Homestead_Hope (2) FORM HC 1D 1979 • To Be Filed in Duplicate
Prescribed By State Board of Tax Commissioners .- - - ..
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 If -
I�l�IL SEE BACK FORgFI LING INSTRUCTIONS
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(We) o �/ LF certify that on the 1st day of
arch, 19_4, I, (We) o upied as our pnn pal place of rest nce 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 st in the taxpayer
i
Property Description in County v✓ Township
Taxing District (City, Town, Township): UV�
Parcel Number or legal desc tion shown on tax statement:
2t, 9?Lv% 9'1t % /9-/- 9 / 4a td,
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.
171,6 ma/
,4 ,//e/ Serf � 7. 11
)Signature Street Address City. State and 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
Value Valuation Valuation
Land not exceeding 1 (one) acre immediately
surrounding residential improvements (1) 5-49 o . /10 / 0
Other Land (2) 02 s0 _ iD -ft.
Fi LED
Total Laiadl Improvements (3) ZS-0 o . —!
Dwelling (4) /3890
. JUN 1 3 1979- Garage (5) —0— AMP!���/O %,
T tal (6) /S8g0 - , _ a — '
Other Improvements (7) — 0— — D
1i°' ' -Improvements - Line (6) us (7) equltE ?OR (8) /58170
I Say certify the atove is rue. cor- ct. and complete. 6
0-C-(Z 5_// - 79
Signature of Assessor !l� Date
- ACTION BY AUDITOR -
1 / c�
Approved: ;� Date: �//3/1
MATE FORM nSHIR-r SAP) PFE•.SUUR FORM 7-IA
SI ROVED BY STATE BMRDOF ACCOUNT',San PRESMBFD BY me DEPARTMENT OF LOAL GOVERNMENT FINANCE IC 4.I.I-224.1
Gipso;County Auditor
V101 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
beneficial,there is more incentive than ever for homestead fraud Homestead fraud causes higher tax bills for all:therefore.
d HEA 1344-2001 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive die
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 accessed by authorized county officials.The Depannaent of
Local Goverment Finance will u-c this information to create taws that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Hope, Nancy K Trust
RI
Francisco IN 47649 VO
938
Olik
Nancy Hope /r
R1 Box 68 State Parcel Number Leal Description C/
Francisco IN 47649-9231
26-06-19-100-000.298-017 009-00298-00 PTN 191931.60
It 1n11nt1t1I 1u II I ItlnnI I ��u n�ll �e��tu�tu��
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
-AJA 0 e- ti 1( )4FoPa
,gAddrdsci ,statedZtPcode) - - - Same as property address-' — - - . . —
y ° 575 FAPWC)scd Ifs `f7699
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Driver's Liccnse/State ID Number (last 5 digits) Other(please specify in Part 4 below)
Sour
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 I Signature Date
Spouse ignature Date Telephone •
(r )
)1
PART 4:ADDITIONAL INFORMATION
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