Homestead_Jost w • 'TATE FORM nt.00/ t T R E A S U M I Y M IS-IA
...FIRMED BY STTTE OCARortMCn RrgtJBmnY nil OFFARTKNT(w LIXLLL GOVEA.MMTNT FI:ACCE IC-i.l4'-AI
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead aundanl deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than eser for homestead fmud.homestead fmud causes higher tax bills for all:therefore.
HE.1 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they am Eligible to teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only he arcecsed by authorized county officials.The Department of
Local Government Finance sill use this information to create tools that will help county officials eliminate homestead laud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Jost, Betty Ann col 'J t.S, S I a Tc Rd 6 r
T
Haubstadt IN 47639
7337
Betty Ann Jost
527 W SR 68 State Parcel Number Legal Description
Haubstadt IN 47639
26-18-36-403-000.191-009 013-00191-00 PT SE 36-3-11 .38 AC
•
•
Spouse First Middle Last
B&iIy fl n n So S�
Mailing Address(Number and street city,state,and"LIP code) [ -Same as property address
-) W srarr, I\ d Lee NauLs1i-a1T f LI763 `I
{ 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 •
•
•
FORM KC 10 1979 To Be Filed in Duplicate
Prescribed By State Board of Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT.-FOR EAR 19 77
/�
SEE
� BACK FOR FILING INSTRUCTIONS
0(
pl of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial inc., est in the taxpayer
Property Description in `/� County Township
Taxing District (Char-Town, Townstiip.)_ -
Parcel Number or legal description shown on tax statement:
A77 SE% 36 3—// , 3tu.te..,
If buying on contract: Owners name tee 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
®hereby certify the above statement is true, correct and complete.
j, '_ 11,. k' �. , t i 4/ n39
Signature / Street Address 3 /9 7, City. Sate and Zip Code
/
• Individual either owns or is buying under a con ract 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 Assessed Homestead
Value Valuation Valuation
Land not exceeding 1 (one) acre immediately
surrounding residential improvements (1) Z, 'fo /, 0 / 6 0
Other Land (2) —
Total Land FILE to ,F-o /.6 e
Residential Improvements "
Dwelling (4) / e 6 ° j��7/7 jjjj777
lU%r° Qe 1979 (5) 2 oo/ '���������� A
o (s) /mac o_o_e t .54�-9-a-
Other Improvements �/ ��)
Tor ' lm rovements - Line (6) plus (7) e u'cIs 8 (8) / `— a 0
P O r O g O O
I t y ity the above is true. correct. and complete.
Signature of As sor ' ( Date
- ACTION BY AUDITOR -
Approved: 7 X4_ t—.t) Date: A%9r 77
013- 0oi9 / -00