HomeMy WebLinkAboutHomestead_Thompson FORM HC 10 1979 to Be Filed in Duplicate
Prescribed By State Board at Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 79
SEE BACK FOR FILING INSTRUCTIONS -
411 _(We / ap ,r • .. . �.„,,a.• ./ °+ certify that on the 1st day of
arch, 19_7_`?, I, ( -) occupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
�7 -3D
I, (We) .0 owned )0 `
❑ are buying under contract
❑ have a beneficial intere t in the taxpayer
r
Property Description in, County Township
Taxing District 4C44f, Town, Township)• ai r c__v _..c, Q__Q-o
Parcel Number or al description shown on tax statement:
r. ,pa) , '7- 3-/r , / 9 ti.-.-e-
?. Al hi Sy 7- .3 -// . o d 3 e-e-g., .
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
-/'o 2 AV- aoo.-530-&7
Any other counties in which individual owns or is buying real property: County Township
®hereby certify the above statement is true, correct and complete.
`�/]�[/ZO_ ��j/ �//^^/^{ S/
Signatur �� Street ndarASS �� ��.b1 fn 5�City. State and Zoo,�Corte
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• 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 (one) acre immediately
surrounding residential improvements (1) -VS& /l0 d
Other Land (2) — ° —
Total Land (3) S/6-6 / 6 a
Residential Improvements J ] (4) � �7���' ��S
1bbS. Ong L ..., ,,,,, / ,. .. ,,,,,
(5) C----5 0Ofa O/1%/�i p✓4,
JUN 2t; linage _
Total (6)-- -t—d
Other Improvements (7) _1-a0 --
T ; ' Improvements - Line (6) 07/Ls
us equals (EDITOR (8) 2 ,s
ff._. •by certify the above is true. orrect, and complete.
0 of Assessor ` • • Daze
- ACTION BY AUDITOR -
Approved: ei% ie-c 2-4) Date: a- - ?
STATE FORM!l'MIR:/MMN) rw SuRFA FORA TA-IA
ArrRnvrn BY STATE BIMRon1'.Any )sTs!VB PLF_`YRThIP BY nn nrpMneer IF LOCAL BOSirNMrhT FINANCE IC 4-I.I.L-F.I
Gibson 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 is more incentive than e'er for homestead fraud.Homestead fraud causes higher tar bills for all:therefore.
HEA 1344-2009 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
tidings.'ins information will he kept confidential and can only he accessed by authorized county officials.The Depannmem 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
Thompson, Bernard/Ruth Life Est
Etal
204 N Scott
Owensville IN 47665
6637
Bernard/Ruth Thompson Life Est Etal
N Scott St
Owensville IN 47665 State Parcel Number Legal Description
26-18-07-101-000.530-022 PT NW 7-3-11 .223 AC SCOTT ENLG 1 PT
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
erg t4 Ago( 0 ,zt,
.g Address(number and street,city,state,and ZIP-code) — - - -- - - �E Same as property 1100.11253 -- — --- — -- --
C E. SF r sP- 4 v,/ 2-/> e- F C
Spouse �f I- / First Middle Last
7) o S
Mailing Address(Number and street,city,stale,and ZIP code) 12-&-silTras property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
9 / Sure
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
Dame
PART 4:ADDITIONAL INFORMATION
•