Homestead_Wolfe (4) SLATE 1OtStJla OCT Ti RFASUFER Po^N TS-IA
APPIUWED BY MATE anSRD(Ir AvrrUsTV.9r, ,FEalnam BY lilt DEPARTMENT(/'LOCAL GOVEIT wITT FINANCE ICVI.1"-t.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 ever for homestead fraud.homestead fraud causes higher as bills for all:therefore.
® HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recehe the
benefit and to pnlvidc additional identifying information necessary to allow county got emment to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials,The Ikpannient 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
Wolfe, Tony G/ Debra
R 113ox 87
Hazleton IN 47640
929
Tony G /Debra Wolfe
2197 E John Ford Rd
Hazleton IN 47640-9266
0 9009-0009148-00 PT MD 601-1063.653 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
,/Oti y (uOAr9-
�g Address(number and sorer,city,score,mui ZIP code) - l�Same us property oddnaa -- - -
e, /97 E 00/40 ik0 PO; xemt , /N ¢X ¢o
Spouse First Middle Last
/� �
�R� 4. l°04-Pe--
Mailing Address(Number and sweet,city,state,and ZIP code) 2-Same as property address
(5/97 e— .7224 x-0.('0 X10 Ufa /w <1-7o90
= .
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
PART 4: ADDITIONAL INFORMATION
all
FORM HD 10 1979 To Be Filed in Duplicate
aSmmZs Prescribed By State Board ot� Co
ssioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 77
h
SEE
�BACK FOR�FILING
� INSTRUCTIONS
imc (We) /��• ff ^'�- �- �v O-C �-� certify that on the 1st day of
"larch, 19 � I, (W occupied as our principal place of esidence the following described real property for
which aHoHomestead Property Tax Credit is hereby being claimed:
I, (We) RSl owned
❑ are buying under contract
❑ have a beneficial intere t in the taxpayer
Property Description in / ^-J County Township
Taxing District (City, Town, Township):
Parcel Number or legal cgscription shown on tax staterne /7
- a . `y11 � 6 /- /0 1
If buying on contract: Owners name (tee simple owner) NI
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, describ the use and portion of the property.utilized to produce income
l K
Any other counties in which individual owns or is buying real property: County„...... Township
hereby certify the above statement is true, correct and complete. /(lN
nail B j
��::/L , _� _ Ft 1 c5 B .0 L � , iG ,. . 42i 4 o
-ignamre/ / 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 -
I True Cash Assessed Homestead
Value Valuation Valuation
Land not exceeding 1 (one) acre ' me ID
surrounding residential i v s (1) ilo /70 0
Other Land (2) uj;-•/
Total Land (3) /45 c.+�'//0 �s.'�: '
...ii,���������
Residential Improvements ��� 111979 (4) 9 ltb.
Iling
a
- r (6) 990 auo(TOR _ ,sad
Total °�azam - �Lali
Other Improvements (7) 7.3 7 0 . - – V ��j//��jj
•
Trr.l Improvements - Line (6) plus (7) equals (8) (8) /6 2 1 0 —
ISby certify the ve is true. co9ect. and complete. 8030
4–. vyy,��`� /'y�� -) S-/IL - 77
Signature of Assessor Date
/1 ACTION BY AUDITOR - 7
ea
Approved: IC A _ %� ' Date: 6-.//!