HomeMy WebLinkAboutHomestead_DodsonFORM HC 10 1979 To Be Filed in Duplicate
PTe%ribed By State Board of Tae Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 1922
�} SEE BACK FOR FILING INSTRUCTIONS
e) A�'4.'Ltr'°'-' , certify that on the 1st day of
Larch, 19 iR, I, (We) occupie as our principal plat of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) 19 owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in County n- Township
Taxing District (City -Town, Towwship): - T �b
Parcel Number or legal description shown on tax statement:
&-t . . 3 7 N
If buying on contract: Owners name t'- aimwe 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
tiereby certify the above statement is true, correct and complete.
Address
x-74, S 6
Suate am 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. •
Land not exceVing Zone _ cre immediately
surndiRg r o - ments,
Other Land . C�
Total LanJJN J A 1979
Residential Improvements
al, 4
AUDITOR
Other Improvements
ASSESSOR'S USE ONLY -
True Cash
Value
(1)
(2) —
(3) `L
Dwelling (4) .°
Garage (5) 3 O SO
Total (6)`f'o
(7)
T mprovements - Line (6) plus (7) equals (8) (8) 2-4'�
Iy certify the above is true. correct, and complete.
Signawre of Assessor
- ACTION BY AUDITOR_:
Assessed
Valuation
�M�!Erl
Homestead
Valuation
9 -7
Date
Approved: e. Date: 1!1 /f
.
STATE FORM 53569(31 1-10) TREASURER FORNRIA
. APPROVED ID STATE BOARD OF ACCOUNTS-1%0 PRESCRIBED BY TILE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC 6L1-332.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street Individuals and married couples am limited to one homestead standard deduction. As the receipt of this deduction becomes
Princeton,IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore,
® ' ' HEA 1344-2009 requires taxpayers wino receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying infomutiaon necessary to allow county govemmem to bentt monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART l: PROPERTY INFORMATION
FEB 2 3 2012
- Taxpayer Name Location Address
C- .n Dodson, Margaret Ann Life Est&
Thomas D
407 N Main
GIBSON COUNTY AUDITOR
Patoka IN 47666
492
—_ — -- __ 1[11ii1i=110111111 iiiiil111i1 DIiII�I111110ill11IIIIII01il 11111OIII11111lililhI0 i1
Margaret Ann Life Dodson Etal
407 N Main St
Patoka IN 47666-9237
IIIIIIIIIt'IlllilililiiliilllllllillIIIIIIlIIIII IIillil'i'ill'Ill State Parcel Number Legal Description
26-04-24-302-000.117-020 COL DIV 37PT
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.
- I 1 I . . t . PART 2:TAXPAYER INFOR>MAT1ON 1
First Middle Last
Mailing Address(number arid/street,city.state,and ZIP code) t I/1 Same as property address
4107- tor# % l� ini Szgeer — I Air—o�rcA—, IN 1-47-te K
Spouse ! '� First Middle Last
N
Mailing Address(Number��a��nd t,city,state,and ZIP code) = _ •�
Social Security Number Oast digits) I Driver's License/State ID Number (last 5 digits) Other(please specify in{Pa�rt 4 below)
III I I site 61
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 Si�gmre As ,4 i 21 �&4
fiiSignature Date / Telephone
NA _ ( )
PART 4: ADDITIONAL INFORMATION