HomeMy WebLinkAboutHomestead_Edwards FORM HC 10 1979 To Be Filed in Duplicate
Prescribed By State Board of Tar Commissioners "'.
' ' CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19_7
SEE BACK FOR FILING INSTRUCTIONS
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®(We) 6LCX G, . , � I k 4Jc
ertify that on •the 1st day of .
March, 19_24 I, (We) occupied as o principal 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 t n the taxpayer ,
se
Property Description in X�-4--1-1-4--1—”—) County 4 I ' % ' Township
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Taxing District (City, Town, Township): A ' - _ �__<.L
Parcel Number or legal de cription shown on tax.statement:
• clot- /a.a6— /—/o tt/, 69 4-
If buying on contract: Owners name ttee 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.
na tats /Si� /df 7� n
66
'Signature fket ddress
City. State and Zip Gone
/
• Individual either owns or is buying under a contract that provides he is to pay thT_op r- t xes
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 rsier 1 one)ri acre immediately edify
Other
surrounding residential ' r eme s D (2) ��0 �2� riot,����/
Other Land
_ _ Total Land (3) '7 / 10 -2 3790 f/70
Residential Improvements aN 1 3 1979 (4) •z 80
Dwelling
at/'Kt,2.motal (6) 9.,2 'CO _�ata: _ -
Other Improvements AUDITOR (7) (70 .r'- 0
TS-Improvements - Line (6) plus (7) equals (8) (8) /0/ ,co . - 4-&--- 2F��777'
I_;-..:by certify th abo�true. porrect. and complete. 9,30
4yi1 5//- 7 g
Signature of Assessor -- Date
- ACTION BY AUDITOR -
Approved: A i � i Date: 61/3/7
_ girt tURM!35 R_rd1 TREASURER TORN 75-IA• .irPRI■ED BY Mar Yl R0(M1 MYlkeTi._2uN PRF_I(MIBED BY 111F DFPARTYQVT(f1 0CA GOVENMEA'T FINANCE IC.-1.1-2_,•I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ner for homestead fraud.homestead fraud causes higher ran bills for all:therefore.
HEA 1344-21)(9 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recehe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing,_This information will he kepi confidential and can only be accessed by autborimd county officials.The Department of
Local Government Finance will use this information to cream tools that will help county officials eliminate h(mlestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Edwards, Paul M/Jeanelle K
RI Box 104
Patoka IN 47666 L
909 Illlll\\
Paul M/Jeanelle K Edwards
5633 N 550E State Parcel Number Legal Description
Patoka IN 47666-9131
III I I I I I I t o set t uI set n t 26-05-47-125-000.175-017 009-00175-00 PT LOC 125 1-10 4169 AC
lllll
C-1
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
PAuL rase HAIL E bill Rips
®ere Address(number raid street,city state;ind ZlPcoded — -- - - — '— Iy(Slante as property address- ' — —-
5133 N. SSo E . PA.-rogA .J. ti 7666
Spouse First Middle Last
Cf6&U aE u_E K . CO W A /WI
Mailing Address(Number and street city.state,and ZIP code) ❑ Same as property address
S6 3 3 N. 550 E . PA7D gA J . `f7646
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.
Ow tare Date
PART 4: ADDITIONAL INFORMATION
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