HomeMy WebLinkAboutHomestead_Loveless (3)7 FORM HC 10 1919 To Be Filed in Duplicate
Prescribed By State Board al lax Commissioners ' IN
C".
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 "77
. SEE BACK FOR FILING INSTRUCTIONS
(We) `._-_=_____ I / .d ' tad .. Va' / ' certify that on the 1st'day of
arch, 19 71 , I, (We) occu•ied as our .'ncipal 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 interest in the taxpayer q,
Property Description in M� County /iV Township
Taxing District (City, Town, Township): 'V a'"•°-4--`"` '°n)
Parcel Number or legal description shown on tax statement: '
• Q,L. 3xjylo4L I- / U , 77 a. J
If buying on contract: Owners name uee 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
I hereby certify the above statement is true, correct and complete.
��. T °E/N.- — a24'I p c 41 -2 Ce cto
'Signature Street Address I 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) X 0 0" /7e 79D/7/
Other La ! (2) —0— —0— /c19 - ,,
TotaFan L E — (3) 390 _ .l'% j���/��j�
Residential.Improvements DweIing (4) /07''O
MN! Garage 1279 Garage (s) _ O— j A
Total (6) /0 ISO /" ?D
/��—o — —a—
he r . %/
Tol Pments - el1} Tp) plus
(7) equals (8) (8) /0.76-0 —
I Soy certify the^pove is true. co rect. and complete. >Cad
r SIB- 79
Signature of Assessor Date
- ACTION BY AUDITOR -
Approved: ' ' • w__' Date: S..'/41-7
7
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• R 5151£FORM!'M'IArI MMM1 ltFASURrA FORM 75-IA
•
R rIMPORTANTNOTICETOHOMESTEADFP OPERTY�ORNERS I`�
Gibson County Auditor
101 N Main
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
h�1r� more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tat 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
filinab.This information will be kept confidential and can only he accessed by authorized county officials.The Ikpanntent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Loveless, Elizabeth Ann Trust
R l l)ox 135
Patoka IN 47666
2023
Elizabeth Ann Loveless Trust _
R 1 Box 135 __ State Parcel Number Legal Description
"—Patoka IN 47666-9160
III I I I I I I I I I I I I I I I I I I I 26-05-57-104-000.460-017 009-00460-00 PT MD 104 1-1011.95 AC
r n nr r nr tat n t our t o tut t nu t o C-1
fT
PART 2:TAXPAYER INFORMATION '
tN
Owner 1 First Middle Last
.cf Z..tb L '� / AAil 4_0 ut Le_ss
tg Address(dumber iced street,city,state.and ZIP code) - _ - Some as prupeayodd'ess _. .__ __ — -
57 !)l s&4 Rz-Gs"s p,¢le t -7&1 `7` 7°ca(a
/
Spouse First Middle Last
•
Mailing Address(Number and stree4 city.state.and ZIP cafe). _ — — - --D-Same as propaiyaddirss -
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please spaify m Part 4 below)
s�
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 1 Signature Uate
PART 4:ADDITIONAL INFORMATION