Homestead_Harbison FORM HC ID 1979 To Be Filed in Duplicate
Prescribed By State Board of Taw Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 71
SEE BACK FOR FILING INSTRUCTIONS
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® (We) J9m r ES G • E „.19n/E E /74 /3/Sok/ • certify that on the 1st day of
MAarch, 1911 I, (We) occupied as our principal place of residence the following described real property for
which a Homestead Property. Tax Credit is hereby being claimed:
I, (We) ❑� owned
VW-are buying under contract
. P have a beneficial interest in the taxpayer: - , •
Property Description in �i3So� �/ County//�� �'//rE %?"r,e Township
Taxing District (City, Town, Township): A42Lero.✓ L.o.PA
Parcel Number or legal description shown on tax statement:
4 /17,7) ..9a - /- /0 , So
If buying on contract: Owners name (tee simple owner)
3,eow,ls /s /4DD ,S/6-e
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
.11 hereby certify the above statement is true, correct and complete.
./. f '' / , - 1y/ X4%21 Q / / /
'Signature Street Address Day. State and Zip Cotle
• 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 (1) .9670 /30 /3a
Other Land (2) — —
Total Land _ (3) 310 /30 „jj/jjjj
Residential Improvementsju` 31979 Dwelling (4) .2` +�
91/1/i`
Garage
(5) -- o���e°! oeA% .
( U AUDITOR Total (6) � � ; — 0 0r
Other Improvements (7) —
Web - Line (6) plus (7) equals (8) (8) " —
" � _
�
W'eb certify the aboccis�true. correct. and complete.
Sig r- pt AS RL� �� s e 79
CTION BY AUDITOR -
Approved: 2117k Date: 3/7
STATE.FnRSI!!.'0910.'!S. i •• TREAStrIR FORM IS-IA
APPROVED BY SF•TE DOM(DOFMXTR4 TS.2YN P.EXWBED BY 111E DEPARTMENT OF LOCAL GOMTLYMTFT FINANCE rC 41.1'}4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple.are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ester for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
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HEA 134:-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receise the
benefit and to provide additional identuymg information necessary 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 Depannient of
Local Govermnent Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Harbison, James E/Jane Iia_smin ST
azleton IN 47640
246
James E/Jane E Harbison
P 0 Box 241 State Parcel Number Legal Description '
Hazleton IN 47640-0241
26-02-59-032-000.153-019 014-00153-00 PT MD 32 1-10.50 AC
t ri lt't I I tIt I IIII lII lIlll Ii It I ti I lit I I i ti'IlIII Ii I I
BR 1ST ADD 15 PT
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• PART 2:TAXPAYER INFORMATION
Owner I First Middle I Last
�a,me3 L rh esf Han b j\Soh
1e Address(number andnavet,city,sate;andZIP coded— - -'—'
,D B'X a4I a'Same property addrss — — ---- -- - — -
c/9 5 /1'1 &'n Ha � Lc7oN Jo 4 1 b46
Spouse First Middle Last
an e, Elan -e- /ia� bISon
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
Po-goX 3q1 o2 /7 S Ala in AI4ZLETbn4 Np Li-74 `fb
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.
Ot 1 Signature i
cz / �( 5 /
• / hr�� _/D ( /
PART 4:ADDITIONAL INFORMATION
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