HomeMy WebLinkAboutHomestead_Rainey 51111 I nRM'! 9Ilet,-YI TREASULER FORM ISIA
• .AFFRrnEDBYSLVE BOARD Of Am I OTN,21,1 PRrrrtmIIFD BY TIE DEPARTMENT OF LOALcovrRNsrNr FINANCE IC I.1-_4.1
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 ever for homestead fraud Homestead fraud causes higher tax bills for all:therefore.
0 HEA l344-2(109 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 information will he kepi confidential and can only he accessed by authorized county officials The Debarment of
Local Government Finance will use this information to create rVls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY LNFORMATION
Taxpayer Name Property Address
Rainey, Roscoe/Anna M Trust
R ox 301
Oaklan City 1 47660 49,1"-- n
4940 /�o90 Z. ild�
Roscoe/Anna M Rainey Trust
12090E Base Rd State Parcel Number Legal Description
Oakland City IN 47660-8479
Irlullutltllntilu llntlulnln lintlItlu ltInllntlln tl 26-14-07-200-000.796-006 003-00796-00 SW NE 7-2-840 AC
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PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
• oseac !c4 eJ RA N1 E Y
-g Address(number and street,city,state,and ZIP code)- - - -- -❑ Same as property address --- - -- '-
(209.6 Ee &Sc (LORD - nAKLr?nJD ea., /� rrs 46776-0
Spouse First Middle Last
4t1 wit • MA R t r RA fist El
Mailing Address(Number and street,city,state,and ZIP code) ❑Same as property address
(2o9c FAST RA r Rcc n — (met ANip en/ zll 1/7 ago
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 Signature Date
•
FORM HC 10 1979 r To Be Filed in Duplicate
Prescribed By State Board of Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19—ZY—
J
SEE BACK FOR FILING INSTRUCTIONS
_
603 - 0014&- 09
rtify that on the 1st day of
larch, 19 I, (We) occu ed as our principal place of residence the foll ing described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑owned
—�y /— �D�' GHQ• 7 /C— GF�I°
❑ are buying under contract
❑ have a beneficial inter st in the taxpayer
Property Description in
Taxing District (City, Town, Township):
Parcel Number
If buying on contract: Owners
l Township
or legal description shown on tax statement /: ° C( c
' W % 9I f V4 '/ —� —Y 7'
r
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
hereby certify the above statement is true, correct and complete.
nature Street duress Gty, State and Zi e
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 -
F LE
Land not exceeding 1 (one) acre immediately
surrounding residential improvvlerT r slg79
Other Land
Total Land
Residential ImprovemdxtG r�(
AUDITOR Dwelling
Garage
Total
Other Improvements
Totn' Improvements - Line (6) plus (7) equals (8)
10y certify the abovA is true. correct. dnd complete.
Sigruture dt Assessor
True Cash
Value
(1) 4-0-0
(z) 7t° 0
(3) Y / 60
(4)
(5)
(6)
Assessed Homestead
Valuation Valuation
(7) � q9�� 0�
(8) _!
s" -/Y - 7
Date
Date: f5--,� —! f