HomeMy WebLinkAboutHomestead_Sutherland (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 8 / •
SEE BACK FOR;FILING INSTRUCTIONS
•:(We) rim--H-- Pt .8a'4-"'-'L`ertiy th on the 1st day of
March, 19S._'/_, I, (We) occupied as to r principal Mace of residence the following descri ed real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) 18 owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in Aim - County y�� t °- -' ' • Township
- /�
Taxing District (City, Town, Township): / 4.4.--^-f
Parcel Number I or legal description shown on tax statement:
J QiA do-c, a' / - / o /O, , 2 /9L.
If buying on contract: Owners name (tee 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
*hereby certify the above statement is true, correct and complete.
0`01_ ,S.5 .- -/ Kat- / Su 4#ZL fa&i /,VD,.o-a/7 47% 4r
eL
nature Street Address City.$fate 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) SO 0 .17 O 170
Other Land (2) .V / s-D //f'
Total Residentall Improvements FILED (4) / 70 7���
Dwelling j���
MAR 26ge (5)
. O , Tot (6) !a & 7 0 /a a s
Other Improvements AUDITOR (7) 3 0 .
TPmprovements - Line (6) plus (7) equals (8) (8) / 3- 70 0 .-9---a--3-0--
I - ,,eby certify the above is true. correct. and complete. 6D010
aa..cAt.2 ,: ---Cct-itira) . j - 2 - a i
Signature of Assessor Date
— - ACTION BY AUDITOR -
Approved: Date:
•
si.sTr FORM•IW IR-n.'t TPFALtItil Po0.V'}la
VIRm'Et ST STATE.FI(1.1.RD OF M TWwrS.255 ItrnrnED BY 1)n orpAa Aeercr LOCAL OAT2aNNIFTTiNA'CE
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 IndividuaLs and married couple.are limited to one homestead .aandarU deduction.As the receipt of this dedunion becomes
more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344--3000 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 mermen: to better monitor homestead
filings This information will he kept confidential and can only be accessed by authorized 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
Sutherland, Jimmy Neale
•
—= Po Box 150 1101
Ilarleton IN 47640
123
Jimmy Neale Sutherland
5406 E SR 56
Hazleton IN 47640 State Parcel Number Leal Description
26-02-47-008-000.767-017 009-00767-00 PT LOC 81-10 7.45 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
, Aei WALE E2L-A.✓D
�g Address(number end street,city,state,and ZiP code)
54c e) E SK S 6 I-I4 ak-f- J , IAl '4 7E. Y-0
Spouse First s Middle Last -
Mailing Address(Number and street,city,stale,and ZIP code) Same as properly address
Social Security Number(Iasi 5 digits) Drivels License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
saw
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
Spouse Signature Date Telephone
PART 4:ADDITIONAL INFORMATION