HomeMy WebLinkAboutHomestead_Dillon FOAM HC 10 1979 " -t To Be Filed in Duplicate
Prescribed By State Board of Tax Commissioners .
n
CLAIM--FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 77
�Q SEE BACK FOR FILING INSTRUCTIONS
�® We) U J�Cc.,t_r- t 13 rtify that on the 1st day of
March, 1912, I (We) occupied as our principal plate nce the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We)B owned
❑ are buying under contract
❑ have a beneficial interes in the taxpayer yyy ___ I
Property Description in County -- y Cw Township
Taxing District (City, Town, Township): "�a.-a_/._4 , o
Parcel Number or legal description shown on tax statement:
Ox ,2zei%. 6 - /- 9 :1/ 94 o a.,
If buying on contract: Owners name (lee 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
dal alP
hereby certify the above statement is true,
)correct and complete.
sgnat / a t, ! + J StFret Address£ 39 WG G / r \CTI�,IY. State Zip 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 .
N Value Valuation Valuation
Land not exceeding 1 (one) acre immediately
surrounding residential improvements (1) „5-0-0 / 70 /7 0
Other Land (2) G 3 7° �Z/o2 U3P30
Total Land F i L E ; (3) 6 F7o 02 01-9 61
Residential Improvements Dwelling (4) 01 / 0
JUN 2 8 1.979- — �/
Garage (5)
, .fit
Total ( ,� c / O
ar
Other Improvements ,, / —o— — o—
To' ' Improvements Lin (6) plus (7) f R8) (8) o2 2/O
I ,by certify the above is true. ca ct. and complete.p /DSO
Signature of Assessor / r V Date
- ACTION BY AUDITOR - /
Approved: P\ I�44 Date: (�7/22 !(/�j
9
HATE rlptM 5!5 IC INMI nAr.\sarai DORM:'IA
APPROVED BY STAI[BMRDIIFMY*Wit9M Ptr`snBID BY TIM BrrARneR Of LOCAL r imurs-t FINANCE If 41.1-2:4.1
Gibson County Auditor
101 N Main IMPORTANT\OTICE TO HOMESTEAD PROPERTY OWNERS
.-_ _
PRINCETON IN 47670 Individuals and hurried couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ever for homestead fraud.Iloniestead fraud causes higher tae bills for all:therefore.
® HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verity that they arc eligible to receive the
benefit and to pnxide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he Lep confidential and can only he accessed by authorized county officials.The Department of
Local Government Finance rill use this information to create tools that will help county officials eliminate homestead :baud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Dillon, John Frank/Fayetta
R 113ox 2396
Ilazleton IN 47640
1024
John Frank/Fayetta Dillon
5730 E 650 N State Parcel Number Legal Description
Hazleton IN 47640-9348
I 26-06-06-300-000.170-017 009-00170-00 PT SW 6-1-941.960 AC
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r: y.
PART 2:TAXPAYER INFORMATION
Owner I � First Middle \'�J n (� Last
_•i�Aadress(num anti itreet.city,stare,andZtP cocci --'" '-- - - AS Sarno as prope,tr address - — - - • - - - -
5 73o 6 6.so ,U .
-..
Spouse First Middle Last
QQ in4:12 4
Mailing Address(Number and street city.state.and ZIP code) Same as properly address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sax
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 eliuible 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.
Own I Signe use Date '
• 111,1114., Q ,L12-€4- wt /Io.a 1Z