HomeMy WebLinkAboutHomestead_White (4)I FORM HC 10 1979 Be Filed in Duplicate
Prescribed By State Board of Tax Commissioners
. CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 19
SEE BACK FOR FILINGQIN7STRUCTIONS •
410 I(We) -- hicIALita_' i, i certify that on the 1st day of
(We)
19_ , I, (
Credit is hereby being claimed:
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial inte st in the taxpayer �/ .
Property Description in is q�� County lam✓ Township
Taxing District (City, Town, Township): l/V
Parcel Number or legal (description shown on tax statement:
9 %— I/2- 9 (%i n- /- 7 sta.r✓Lao
If buying on contract: Owners name (tee simple owner
Contract recorded in Recorders Office - Record Na 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.
' Street Ada City. State and bp Cone y,
Individual either owns or is buying under a contract that provides he is to pay the property taxes
orL 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) -Soo 110 / O
Other Fd , (2) / O /.20 Total d I D (3) 7 /6 "'o0290
Residential Improvements Dwelling (4) x3/30
Garage (5) (OQ`i7
Total (6) 62 930 __LOO
Other air o%e�l Ft (7) 33 0 .f-tzt/eI
T��2/�',1,.Im rdvements - Line (ID) lus (7) equals (8) (8) 72 6 0
Sby certify the abo is true. correct.
Oa
nd complete. 3s"Ga
Signature of Assessor - Date-
- A ION BY AUDITOR - -" �
Approved: , .- a 41 6472 L
SLATE LOAM fl Ma lti/a.Ni TRLASUI[n FORM 73-1A
AOEIMPORTANTTNOTICETO DEPAAMEST(if LOCAL
OPERTY~OWNERS
Gibson County Auditor
101 N Main
PRINCETON IN 47670 Individuals and tarried couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ewer for homestead fraud.Ilomestead fraud causes higher tax bills for all:therefore.
411 HEA 1344-2C09 requires uxpayen who remise the homestead standard deduction to verify that they are eligible to incise the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
. filings.This information will be kept confidential and can only he accessed by authorized county officials.The Depannient of
Local Government Finance%sill use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address I
White, Martha J
5 a-
RI Box 30 3
Francisco IN 47649 (3�V j
1147 lb/D
Martha J White
R1 Box 30 State Parcel Number Legal Description
Francisco IN 47649-9261
ltlnllntlt lln thnlitlnitIn nIt It II IIn ItIntIIItInI 26-06-28-200-000.887-017 C-1 009-00887-00 N S NE 28-1-9 2 A
Spouse First L----I Middle / Last
Illa. Yf/i l�/ff i 7 £'i
Mailing Address(Number and stret,city,state.and ZIP code) i. •-• ❑ Same as property address
43-2A/ /V Cr4E_ frfi4G JSGf, q7 h/7 .
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.
PART 4:ADDITIONAL INFORMATION