Homestead_Strickland (6) STATE FORM /vO't TREASULU FORM 75-IA
APPROVED BY ST■TE RD OF Awy:%T5.qw PLFYRIDFO BY PIE DEPARTMENT Or LOCAL tOcRNMITT MANCE M 41.1-r-.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 ner for homestead fraud homestead fraud causes higher tax bills for all:therefore.
•
HEA 1344--1009 requires to payers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to information additional epi a nhide information necessary hr to allow county government coo to better monitor homestead
nntent f
p }tlIA filings.This information will he DTI contidemial and can only R accessed by authmived county officials.The Dqunment of
0g•�{. Local Government Finance will the this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
— APR 9 ZUln Taxpayer Name Property Address
Strickland,Arvel/Nancy Sue �D GS Z E so Si
- -777-4
ll�� �� OUNTY AUDITOR Oakland City IN 47660
GIBSQM OI/
Arvel/Nancy Sue Strickland
10682E 50 S State Parcel Number Legal Description
Oakland City IN 47660-8629
II II III II II I I II I II I I I I I III 26-13-12-300-000.941-006 003-00941-00 SW SW 12-2-92.319 AC
to err ur a Arno uu t t nn nt t o t / C-1
5
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
Nancq 3 54f ick1a.nc/
�g Address(nom and street,city,start,and ZIP code) — — — — — Same as property oddress
Spouse First Middle Last
deceGSec/
Mailing Address(Number and sweet,city,state,and ZIP code) C 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)
Sete
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.
net Signature / Date
•
FORM HC 10 1979 To Be Filed in Duplicate
Preuritted By State Board at Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 �� J
SEE BACK FOR FILING INSTRUCTIONS
°y� 0 03 - o o°ty\ - °°
�(We) °5�- - r (- /aa r -��� certify that on the 1st day of
arch, 19 I, (We) occupied as our principal place of resid ce the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in County Township
Taxing District (Cdty Tevan, Township): � 9: ^ +- •
Parcel Number or legal description shown on tax statement:
c
If buying on contract: Owners name (fee simple owner)
Contract recorded in Recorders Office - Record No. Paae
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.
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 -
Land not exceeding 1 (one) acre i"Ved tiv N _ D
surrounding residential improvemen�l L i�
Other Land i
Total Land MQY i
Residential Improvements \� p� w II g
�+
W13% Garage
Garage
Total
Other Improvements
Tmprovements - Line (6) plus (7) equals (8)
I . y certify the above is true. correct. and complete.
Sigvture of Assessor
True Cash
Value
(1) So
(2) r 2 0
(3) (p a o
(4) 7a9oo
(5)
(6) / a 00
(7)
(g) /a °Do
- ACTION BY AUDITOR -
Assessed
Valiiatinn
/'7o
>�O
Homestead
Valitatinn
17o
Date
Date: