HomeMy WebLinkAboutHomestead_Ice (2) FORM HC 10 1979 - To Be Filed in Duplicate
Prescribed By State Board of Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19_79_
SEE BACK FOR Fl INSTRUCTIONS
(We) � ' Cep certify that on the 1st day of
larch, 19 77 I, e) occupied as our 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 in the taxpayer G�,/, `� j`�'
Property Description in �� a County [�t' '-c U Township
Taxing District (City, Town, Township): .
Parcel Number or legal d scription shown on tax statement:
/
If buying on contract: Owners name tee simple °wneri 22 ,4 a.
ere 1
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.
Q«Jt , u ,2 a 4J-� .RR / Boxto ? 5'? y
nature Street ACdr 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
�ee Value Valuation Valuation
Land not surrounding s dtttial sprot xi en ,lately (1) 0-0 Goo . I -200 z-c
Other Land (2) . • !; : Se° /j
,
Total Land MAY 1 7 1979 (3) 6 40° 20 •jjjjjj/��j
Residential Improveme is (4) Jere0
Dwelling
a r Garage (5) O —
AUDITOR (6) 0 es O f r
fl-96
Total
Other Improvements (7) — d —
To Improvements - Line (6) plus (7) equals (8) (8) 3180 . /a-9u
I S1 rby certify the a ve is true. cor ct. and complete. /Aso
cf-c /t-'x_ . /��xa) //- 77 .
Signature of Assessor U Date
- ACTION BY AUDITOR -
0..Approved: < -cc-t- J Date: ' — /7— 77
not FORM Melee $I Matt tut'Ot SIA
Mermen BY stilt BnveD(FNYYt,N'tr.euw rtr9(NBED BY nit DrPMTENTOF LOCAL raWEILYNFAT FIANCE re#I.I-I--ta
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead aaandmd deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
411 HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receise the
benefit and to pnwide additional identify-Um information necessary to allow county government to better monitor homestead
filings.This information will he kept confdential and can only Fe accessed by authorized County nffcials.The Ikpanntent of
Local Government Finance use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Ice, James 5 ID I E . \111 -J L
D ' Be. 109
Hazleton IN 47610
1788
James Ice
5101 E 1075N State Parcel Number Leal Description
Hazleton IN 47640-9307
I I III I I II I I I I I I I III III ' I 26-06-02-000-000.353-017 009-00353-00 BUENA VISTA 2728PT/21
to urr tit a tit ton c orm t o
• r
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
_ Uayrne5 *leoley — — — 1 cea
ine Address(number and strut,city,state,and"LIP code) Same aa pmopenyaddr•__ — --- — --— • -- —
Spouse First I Middle Last
e�lc� 1 .,It-)r lb Of..)
Mailing Address(Number and meet city,state,and ZIP code) flame 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
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Owner Signature � }s Date
PART 4:ADDITIONAL INFORMATION
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