete.
Signature of ASSeSSOr
OF—Meff.\.
Assessed Homestead
Valuation Valuation
- s- -i .F-79
Dale
Approved: A�k . Date: — zze-7 9