Homestead_Holtsclaw Clan rmiM 53V9 I R_r■-• MACULA FORM 73-IA
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Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than net for homestead fraud.Homestead fraud causes higher the bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This inhumation will he Lep confidential and can only he accessed by authorized county officials.The Dawnnrnt of
Local Government Finance will me this information to create tools that will help county officials eliminate homestead Mud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Holtsclaw, Vickie E
R2 d
Oakland City IN 47660
5609
Vickie E Holtsclaw T
1776 S 1200 E
- - Oakland CitylN 47660-8112-- - - '- —- -- - - ,State Parcel Number
26-14-19-203-000.390-006 `��� `-
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X O 11..�Xi�il� A�n�., .
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Spouse First Middle Last
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Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
— —\l'YLu _S_ \hire \-?‘ -.49c0% C�C l nl \P\ AIWA
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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.
Ow
1
FORM HC 10 1979 To Be Filed in Duplicate
Prescribeo By State Board of Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19_4L
SEE BACK FOR FILING INSTRUCTIONS 00'x_ riO3gQ -D0
0(We) v 4' edify that on the 1st✓✓d""ally of
arch, 19�, 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: �,r p
1, (We) IN owned e -��`=�9 -0?03- & .� JO
❑ are buying under contract
❑ have a beneficial inte t iayer
Property Description in
Taxing District (City, Town, Township):
Parcel Number ..
If buying on contract: Owners name Oce simple °caner)
Township
or legal description shown on tax statement:,
(?�,e - 1:Kf % /9_a -P / �—
Contract recorded in Recorders Office - Record N
e
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
46 hereby certify the above statement is true, correct and Complete-
r Street Address ' 5r City. State and Zip Cope
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
True Cash Assessed Homestead
Value Valuation Valuation
Land not exceeding 1 (one) acre immediately
surrounding residential improvem ]FILED (1)
Other Land (2) —
Total Land (3)
Residential Improvements MAY 251979 (q)
welling
Gar (5) _ o-
(6)
A R _
Other Improvements (7) 0 96
To" Improvements - Line (6) plus (7) equals (8} (a) 1.;20
)o-by certify a above is true orrect. and complete.
Signature of Assessor Date
{ n ACTION BY AUDITOR - , �
Approved: V' '� Date: �'� s2 -. /_y _9