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Homestead_Longabaugh -1 STATE FOCI.3,.a WI'/.FYN TREASURER FORM T-tA APPRr:EO BY STTTL YNRO OF"(MI:\T[9M PRINCRlarO BY 411E BFPARTMENT OF LOCAICCIVEILNNIENT FINANCE 1c 41.1'_-$.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 goer for homestead fraud.Homestead fraud causes higher tax bills for all:therefore. ill HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to receive the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filings.This information will be Lela confidential and ran only he accessed by authorized county officials.The Depanntenl 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 _ Longabaugh, Charles G/ 113 N Main ST I lazleton IN 47640 91 Charles G/ Longabaugh P O Box 205 State Parcel Number Legal Description Hazleton IN 47640-0205 26-02-29-200-000.214-019 014-00214-00 OLD PLAN 1 PT/2 BLK 7 I I I I I I I I I I l l l l t t t l t t l l l l l l l l I I l l l l t t l r l l l l t l l l l l l l l t l l l l PART 2:TAXPAYER INFORMATION Owner I / First Middle Last C.tawe/g5 die ATA, i0A✓y Rib al-4_, 11131,1 tg'.Addrtss number endsntett,city;stele,-arid ZIP code] ga /3©) - 2.oS - — //3 N Maibs i --- E'Swne as-property nddrts; — — 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 �p Date S 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 79 L• ��a SEE BACK FOR FILING INSTRUCTIONS We) C_ggELE5" Cam. place of residence the following described real property for which a Homestead Property Tax Credit is hereby being claimed: I, (We) IZI owned ❑ are buying under contract ❑ have a beneficial interest in the taxpayer ' / �/J Property Description in aa.So^y County 41,71/ E /1 dEO _ _Township Taxing District (City, Town, Township): f %'.zt 7-0Ai eae, - Parcel Number or legal description shown on tax statement: OLa /,C,9nl tar a ,G//f *7 If buying on contract: Owners name )tee 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. P41 h ✓ ,61OS' Pe / 476Vo 'Signature 4 Street Address pity. State and Zip Cone r Q(La,„, Gr. U � ye'— 9:3-w-774 aL 74.76,6„._,. . .a 5 76vc / 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 (on cr' ' imediately surround re%identtl im e Ili. (1) 7So aJ9O 3�� o Other La �„ (2) — — Total Land P;PY 18199 Residential Impil3Vements Dwelling (4) ' j"' ���j� �j�j�j// 4 .,:.�. ro J/O 3 moGarage (5) �9 ��.., ;,,,:_:. ,. J�ia � r Total (6) �bO -2.2-44,-- 40 frr AUDITOR /�����/ Other Improve ents (7) — i � i T Improvements - Line (6) plus (7) equals (8) (8) fv_Z 'O—" � iir%/!,v.- by certify the .ppve is true. correct. and complete. Ictc„E'. 1tc ay.e../ S—x- 79 Sig�e of Assessor / Date - ACTION BY AUDITOR - . Approved: • Date: �/ �/�79