HomeMy WebLinkAboutHomestead_Harvey FORM HC 10 1979 To Be Filed in Duplicate
Prescribed By Slate Board of Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 77
.
SEE BACK FOR FILING INSTRUCTIONS
rWe) Ene_L f "47),eED HHRdE ' certify that on the 1st day of
rch, 1912, I, (We) occupied as our principal place of residence the following described real property for
which a�Hoomestead Property Tax Credit is hereby being claimed:
•
I, (We) 1U" owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer ' J
Property Description in �� 35O County 144f/re 'ez Township
Taxing District (City, Town, Township): __ ��/�ZLerOc/ °��
Parcel Number or legal description shown on tax statement:
,en/L6. tr`//851/2
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
'hereby certify the above statement is true, correct and complete.
= .
Gtr ' , . . u , -,ases., 1476ii 0
'Signature - Street-Address City. State and Zip Cade
' 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
J(oai
Value Valuation Valuation
Land not excee g e iately
surrounding re ent o (1) dzi90 /G0 /60
Other Land (2) — —
MAY 9 1979
Total Land (3) "/-90 /G o
Residential lave nti fete (4) 3/�o - ���1 . ���/�a'
' AUDITOR Dwelling (5) /7 �jj/�//i // �/�/F
Garage
Total (6) ,c/ o //.J O
- 'it)Other Improvements (7)
T Improvements - Line (6) plus (7) equals (8) (8) �2 �
�y certify the abov true. correct, and complete.
or Date
n ��/{/ --ACCTION BY AUDITOR - q �y
';: y . v/.t cam/ Date: -6-1- / - /7",?
STALE rota'TVs ac i N•• TRr NIEA FORM IS-IA
.Arvi ''s°nY xr.1TE BMR°OF,MTyL\T5.Vvu pu AMM BY ME DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC 64.1-2:4.1
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 tax bills for all:therefore.
III HEA 1347-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recent the
benefit and to provide additional identifying information necessary to allow county ea'ertu-nenm to better monitor homestead
filings.This information will be kepi 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
Harvey, Mildred
103 N Tennessee
Hazleton IN 47640
150
Mildred Harvey
103 N Tennessee State Parcel Number Legal Description
Hazleton IN 47640-8833
— – -- 26-02-49-101=000:1 55=01 9-014-00155-0DE'ENLG'84/85PT
IIIulltttlIlltIIlttllllttlttlIlItlIrtllrrrTlll 111111111
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PART 2:TAXPAYER INFOR%IATIOLN
Owner I First Middle Last
NZal red Lou %es e_ lint vty
• �te Address(nurnbef and slueet city,state,and ZIP code) - - Er$eme as property addr '- ---- - — — —
/13 N %trine;ftr Sfi. N4zle% rlAK W7b90
/
Spouse First Middle Last
Mailing Address(Number and street,city,stale,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
state
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 Date Telephone
( )
PART 4:ADDITIONAL INFORMATION
I