Homestead_Terwiske :Taff mnU 5.; .113 l 4el IRSASUWR POLY IS-:A
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Gibson County Auditor IMPORTANTNOTICE TO HOMESTEAD PROPERTY OWNERS
' 101 N. Main Street Individua6 and married couples ate limited to one homestead standard deduction.As the receipt of this deduction becomes
Princeton, IN 47670 more beneficial.there is more incentive than ever for homestwad fraud.Homestead fraud causes higher tax bills for all:therefore, .
el{ I1EA 1344-2009 requires taxpayers who reeeise the homestead standard deduction to verify that they are eligible to=else the
benefit and to provide additional identifying intixmalhill necessary 10 allow county government to bcuer monitor homestead
filings.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 mule tools:hal will help county officials eliminate homestead fraud.
PART l:PROPERTY INFORIMMATION'Taxpayer Name Location Address
_ Terwiske. Stanley J/Julie Ann
32 N 950 E
OAKLAND CITY IN 47660
4208
S2
Stanley J Eerwiske _ , ___-.. IIIIIIII�NIII III!. Ill hillhl lIII IIIII�III IIIIIIII�II!19111 II I IIIIbI1911_1[1[ il— —
OAKLAND CITY IN 47660-8452
111 11'X111111"11111'1111111111'Iltl1llllil 11111111'111'I'llli1 State Parcel Number Legal Description
26-13-11-100-000.952-006 „ C-1
'II APR 16 2012 a
This form MUST be returned to County Auditor'sC iaouNTYAUDTOR
Please do NOT send this form back with your tax payment to the county treasurer.
, _ • PART 2:TAXPAYER INFORMATION-
_— eel __..-_.____..._ _ . _______FFt•._ - Middle Last —. _ _—.
SA,ky ' lotse,ti Trriis /T•t°
Mailing Address(number and street.city,state.and ZIP code) B Same as property addzss
30- N 9sv
Spouse First Middle Last
4 L i a igi i/ /ez14)/5-fee---
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
• -
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 Si are Date
-
FORM HC 1D 1979
Prescribed By State Board of Tax Commissioners
J CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 193
SEE BACK FOR FILING INSTRUCTIONS
To Be Filed in Ouplicate
003 -00%5a- 0°
r certify that on the 1st day of
as our princf al place of sidence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) 0 owned _�.3 �� ��— CIO.
r-1 are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in 1011-- County
Taxing District (City, Town, Township): &—
Township
Parcel Number or legal description shown on tax statement:
LIJ
If buying on contract: Owners name f` simple
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:
hereby certify the above statement is true, correct and complete.
A i
County Township
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
Land not exce{ r 1 onl r it tediately
Value
sqo
surrounding r de �e
4340
Other Land
MAR 17 1982
(2)
Total Land
(3)
�a
Residential Immp
a 7 /0
Dwelling
(4)
AUDITOR
Garage
(5)
7 5 0
Total
(6)
2 8 6
Other Improvements
(7)
TP• Improvements - Line (6) plus (7) equals (8) (8) a g & 0
tr I-. y certify the above is true. correct. and complete.
Signature of Assessor
- ACTION BY AUDITOR_:
Assessed
Valuation
Homestead
Valuation
770
Date r
Date: