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Homestead_HedgeFORM HC 10 1979 Prescribed By State Board of Tax Commissioners CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19/5/ To Be Filed in Duplicate UCTIONS org'_ oorsJ (We) 42Q441:5 � certify that on the 1st day of 4arch, 1 V--YJ, , (We) occupied as our principal place 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 intpjrest In the taxpayer / Property Description in County ,� A4.e,/ Township Taxing District (City, Town, Township): Parcel Number If buying on contract: Owners or legal description shown on tax statement: /,t X&11,4 - 2s- / -// • V,G /4 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 hereby certify the above statement is true, correct and complete. Address Township 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. - FOR ASSESSOR'S USE ONLY - Land not exceeding 1 (one) acre immediately surrounding residential improvements Other Land Total Land Residential ImprovemLS, 7 1931 AUDITOther Improvements True Cash Value (1) (2) (3) Dwelling (4) ��� / Garage (6) Total (6) �O (7) Tr'-' Improvements - Line (6) plus (7) equals (8) (8) � Ieby certify the abover true. correct. and complete. - ACTION BY AUDITOR - Assessed Valuation SL•' Homestead Valuation Sa 7, iy�r Date Date: 90 TEAR rots,!5!t IR r4'I ■ 11tEASCIFA WEN IS-1A APPM.'EO nY T'.It O(P MTTa TT.wv PRISCRIBEDEIT nlr orRAFTmJr(w MAL COVERAPAINT FINANCE IC♦,.1__4.1 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 ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore. • HEA 134-1-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive a the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead g� g g$ 'yam filing.This information will be kept confidential and©n only be accessed by authorized county officials.The Depannmt of It ,' p y _J Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. .ittlt�� 1 FH1�j� PART l: PROPERTY INFORMATION Taxpayer Name Property Address APR 8 ZULU Hedge, Joseph E/ Beverly A `--y�r 107 W Mill Q2( ze Patoka IN 47666 CI 568GIBSON COUNTY AUDITOR Joseph E/ Beverly A Hedge Po Box 74 State Parcel Number Legal Description Patoka IN 47666-0074 �t�tt��rtt�t��atr��rrr��rr��r rr��t tt�ttt�t�tt��tt t�t�tt��t�t t� 26-04-25-101-000.153-020 018-00153-00 PT NW 25-1-11 .46 AC PART 2: TAXPAYER INFORMATION Owner I First Middle Last -37r, se.Ph Edword Ned9 • Address(mmnber iced street,city, tate;and ZIP code)— - N.O. �3 p- q l7 a- o K A ,T.v. 9766 6 Spouse First Middle Last (-Beverly ilea/5 .2- Mailing Address(Number and steet,city,state,and ZIP code) t l Same as property address AD. 8a- 7Y PA-To A-A- 4176 44 � 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 Date • /• PART 4: ADDITIONAL INFORMATION