HomeMy WebLinkAboutHomestead_HorralCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Stets Form th (R6
Prescribed by y the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
FORM � YEAR
HC10
I (We) `j j&A%a ►•\ t1t A-+ �>.14�L - �nw�„ti, Ly[/ v a�a,.e t certify lha Aofi$1a dIgUMarch, 20
I (We) occupied as our principal place of Ysidence the following d#cribed real property for which a Homestead Property Tax Credit is hereby claimed:
❑ I (We) owned ❑ Are buying under contract
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property ob ¢yyjrlg�Q((g{- conuacl
s :..
CONTRACT .'RECORDED-_ia1}'`s.-
If buying on contract. Fee Supple owners name
Recorders office where contract is recorded Record number Page
-
-s �YiAR'illAdi2vaP` .. _. _ '.-v -s $ ?'
3�<. +ca- >?�.a. - -3�v _. f.: ..v .:af J- .'"�>��P,ROPERTY.DESCRIP IOR. 'a �.t.�.P�`��5�.�`�-tr -s '- w_�.,s�..���.i�'S_"•",€a.�...
County 19 g
Township
Taxing trict (city, to township)
Parcel n her
L descdptlo Is the property' Gon:
DReal property ❑ Mobile Homo (I.C. 6-1.1 -7)
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that tilructure is used to produce income, describe the use and portion
of the pro fly utilized to produce income.
7a ,.P *o?G- aa- s� -09G -ate. a -o/
} �L�3."!'`' v" '-*.r�"',4PROP.ERTY.OWNEDBY CL'AIMANTiN'OTHER'COUNTIES+
County Township
County Township
I hereby certify the above statements are true, correct and complete.
Signatur I claim
' re s (num r arM s6eef, city, state, ZIP code)
s
go
v
ASSESSOR USE ONLWX
E70S0 S%EDOYFAiTLTUV E
pHOzMVAELSUTE E AD'rE
� NOEN-
I-IVEASLIUDEE NTssIAL
.x.-TW / b `i�
VAUgk
Signature of Auditor
Date signed
I- 4R 43
+' !�
'
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
(2)S-:
FISSION
Total land (line f plus line 2)
(3)
Dwelling
�'
�i OHIO
'Residential improvements or Annually
(4)�r,
gtT'x3u3i°
.Y.aM O ;�''"`f
Assessed Mobile I Manufactured Home
Garage
(5)
Other improvements
(6)
ME
Trial improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(g)
1 hereby certify the above is true, correct, and
Signature of Assessor
Data signed
complete.
Verifying action - Signature of Auditor
Date signed
TANDARD;DEDUCTION'ALLOWANCEa'. € ,,:u i g .-, - .'iW,,.a'.�+„r..
20 _ Pay 20
Lesser of 112 Homestead
Valuation or 835.000
S
Signature of Auditor
Date signed
I- 4R 43
11 - v
STATE I ORM<MI.TIC T<-1.1 TREASURER Po0.4 73-IA
.VEMwfn BY<TATE a1AIIDOFVRlOa19v EllESTIBED BY mrDErARME>lr(r LOCAL GMitNMEBirP'ANCE ICF-I.I-r-LI
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
more beneficial,there is more incentive than e'er 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 receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing.This information will be Lepl confidential and can only he accessed by auhori,ed roomy officials.The Department of
Local Government Finance will u<c this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY L\FORMATION
Taxpayer Name Property Address
Horrall, Herman H Jr/Ruth Jane
R 1 Box 263
Ilazlcton IN 47640
167
Herman H Jr/Ruth Jane Horrall
8425 N 350 E Jack Horrall RD State Parcel Number Legal Description
HAZLETON IN 47640
26-02-57-096-000.308-017 009-00308-00 PT MD 96 1-10 65.73 AC
X
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
a� . . - _-
PART 4:ADDITIONAL INFORMATION