HomeMy WebLinkAboutHomestead_Goddard FORM HC 10 1979- To Be Filed in Duplicate
Prescribed By Stale Board of Tar Commissioners
CLAIM FOR HOMESTEAD PROPERTY. TAX .CREDIT FOR YEAR 191
- SEE lBACK FOR FILING INSTRUCTIONS
(We) �`
occupied as ou rinclpal place of residence the following described real property for
which 'a Homestead Property Tax Credit is hereby'being claimed:.
I, (We) Q� owned
'U are buying under contract .
❑ have a beneficial interrntt. in the taxpayer . - Q .
Property Description in �`a e-�*J .ounty e.„...�-e-s ) Township .
Taxing District (City, Town, Township):
Parcel Number or legal description shown on tax statement: •
If buying on contract: Owners name flee simple owner
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 //�� -
.426hereby certify the above statement is true, correct and complete.
'SignatL Street ddress City. State and ip Code
* 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.
FILED - FOR ASSESSOR'S USE ONLY -
MAY 2319779 True Cash Assessed Homestead
Value Valuation Valuation
Land note in ( acr diately
surroundin d al • 1 ) {D p /op /410
Other AUDITOR 2 3.
Total Land (3) 4/0 - .4-4.5-
Residential Improvements . (4) a/6 j �jjj44(
Dwelling
7iJ
(5) a / 4 ,�i/i �� /a
"
Garage / o O
Total (6) 7a CO f-/2O " B
Other Improvements (7) — 0 — — 0 -
T�r" -Improvements - Line (6) plus (7) equals (8) (8) 'T!!a &0
IWeby certify the abo e is true. corre . and complete. ,
Otr—l21 .✓ 6 - 7 9
Signature or Assessor /� Da:e
- ACTION BY AUDITOR - p
Approved: Date: -
Suit FARM,,!Mot:r,+ni OW-Nana FOAM ZIA
eIMPORTANT NOTICE TO HOMESTEAD PROPERTY AOWNERS
Gibson County Auditor
,.101 N Main
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 ener for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-3009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information tecessan-to allow county government to better monitor homestead
filing.This infomation will he kepi confidential and can only he arce sad by authorized county eolith's.The Depannxnt of
Local Government Finance Mill use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Goddard, Ted D/Virginia
Box 299
Somerville IN 47683
1251
Ted D/Virginia Goddard
Box 299 State Parcel Number Lezal Description
Somerville IN 47683-0299
IIlIIliIFIiFiiI tiFt iFt tiiFii iiI iFriF iFriF it FiriFr FiFr ii 26-20-02-403-000.095-003 020-00095-00 VANADA ENLG 37PT/38
X
Spouse First Middle Last
// I of
rl/ Ai( 7,LC� I —
Mailing Addr (Number and street.,city,state,and ZIP code) ❑ Same as property address
-
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.
PART 4:ADDITIONAL INFORMATION