Homestead_Ferguson • •TATE FORM IC/'4PI MEASURER FORM:SIA
.ArrMT'roPY not IINRpnF An1UATN.2111.4 PILMIBm BY il1E DEPART EIt OF LOCAL rA'r2ANMEA7 FINANCE tc€I.I-224.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ever for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
HEA I344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to Iccehe the
benefit and to provide additional identifying information necesoary to allow county government to better monitor homestead
filings.Ibis information will be kepi conlidenial and can only be acre.sed by authorized 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
Ferguson, Kenneth E/ Karen L
RI Box 295 A
Oakland City IN 47660
4944
Kenneth E/Karen L Ferguson
363 S SR 57 State Parcel Number Lezal Description
Oakland City IN 47
it E-D
26-14-07-300-000.318-006 003-00318-00 PT SE SW 7-2-8 4.602 AC
C-1
APR I �uw
GIBSON,C�NTY A<JDITOR
PART 2:TAXPAYER INFORMATION
Owner I First dot ) Last
�dvn) ke-2sm sa
ng Address(number and street,city,state,and ZIP code) - - Nocarne as p address —roperiy add - — - - - - - -
-
Spouse First Middle Last
1(Ageid '<y id>) ��,zy/asa ,✓
Mailing Address(Number and street l city,state.and ZIP code) 1 o ame 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 Si nature Date
•
FORM HC 1D 1979 To Be Filed in Duplicate
Prescribed By State Board of Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 7,7 /
SEE BACK FOR FILING INSTRUCTIONS
�/ poi-, a03t % -0a
(We) J^ ;���?�rvnG�l(J $. �,C h�� -- 'i-�+� certify that on the 1st day of
arch, 19 I, (We) occupied as our principal place of r idence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
(We) 1Z owned
❑ are buying under contract
❑ have a beneficial interest in the
.7
Property Description
Taxing District (City, Town, Township):
Parcel Number _
If buying on contract: Owners name (fee simple owner)
c5j�e- /�- fl7 -.40o -Gee-. 3i ,P-eo G
a[ c ti n l -cam. -1 Township
or legal description shown on tax_ statement:.
Y. Goy
Contract recorded in Recorders Office - Record No
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
and Zip Cade
' Y7GG O
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 improvemen[
Other Land � � � D
Total Land
Residential Improvemen 1479
ew 3 Dwelling
Garage
Total
Other Improvem /Lr,e
AUD50 Improvements (6) plus (7) equals (8)
I —by certify the a ove is true, corr I. and complete.
Signature of Assessor
True Cash
Value
(2) 3S0
(3) SO
MINNIMM
(s) —0—
(6) /0 S-3,0 �ny
(7)
(8) _ /_Q-
- ACTION BY AUDITOR -
Assessed
Homestead
Valuation
Valuation-
!/
Date
Approved: Q Date: