Homestead_Oneal (6) STATE FORM!MW IR/YNI TREASURER FORM S-A
• .VVROVRDBY STATE BOAROOF AIYAXLTS._VM nRF3NBm BY fir oEAanearOrLOLA" C VtRYMUKT FINANCE wL1I-_4.1
Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
40. more beneficial,there is more incentive than eter for homestead fraud.I lomestead fraud causes higher lax hills 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
filings.This information will be kept confidential and ran only he accessed by authorized county officials.The Department of
Local Government Finance will ow this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Oneal, Pansy Trust
R3 H .
Oakland 'IN 4 660
3191
Pansy Oneal Trust
5001 S Lincoln State Parcel Number Legal Description
Oakland City IN 47660-7659
II III
26-20-02-201-000.224-003 020-00224-00 MILLERS ADD
u r II r r II r t Ir II r I r I r I I I II u se u u III r I '
--- __ - 5/6/28!29/30131/32/33__ —�--
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
Spouse First Middle Last
fig A/S .3- JEAL-
Mailing Address(Number and street,city,state,and ZIP code) [ Sean 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
•
FORM HC 10 1979 To Be Filed in.Duplicate _
Prescribed By State Board of Tax Commissioners -
CLAIM FOR HOMESTEAD PROPI:RTY•:FAX CREDIT FOR YEAR 19 79
SEE BACK FOR FFII�,LING INSTRUCTIONS
(We) .-e---.1..., ; .-.- _`_/ f/ / ( Q_ �' certify that on the 1st day of
arch, 19 I, (We) occupied as ourrnrincipal place of residence the following described real property for
which a H mestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned .
❑ are buying under contract
❑ have a beneficial inter in the taxpayer Q •
Property Description in jounty �E-J G,cre_rLJ Township
Taxing District (City, Town, Township): J
Parcel Number or legal description shown on tax statement:
9rt1L L, O4 a e- ‘
If buying on contract: Owners name (fee 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.
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gnature C� // ` Street Address City. State and p 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.
- FOR ASSESSOR'S USE ONLY -
True Cash Assessed Homestead
Value Valuation Valuation
Land not exceedi 1 (�ne) re i yiiji•di
surrounding resid t-it al �nproie nevi.,_ (1) g-1--0 / t-° /e—o
Other Land (2) — o — �1an1����������
Total Land ttUIN 4 1979_ (3) 6-0 Ln3
Residential Improvements �I Dwelling (4)
, r / (�ti�k a� �e� Garage (5) �j //;./;^ Cs.
AUDITOR Total (6) -
Other Improvements (7) 7 9 _"-flan,0—
Jr.. mprovements - Line (6) plus (7) equal (8) (8) .'
I e_ by certify the above is true. correct. d complete.
Signature of Assessor Date
• - ACTION BY AUDIT
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Approved: L ,. "cJ C/Date: IL - / 1