HomeMy WebLinkAboutHomestead_McDaniel (3) 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__`1L
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�/ SEE BACK FOR FILING INSTRUCTIONS
®(We) v- �— 2 i t LI certify that on the 1st day of
March, 19�, I, (We) occupied as ur principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) clowned
❑ are buying under contract
❑ have a beneficial interes in the taxpayer �n�
Property Description in County i 4 Township
Taxing District (City, Town, Township): C'[ra-- t /e4-71—)
Parcel Number or legal description shown on tax statement:
� 33
at 97g- %9?E%¢ at/—/- 9 `7 2
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
. fe 1.
®hereby certify the above statement is true, correct and complete.
�/.�., Alt lvt..`'L9a,,,u / /f ( - b ,, flop?
'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 fine acrmm ilk
surrounding residential imp ove is (1) SO-0 / 70 /r/O
Other Land (2) �Lo 70 o- ,/j//j//:
Total Land
JUN (� 19f9 (3) 5'6"70 > e ���������
Residential Improvem,uut� r /�/�`k —{�— (4) /0 Y O
t%( � d�yGara Ing ��% A
AUDITOR Garage (5) -'QTO p O
Total (6) _10:11S 0 _ _ .
�/ aril
Other Improvements (7) —3—Ale ,/ / ' 9/i4//jjj/jjjj/
T ` Improvements - Line (6) plus (7) equals (8) (8) --/3860 7`-
Iby certify the abov true, correct. d complete. ((Qp
Si/1— 79
Signature of Assessor Da:e
AC-116N BY AUDITOR _-
Approved: g 0\ ' Date: 6/�
• • STATE FORN`39•41RL -lul IRiASOLA tOR.Y IS.IA
A@Rr'ED RV lUE BOtRO OF Al(U\TS`np ?RkSCRMEO In THI DIPMIAF?T 01 LOCAL C.OVE.R_S)IL7 11.CISCF.IC 6-1.I-r4.l
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS`-
101 N- Main Street Individuals and married couples ale limited to one homestead standard deduction.As the receipt of this deduction becomes
Princeton,IN 47670 more beneficial.then is mom incentive than eser kw homestead fraud.Homestead fraud causes higher las bills for all:therefor:.
FILEDREA 1344.7009 requires aspnyen who receive the homestead standard deduction to verify that they ate eligible to reeeiye the
benefit and to provide additional identifrim_ Intlwmati.m necessary to allow county government to better monitor homestead
fibres.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will We this information to create tools that will help county officials eliminate homestead fraud.
APR 2 4 2012 PART l: PROPERTY INFORMATION •
Taxpayer Name Location Address
C.rJ.nM McDaniel, Verner
1V\ v\ 8317 E 450 N
GIBSON COUNTY AUDITOR
FRANCISCO IN 47649
1555
Vemer McDaniel 11/1/1 vui 111nun 1010ii II 0110ir 11101111011010110II 01011 II
8317E450N
Francisco IN 47649-9246
��III'I"'ICI"�I'���I�III'III' 'II1�'llll�'ll�'I'll'���III�t�lt State Parcel Number Legal Description
26-06-21-200-000.522-017 PT NE NE 21-1-9 78.33 AC C-1
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
_ ► I 'I ra
pp,r I First Middle k 729 0,41 )
� Last
rYJer k /� 0�l� �
Mailing Address(number and street,city,state,and ZIP code) I�7 Same as property address
(23/ F 4/5-0 /3/ � o
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Spouse First Middle Last
Mailing Address(Number and street.city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Drivels License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
I I Soto
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 /%�����/L..trw�r/I Date
Spouse Signature Date Telephone r l
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PART 4:ADDITIONAL INFORMATION