HomeMy WebLinkAboutHomestead_Leffler (2) VIM rnRnl!b•tRl!wl 1RElSUIrR FORM 73-IA
.APPROVED BY 5EVE BMRD OF Nna INTC.:ore PRE3WBWD BY TIC DEPARIM'tr OF LOCAL CMrRThl MI FD:AYE IC I.I'Lil
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited-to one homestead sandal deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than eser for homestead fraud,Homestead frond causes higher tat hills for all:therefore.
_/®_ HEA 1344-2009 requires taxpa)en who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to prm'ide additional identifying informanon necesary to allow county gcnemment to better monitor homestead
filin)6_This information will be kept confidential and can only be 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.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Leffler, Jessie H/Carmen N
RI Box 253A
Oakland City IN 47660
2056 .
Jessie H/Carmen N Leffler: ,; ( C 1 l
�47 ;f: ,/S E J O K/ rate Parcel Number Legal Description
Oakland City IN 47660
V GNC�_ t (I a Nat A 9 26 3-10-200-000.504-006 003-00504-00 N NE 10-2-9 80 AC
C-1
LINO se
r
PART 2:TAXPAYER INFORMATION
•
Owner I First Middle Last
F y.
jLJO&S)�dtlres nUef a l SI %.City.state,o ZIP code)
1 j _- I ii Some ai pmyeiv.ware:. — -- - -_ . — .
9i o5 E N/ LJ�-et.
: .
Spouse First • Middle Last
Mailing (Number d street,city,state,and ZIP code) ❑ Same as property
r
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 SignaBVe / Date
•
FORM HC 10 1979
Prescribed By State Board at ia. Commissioners
is Be Filed in Duplicate
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19�`�
4S /E {E BACK FOR FILINGGY� /INSTRUCTIONS 00 �� ����Lk_ 0p
®(We) �-�-Q- /� ' `r certify that on the list day of
Le
March, 19 I, (We) occupied as our principal place of reside the following described real property for
which *a Homestead Property Tax Credit is hereby being claimed:
I, (We) fia owned c;' -13 /O - o?�� -6a�• � ��
❑ are buying under contract
❑ have a beneficial tote tin the taxpayer
Property Description in county Township
Taxing District (City, Town, Township):
Parcel Number
If buying on contract: Owners name (lee simple owner)
or legal description shown on tax statement: /
/L� i(t& 10--,9-57 I�OQ�
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.
Street Address
I
City. Slarj And Zip Code
Individual either (SwKs 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
l
Other
otal Land FILED
Residential Improvements Dwelling
JUN 2'% 1979 $'
Garage
Total
Other Improvemer - AUDITOR
Tom} I Improvements - Line (6) plus (7) equals (8)
Oby certify the ove is true. co ect. and complete.
Signature of Assessor ---� --
True Cash
Value
(1) S&O
(2) O I&
(3) / 2 0
(a) Y6-6 O
(s)
(6) /15-&-0-
(7) 5Zo 7o
(8) . l03 0
ACTION BY AUDITOR -
Assessed Homestead
Valuation Valuation
Date
Date: 4 - Z %- !%