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Homestead_Oneal FORM HC 10 1979 To Be Filed in Duplicate Prescribed By State Board al Tan Commissioners CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 717 • — • - . • ///} 0, , . J. SEE BACK FOR FILING GINSTRUCTIONS _ '_(We) �" — '�d • ." -S �/ /� RXt certify that on the 1s1 day of arch, 197_, I, (We) occupied as our prl cipal place 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 inter in the taxpayer p - Property Description in J ounty of Q -zJ Township Taxing District (City, Town, Township): /-»-2 OxXKr✓ Parcel Number or legal description shown on tax statement: 992%J/9AJ detze. 7-8-9-/o -8 If buying on contract: Owners name ltee 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 _r hereby certify the above statement-is true, correct and complete. • gKg� /2E13 c � 4)1N ' Street Address City. State and Zip Cole • 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 - True Cash Assessed - Homestead Value Valuation Valuation Land note edi 1 Le) I m diatel y surrounding residential ipro e (1) /CO al<C0 � S�O Other Land (2) -- 0^ _ =9-- •{o D Total Land MAY 2 3 1979 (3) 76-0 .O Residential Irggi'ove nt Dwelling (4) z/O �j �j��/ (5) 4aie' /4." .r.tsnen, - Garage AUDITOR Total (6) i O/o .e?4 „IS/0 7O Other Improvements (7) 76--r—r9"� ''f 0 T° Improvements - Line (6)tplus (7)correct. (8)complete. (8) -.2 5 �0- - I el..c4/Z .6 - x77 Signature of Asses J ■∎ Date ACTION BY AUDITOR - Approved: &,- ( /�% iL Date:��r_a _L5/ /77-7 STALE FORM NBA 1R /Yrl TREASURER PORN-MIA .APrwWEn BY SIRIE MHRCIOF.ACCl1 r\TS.aiN PLFAAIREDBY rim OFPARTENT OF LOCAL CRISCR.VMR.'T FEA\CE ICLI.1-1--r.1 Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS • PRINCETON IN 47670 Individuals and married couples are limited to one homestead standani deduction.As the receipt of this deduction becomes more beneficial.there is more incentive than ever for homestead fraud.homestead fraud causes higher lax bills for all:therefore. HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead f lingo This information will be Levi Confidential and can only be accessed by authorised county officials.The Department 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 Oneal,Alvin L/Hope ,SO67 S. LLucoLv ST Ic Oakland C�47660 N W 977 8398 A DDReSS Alvin F/Hope Oneal 5007 S Lincoln St State Parcel Number Legal Description Oakland City IN 47660-7659 111trlltlllllltttllttlllrlitrlllllttll111111ttlirttltlllttllll 26-20-02-201-000.206-003 020-00206-00 MILLERS ADD 7/8/0/10 x PART 2:TAXPAYER INFORMATION Owner I /� First Middle G Last FLU/N F/vS �vlUet4L tg Address(number and street.city,state,and ZIP code) Surne as property address - 5607 5. L/A,ctLN ST. Spouse First Middle Last Hope- 0>V ePr L Mailing Address(Number and street,city,state.and ZIP code) X71 Same as propene 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. Owner 'g tort Date 0 PART 4:ADDITIONAL INFORMATION 7