Homestead_ArmesFORM HC 10 1979 % To Be Filed in Duplicate
Prescribed By Stale Board of Tax C,nmissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19.�
S E BACK FOR FILING INSTRUCTIONS 1/61 8 —e)O iLDg —Oo
i
®(We) certify that on the 1st day of
.larch, 1 I, e) occup ed as our princi place of residence the following described real property for
which a omeste Toperty Tax Credit is hereby being claimed:
I, (We) C,ei`owned
❑ are buying under - contract
❑ have a beneficial inter(6t/)n the tax
Property Description in
Taxing District (City, Tow Township):
Parcel Number
If buying on contract: Owners name 'fee simple owner).
Township
or legal de ription shown on t x statement:
�2 shown -
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
certify the above statement is, true, correct and complete.
Street Address City.
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 k 97
_
FOR ASSESSOR'S USE ONLY - J_
JAPd t 11989
True Cash f--.Assessed Homestead
Value vE�Il , Valuation
Land not exceeding 1 (one) acre immediately
surrounding residential improvements (1)
Other Land
Total Land
Residential Improvements
(2)
(3)
Dwelling (4)
Garage (5)
Total (6)
Other Improvements
Tmprovements - Line (6) plus (7) equals (8)
I certify the above is true. correct. and complete.
Signature of Assessor
(7)
(8)
- ACTION BY AUDITOR -
Cate
Date:
'
UM FOAM!r'NOW/fwd TRfASn[EA FORM TS-IA
APMOVED BY MATE NNW Of ACYYti.'TS.TV PRISM:BED BY nor MEARI I:EMTOFtOCAL COVE/GWENT FINANCE IC 11-I3-r4.1
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 ner for homestead fraud Homestead fraud causes higher tat bills for all:therefore.
• - HEA 1341-2009 requires taxpayers who receive the homestead standard deduction to verify that they are 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 kept coati-train'and can only he accessed by authorized county officials.The Department of
Local Government Finance will we this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Armes,Jeffrey S/Sandra J
207 N Main
Patoka IN 47666
115
Jeffrey S/Sandra J Armes
207 N Main State Parcel Number Legal Description
Patoka IN 47666
26-04-24-304-000.408-020 018-00408-00 COL DIV 2OPT/41PT
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
J e -c-Fte Sco-Evt-- Ae nnes
Niptg Address(number andsveet,city,state,and ZIP code) as property address
• o - 1 cic 51 �1 c_ n -t-- Y7 (P(r (o
.
Spoue (( First Middle ./1 Last
J5ar4CO-- �C._rte_ Atoy1'Ies
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
T. o.. ?icX SI 17,, -I-<k, _l'i 1/4/2 cCc02 c,
( _ _ _ __
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 eliuible 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