Homestead_Berry MATE FORM 5M...s `/NMI MEASURER FORM TS-1A
A/TRO E°BY St At el0:RD OF Arl.TRFNTS.gw PRIARInm BY nil BEPART\ffNr(KLOCAL GOVERNMENT FINANCE ic•-ii-r-LI
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
S Homestead more beneficial,there is more incentive than e'er for homestead fraud. fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires tarpapers who receive the homestead standard deduction to verily 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 confidential and can only he acee'ed by authorized county officials.The Ds-pantheist 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-
_ Berry, Joyce D
— 102 East
Patoka IN 47666
458 -___ _` _ _
— -- - _-
Joyce D Berry
P 0 Box 175 State Parcel Number Legal Description
Patoka IN 47666-0175
II oIII II nII n I I III ' III nIII III 26-04-24-300-000.035-020 016-0003`-00 WOODS ENLG 35/36
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t tt tit t of t r t t r t tt II /
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Spouse First Middle Last
---S0 (10e DoLoR. C .5 8eRRy
Mailing Address(Number and street,city,stale.and Z0'code) ❑ Same as property address
PD, gc7 /7i" /a2 ,f sr 5'T - P - /Oic/4 „ ,riva y7G�
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
-.
PART 4:ADDITIONAL INFORMATION
r
FORM HC 10 1979 To Be Filed in Duptirate
Presorilied By State Board of Tax Commissioners -
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 71 <V_�
ipal lace of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ® owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description i
Taxing District (Cffy; Town, Township):
Parcel Number
If buying on contract: Owners name (fee simple owner)
Township
K
or legal description shown on tax statement:
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
R_
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
Land not exceeding 1 (one) acre immediately
surrounding residential improvements
Other Land E
Total Land
Residential Improvements nraY 2 4 1979 Dwelling
4Z41: e
Other Improvements �' AUDITOR
ToI �,,_mprovements - Line (6) plus (7) equals (8)
,,:oy certify the above is true. correct. and complete.
of As5o,w,
True Cash Assessed
Value Valuation
- ACTION BY AUDITOR -
i
A
Homestead
Valuation
/.Z o
�9, 16)-79
Dare
Date: