HomeMy WebLinkAboutHomestead_Peters e %TUL MIMI53`t ,Rrt' v TIVASIMIA FORM TS-IA
1 .APPMw'Eo BY SLATE 11nSPD 01 YynSTS-!nv PtF9(FIBED BY ME DEPARTMENT OF LOCAL&IVERYVR,T LB:ANeE If Vl.l-r- I
Gibson County Auditor
1,101 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 ewer for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to receive the
benefit and to provide additional identifying information neceswy to allow county government to better monitor homestead
flint..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 LNFORMATION
Taxpayer Name Property*Address
Peters, Imogene
Ri I Box 646
Oakland City IN 47660
2792
Imogene Peters
P 0 Box 98 State Parcel Number Legal Description
OAKLAND CITY IN 47660-0098
III I I I I I I I I I I I III I I III 26-13-13-300-000.667-006 003-00667-00 PT SW 13-2-9 12.23 AC
I n ntI nl n nl ul nitieie 11 iesi nl I C-1
PART 2:TAXPAYER INFORMATION .
Owner I First Middle Last
.1g Address(number and meet,city,AMC,and ZIP cede)- - — -——--- - - Same as property address *at.
\=.4j
Spouse [ First Middle Last
Mailing Address(Number street,city,stale,and ZIP code) Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sox
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury.that the above and foregoing infonnation 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 Sigma Date
•
FORM HC 10 1979 To Be Filed in Duplicate
Prescribed By State Board of Fa. Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 -Z�—' J
SEE BACK FOR FILING INSTRUCTIONS
�® (We) — certify that on the 1st day of
vlarch, 19 I, (W4 occupied as our pr' cipal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned �ly /� �3 _ �QO —�Q• �°�
❑ are buying under contract
❑ have a beneficial interest in the
Property Description
`—'° tx� Township
Taxing District (City, Town, Township):
Parcel Number or legal description shown on tax statement:
If buying on contract: Owners name it" simple owner)
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
cart th ab tement is true, correct and complete
Street Address
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
Value
Land not exceeding 1 (one) acre immediately
surrounding residential improvements (1) Sa a
Other Land (2)
Total Land L E ® (3)
Residential Improvements iii Dwelling_ (4) .1.2e80
MtAY 2 41979
Garage yg- (5) —0—
(6) ia 2sy, 0
Other Improvements ar , (7) 3 �p
T, °t Improvements - ine (6) pl p) equalspiTOR (8) 2
1Oby certify the ve is true. corect, and. complete.
Sigwture of Assessor
ACTION BY AUDITOR -
k
Assessed Homestead
Valuation Valuation
S — /P-
One
Date: