Homestead_Beadle 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
SEE BACK FOR FILING INSTRUCTIONS
'(We) ed.94/.✓E ,CUGE,✓E ?�/uA,',rig .- e,9Z)Le_ certify that on the 1st day of
rch, 19 79 I, (We) occupied as our principal place of residence the following described real property for
which a�Hoommestead Property Tax Credit is hereby being claimed:
I, (We) ®'owned
❑ are buying under contract '
❑ have a beneficial interest in the taxpayer � / —�'�
Property Description in �'� SO l � / County LU{'TE /file,e Township
Taxing District (City, Town, Township): /7424eTett/
Parcel Number or legal description shown on tax statement:
.67 E,✓LC. 2A/83
If buying on contract: Owners name flee 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
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tiereby certify the above statement is true, correct and complete.
_ '
'Signet r ��/)!" Street Address City. State and Zip Code
J
Individual either owns or is buying under a contract that provides he is to pay the property taxes
-_ n— L. -- residence, or has a beneficial interest in the taxpayer.
*_ FOR ASSESSOR'S USE ONLY -
It1AY " 1979 True Cash Assessed Homestead
Value Valuation Valuation
Land no44 cee ng/ one) : - ' mediately
surrou0,g r e• I. :me, . :r, : r-s (1) boo 0700 moo
Other Land AUDITOR (2) — ° ' —O '—
Total Land (3) G oo cRoo
Residential Improvements Dwelling (4) 73,c OSA(/E,O A; i?
Garage
(5) — n — . 7iii%bo/1.''% ai;!-< -":;:
Total (6) 2 io /3( ---3-re-e,o % . y-e-o
Other Improvements (7) --o —
T•mprovements - Line (6) plus (7) equals (8) (8) X3-/•8 3/0 ' _//����j���
I: _. by certify th above is true. correct. and complete. '�'� 3••
Signature of Asseswr 0 Date
- ACTION BY AUDITOR -
Approved: R g Q .
q
Date: —Se7-"
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• STATE FORM,,r.t_l fool TREAStiRER FORM TS-IA
APPROVED BY MATE n(HRO OF AMOUNTS.!l PRFIYRIRED BY THE DEPARTS:YTOE LOC AL rorR.YMrwr FINANCE Ic 41.1-E_-1.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes
-� more beneficial.there is more incentive than ex r for homestead fraud.Homestead fraud cause,R higher tat bills for all:therefore.
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HEA 1343-2009 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to recene the
benefit and to provide additional identifying infomiation n.assary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only be accessed by authorized county officials.The lkpanment of
Local Government Finance NY ill use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Beadle, Wayne Eugene/Juanita
106 Tennessee
Hazleton IN 47640
142
Wayne Eugene/Juanita Beadle
P O Box 135 State Parcel Number Legal Description
Hazleton IN 47640-0135 •
I r V I I 1 1111 T H I I I I I I'1111111 1111111111111111111111111111 26-02-49-101-000.034-019 014-00034-00 E ENLG 82183
PART 2:TAXPAYER INFORMATION
Owner I First w � I Last
2-(,t.,0..V c 1- L 5 e 4p,
Ilk.Address(number and street;city,state;and ZiP Stick)— —— -- — -- - —0-Same as property adds s— -— - — —— —
ol3ax 13s N4z. �� , Jo 476Lca
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ••.e ❑ Same as property address
Social Security N -r r(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sou
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
unlaafitlly,he or she may be liable for back taxes and substantial financial penalties.
Owner I Signature (� Date
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Spur 1 lore Date Telephone ( )
PART 4:ADDITIONAL INFORMATION