Homestead_Stolz (3) SIDE r11RS1 5J AIR.1 WO }RLASZUER FORM:SIA
xrrR,a I IPORTANT NOTICE TO HOMESTEADrPROPERTY CoLIVERNMM7 FINANCE IC 6-1.1-224.1 a
Gibson County Auditor
101 N Main
PRII'ICETON 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.
• HIM 1344-7009 requires taxpayers who receive the homestead standard deduction to verify that they an eligible to receive the
benefit and to provide additional identifying information necesory to allow county eocemnrent to better monitor hornesead
filing.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 txvls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Stolz, Terry W/Doris Y
cd
RI Box?5513 a
Oakland City IN 47660
2630
Terry W/Doris Y Stolz
8741 E Base Rd State Parcel Number Legal Description
Oakland City IN 47660-8459
Itlrmllrttlrllrttllttlltttlttlttlttltitlrltltttlttltttllrllrtl 26-13-10-300-000.931-006 p03-00931-OO NW SW 10-2-91 AC
X
-
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
I rry Way Sd-alz
•tg Address(it6mber and street,city;sure,and ZIP coal— _ _ _ _0-Same;i)property address— • — -- _____ _
Sr/ -tl E. base. ea DaKlaAd CV-ti SAI `t7 (a GO
Spouse First Middle Last
Dons V o I o_1-..(10... 5i--o i 2-
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
IS/14 I 6 • ri
Pa-ace d Oakta ad C.4.1-1 Sn/ `f7 Co Lo
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
•
i
d "
FORM HC 10 1979
Prescribed By State Board of Tax Commissioners
i8
To Be Filed in Ouphute
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 J
SEE BACK FOR FILING INSTRUCTIONS p
n . _ //\ I Qb%— QD \3l G9
*(We) c Y certify that on the 1st day of
arch, 19 , f I, (WW occupied as OG principal place of esidence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed: n
I, (We) 11 owned 4 g —/_; — �0 —��� 'QGI�• 7.3/ —�Q�
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in P — � County
Taxing District (city 1ewF3, Township): t ^� �� ^+'
Parcel Number
If buying on contract: Owners name
Township
or legal description shown on tax statement:
A) W 1/,,L .<-(,, J / /` f / o — ;�L_ - q / CC -c_ .
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.
da
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 -
Assessed
Valuation
/70
60
Homestead
Valuation
/%0
Date
Date: '
True Cash
Value
Land not exceeding 1 (one)
acre immediately
surrounding residential improvements
Other Land
FILED
(1)
(2)
S0 0
-
Total Land
(3)
S o 0
Residential Improvements
MAY 11 Dn ellin
(4)
ass 40
0
(5)
'4
' p,001T0R T
(6)
ass �o
Other Improvements
(7)
—
T Improvements - Line
(6) plus (7) equals (8)
(g)
a SSo
10by certify the above
is true. correct. and complete.
dTu cx
Signature of Assessor
ACTION BY
AUDITOR
-
Assessed
Valuation
/70
60
Homestead
Valuation
/%0
Date
Date: '