HomeMy WebLinkAboutHomestead_Fulling (2) MATE[Oft"..._/A.M M:M iM FORM i3 1A
VFMWEO BY MATE EtiEO OF ACTT MAT A.AM. Pt£%Rmn)BY T11L DEPARTMENT IF LOCAL COVEVENlEAT EM.ANCE r I.1-2MT
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 eser for homestead fraud Homestead fraud causes higher tat bills for all:therefore.
®` HEA 1344-21)19 requires tatpa)ers who remise the homestead standard deduction to sexily that they am eligible to receue the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings This infnrnuuon will be kepi confidential and can only be accessed by authorized county officials.The Department of
Lea i Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Fulling, Theodore V/ ‘g8-1 ,5; Diuis/64 57:
• R.Da. C2 A
Oakland City IN 47660
8663
Theodore V/ Fulling
6851 S Division St State Parcel Number Legal Description
Oakland City IN 47660-7735
lilt.11iiil.��rtt�liullut t�t ttlllElltllllt'llt llt llt tt���t�t it 26-20-15-204-000.033-002 015-00033-00 PT E NE 15391.821 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
6e9 Doge �. ra 1 ,0G •
g Address(number and street,city,state,and ZIP code) I 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 Signature Date
INFORMATION
i
FORM HC 10 1979
Pieecrilded By State Board of Tax Commissioners
To Be Filed in Duplicate
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 21
Credit is hereby being claimed:
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial interest, in the taxpayer
Property Description
Taxing District (City, Town, Township):
Parcel Number
If buying on contract: Owners name Itee simple owner)
le! Township
or legal description shown on tax statement:
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.
"3 13,214 t GGd
)natur Street Addresa ity, State and Zip Code
5 j„V-79
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 immedia eU.
surrounding residential FTLE 11)
Other Land
Total Land 5 5979
Residential Improvements MAY 1
Dwelling
rage
AUDITOR Total
Other Improvements
T Improvements - Line (6) plus (7) equals (8)
I aby certify) the above is )rue. correct. and complete.
Signature of
Approved
True Cash
Value
(1) Zao
(2) —O—
- ACTION BY AUDITOR -
Assessed Homestead
Valuation Valuation
— fac a
Date
_ • jj /�jjj�jj/
Date: