Homestead_Jones (2) YEAR
CLAIM FOR HOMESTEAD PROPERTY TAX ,, FORM
�' CREDIT/STANDARD DEDUCTION HC10
State Fonn si73(R7/5-6)
Prescrbed by the Depertrtrent of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions.
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-m.: f :5 ) e ' ' ': '• :• .. .-' /.-. ., ro'f3i' •� a ;.i _, .ãT. - • F� of
I(We) )�, .�_ wilpk
I(We)occupied as ow pun place of resid= the fofowi , descnbed real property far which a Hm
oestead Property Tax Credit is hereby chinned:
el(we)awns ❑ ,cue buyug under contract MAR 1 4 2008•
Have a beneficial interest in the entity that is liable for the properly taxes an the property and that ovens the.prooserty or is under a Contract.
6
GIBSON,COUNTY AUDITOR
.. - ." .. .. '. -. . " ' CON7TtACT:RECORDm•'. .. .r, `,(,
It buying on contrac7,Fee Simple owner's lane
RecOrdds once where contract is Beaded Rend number Page
Y; r;-; ,.+. .;a t ..t• � .. .' ' PROPERTY DESCRIPTION: c. '(,Y�{[ '� t
Township Taxing district(dy town faQLp54); u�ll
'- rm (eJr 7��1 4-Cob }�(.gy description Is the property in in
• -I T-'8-16 1 Co 'N/l'J W7 propob ❑ Mobile Home(L " .1-7)
C any portion of the residential shoals°a the lad not exceedrg one(1)acre that imnedasdy sunouds that a used to produce income,desabe the use and portion
of the property tilted to produce income.
:. : ;, . .PROaE<rrrowNmsr,cLAmA►rTaoTHa:cowrrEs ,.;
County Township County Township
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I hereby certify the above statements we hue,correct and complete. n1a C
fir na) h` *AIca, ' lie
" - TTNI' ET - ASSESSED VALUE H08ffSTEAD` _ *r'NONSIDBiiIAI. ' - Y
ASSESSOR USE ONLYAT100XOFTTV r
- '»".,,. : . ✓ A c. : VA7-UEv.. � � .,.. ..., 'VALUE
Land not exceeding 1 (one)acre inaradiatety . .rF a
sranoundigresidential improvements. (1) r aai
Other and
Trial and(line 1 plus the 2) (3)
Dwelling (4) •' r1 n
t€x 4R Residential improvements a Annually
Assessed Mobile/Manufactured Hare
i� r,i'i i"`' -S)et t
Garage (5) s `y(t r r 4/4,t,
v J
Other vnprovun na (6) ;K!
Taal improvements(the 4 through fine 6) (7)
Trial value (line 3 pits fine 7) (8)
I hereby certify the above is hue,coned,and Signature of Assessor Date shed
COmptete.
Verifying actin-Signature of halter Date signed
, v.;.. "•';STANDARD DEDUCTION ALLOWANCE n s';s^ ' •
20 Pay 20
Lesser of 1/2 Homestead
VSuatim or 535,000 $
skatitlroAtis43 Cati, Dateskr:t5--/(7,08
STATE FORM 53569(R]3-I0) TREASURER FORM TS.IA
APPROVES BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINA.NCE IC6-1.1--22-8.1
IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
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Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
'eduction becomes more beneficial, there is more incentive than ever for homestead fraud. Homestead fraud
causes higher tax bills for all; therefore, HEA 1344-2009 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 be kept confidential and can only be accessed by authorized county officials. The Department of Local
Government Finance will use this information to create tools that will help county officials eliminate
homestead fraud.
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• PARTI-PROPERTY INFORMATION • •-i x -1;"fis.
Tasnaver Name Property Address State Parcel Number Lead Description:
Lloyd E Jones 722 N HIGHLAND AVE 26-14-18-104-000.830-007 .1M COCKRUM 60 PT/6I/62/63
OAKLAND CITY IN 47660
Complete and return to: IWlll�l[IJI111fiIlIIIIIIIIIU�I�ll�ll�11711'3 I�IIILf�C�IL311��1�I���
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
PART 2: TAXPAYER INFORMATION
Owner 1 First Middle Last
2X Ul c F,/cos v2 Nes
Maaug Addresimber and street,city,state and ZIP Code)
�eme as property address
1
722 N IAAuJAve,
Spouse First Middle Last
Kane-\ A n Nr\ S
Mailing Address(number and street,city,state and ZIP code) - I virlame as properly 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 1 Signature Date
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FILED
NOV 13 2012
GIBSON COUNTY HUUI I Vs,