Homestead_Deer (2)FORM HC 10 1979 To Be Filed in Duplicate
Prescribed By State Board of Tax Commissioners
(We)L
vtarch, 1
which a
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 10y
SEE BACK FOR FILIN - INSTRUCTIONS
O(3- IDOW01- 00
certify that on the 1st day of
(We) occupied as our princi al place of residence the following described real property for
ad Property Tax Credit is hereby being claimed:
0 owned V5W /; —/3— Ti..
❑ are buying under contract
❑ have a beneficial intrpst iq the taxpayer
Property Description
Taxing District (City,
Parcel Number
If buying on contract: Owners
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 jrjjM RffljW4jncome, describe the use and portion of the property utilized to produce income
Any other c4MA7496 individual owns or is buying real property: County Township
hereby ®�alement, is true, correct and complete.
'Signature Street Address
�% Y763
City. State and Zip Coae
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 immediately
surrounding residential improvements (1)
Other Land (2)
Total Land (3)
Residential Improvements Dwelling (4)
Garage (5)
Total (6)
Other Improvements (7)
T Improvements - Line (6) plus (7) equals (8) (8)
I- certify the above is true, correct. and complete.
Signature of Assessor
True Cash Assessed Homestead
Value Valuation Valuation
- ACTION BY AUDITOR -
Dare
Date: 87
• itnfE FORM!)vwllt_fwn TREASURER FORM TS-IA
APPROVED nY STATE Onsanor ieCTR TS 1,v PRESCRIBED BY PIE DEPARTVENT(i LritAL C VERNMI\'T FD CE R'H.1-r-n
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.that is more incentive than e'er for homestead fraud.I lomestead fraud causes higher Tat bills for all:therefore.
• HEA 1344--2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reecho the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.Ibis information will he kept canfdential and can only he accessed by authorized county officials.The Ikpanmem of
Local 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
Deer, Donald W/ Martha Jean
100 N Campbell BIND
I lauhstadt IN 47639-8163
7275
Donald W/Martha Jean Deer
100 N Campbell Blvd State Parcel Number Lezal Description
Haubstadt IN 47639-8163
1r1lr11rttlt llrtrrlIrIrltll.,lrarr11r11trrtllrlltrt ll 1111 26-18-36-401-000.619-009 013-00619-00 WEST HGT34TH ADD 23
4..--.
PART 2:TAXPAYER INFORMATION
Owner I 'l, First Middle Last
lDAJAf_D (JJAyIJE. -DE F
.te Address(number and snort.city,state,and ZIP code) ' Same as properly address
/oo lJ aAm96St.f— el1-09 f-AUr3S-+-Ahb+ XXJ Li7632
Spouse First Middle Last
flfl -H 4- - JEAt' DfE /:
Mailing Address(Number and street,city,stale,and ZIP code) f Same as properly address
/ 6-1% J C & e 6 a c L 8 L Uj) fr-R u a st4 D+ S, ) L)- 7 & 3 q
—
.
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.
Owner I Signature Date /
•