HomeMy WebLinkAboutHomestead_Pauley 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_77_
- j�SEE BACK FOR FILING INSTRUCTIONS
da (We) C��° r ttot+cJ Yh c' �e certify that on the 1st day of
arch, 19__Z€, I, (We) occupied as our principal place of residence� a 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 intere t in the taxpayer �j�
Property Description in County /� Township
Taxing District (City, Town, Township):
Parcel Number tgaes l criptio n shown on tax statement:-
--• �. . 9 au. /a.2 6 /.,CJ. /—/O ft,Z
If buying on contract: Owners name ltee simp'e owne'1 9
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.
MI
(1-:.-vitor9 c:T71 e----*Signature Stree 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
����''ii11
Value Valuation Valuation
Land not exceeding 1 ne TT r Ei -
surrounding residential improvements (1) ,S0-0 / 70 / 0
Other Land n r 1 1079 (2) 020 to o 0 :-,: /
Total Land (3) �a—/o0 •r-site a
Residential Improver y', AU/ Dwelling
(4) .2 01/0
Garage (5) — O— �j�j�
Total (6) a04L/0 1: /
Other Improvements • (7) 1t�A0 A 71=p15-1°-
-1 r t Improvements - Line (6) plus (7) equals (8) (8) ,2$L 930 '
I •by certify the ove is true, corr ct. and complete. //d70
Signature of Assessor // Date
- ACTION BY AUDITOR - //
Approved: X 0\. idla tt'!t Date: //I3/7?
alVE snag!!M,Rrt RI • TZE NEEA m0.V}-tA •
.AP/ROVED BY MATE BMRD OF AfrT*E TS.9v PREYRIBm BY THE DEPARTMENTOE IOI'AE rAw'ELYMEAT Fla.:CE n'6-I.1_4.1
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 eter for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to preside additional identifying information necessary to allow county government to better monitor homestead
filing,.This information will be kept contidcntial and can only be accessed by anthorired county officials.The Department 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
Pauley, Thomas W/Frieda to Go 513 N. MXOVI12,6).
xSrN�i-B999tr
Hazleton IN 47640
1570
Thomas W/Frieda Pauley
6683 N Nixon Rd State Parcel Number Legal Description
Hazleton IN 47640-9326
_ _ 26-05-57-123-000.559-017 009-00559-00 PT MD 123 1-10 9 AC
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PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
ThOm°1s Waldo P&aJy
Eg Kildnmi(ynumber and street,city,state.tux'"LIP code) g Same as propcn-v odJdrms - —'— - --
/e(n i`s N. /✓7/'d ry Pd,
Spouse First Middle Last
•
F ieer0 m&c- Pc l_ley
Mailing Address(Number and street,city,state,and ZIP code) ®Same as property address
- f3 �i - -Q61_,
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 p , n Datee
PART 4:ADDITIONAL INFORMATION .
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