HomeMy WebLinkAboutHomestead_Parker (4) FORM HC 10 1979 to Be Filed in Duplicate
Prescribed By State Board of Tax Commissioners
CLAIM FOR HOMESTEAD PROPERLY TAX CREDIT FOR YEAR 19 77
SEE BACK FOR FILING INSTRUCTIONS
. 0431- 001,`11-Oo
�(We) /�'� �� - - -- - -- I/ certify that on the 1st day of
yarch; 19 79 I, (We/ccupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
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I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial in rest in the taxpayer
Property Description in jecto-o---, County /� �cr� Township
Taxing District (2ity, Town, Township): »
Parcel Number or legal description shown on tax statement:
A) W 'st - N £ % 16 -3 - 9 St-
If buying on contract: Owners name (fee 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, c�oorrrect��andd complete. /frk
'Signature Street Address City. S ate and 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 taxpayer.
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- FOR ASSESSOR'S USE ONLY -
FILED True Cash Assessed Homestead
Value Valuation Valuation
Land not exceeding 1 (one) acre immediately
surrounding residential improvements MAY 211979 (1) ..5-0 0 / 7 0 0
Other Land /�//� �1/ (2) S/ 0 --, oZ"�����������
Total Land • c/i / ����i- (3) / 0 / 0 --44"0-2516
Residential Improvements AUDITOR
Dwelling (4) /'? al-7 O
Garage (5) / o 0
Total (6) /3 ? z O f ,La_ f� . o
Other Improvements (7) / 0 " 0 .S.a-L-÷frer
Ta'�t Improvements - Line (6) plus (7) equals (8) (8) /4/ 7/ 0
IWby certify the ove is true. correct, and complete. j/DQ q
Signature of Assessor - Daze
- ACTION BY AUDITOR -
J� n ,5-A1— 79
Approved: A • ti./. i(.0. Date:
MATE FOtM!)`M Ile/f-tMf ltLiSULEA FORM SIA
APPROVED BYRRE LlMKDnFMRV>TS]un PEFSWnm BY TIE DEPARTMENT f IF LOCAL CAVEB.YMPT FINANCE IC 4-13-r4.1
0 l County Auditor
11 N Main
IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N
•PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there k more incentive than ever for homestead fraud Homestead fraud causes higher tax bills for all:therefore.
lb HEA 1344-21109 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to receive the
benefit and to provide additional identifying infoml:Ition necessary to allow county government to better monitor homestead
filings.This information will he kepi confidential and can only he accessed by authorized county officials The Depanmem 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
Parker, James Truman/Karen M L. sgt 1 ns c+ Or-3E
—RI Hos two
Oakland City IN 47660
8682
James Truman/Karen M Parker
6584 S 800E State Parcel Number Legal Description
Oakland City IN 47660-8538
Itluilutltllntilnlin tlnit rltlnrlirlu ltlu lu inlntlll 26-20-16-200-000.672-001 001-00672-00 NW NE 16-3-95AC
\x/ 0-8
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PART 2:TAXPAYER INFORMATION
Owner I First ,.,I\ Middle Last
g Address(number and street,city,state,and ZIP code) - ❑"Same 1 property address - . — - -C—en
Spouse First Middle Last
Mailing Address(Number and street,city,stale,and ZIP code) ❑ es
Same as property address
qq
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.
— Ow - I Signature j� ,, _ - Date -I —
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