Homestead_White (3)FORM HC 1D 1979 To Be Filed in Duplicate
Prescribed By State Board of Tax Commissioners r
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 7 9
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SEE BACK FOR FILING INSTRUCTIONS �� 8- 00- Op
^aTch, e) �, �`^' ""°- certify that on the 1st day'of
191`, I, (We) oc upied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
1, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in _;t � fly County �, Township
Taxing District (Gky —Town, Zaweshirrr: y
Parcel Number
If buying on contract: Owners name it" simple owner)
or legal description shown on tax statement:
. 00' -. s3
Contract recorded in Recorders Office - Record
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:
hereby certify the above statement is true, correct and complete.
401 1
3/aw,
Street Address
County Township
IN y7666
City, State 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 F
Total Land
Residential Improvements Dwelling
`��' ' 1979 Garage
Other Improvements
T ' Improvements - Line 6) plus (7) AVP110(8)
I by certify the above is true. correct, and complete.
Signature of Assessor
App
True Cash
Assessed
Value
Valuation
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-
-
Homestead
Valuation
a2 S-0
7' ,45;, ice, i 979
—r Date
ACTION BY AUDITOR --
roved: (Q — S - -7 , !� C� Date:
STATE FORM•Me•IR-rr'pt I '• TREAAItrn MORSti3IA
.A TROVEO BY STATE BOAFD Or ACCOUNTS.n,.+ Pr SCTUDED BY 111E DEPAMTe4TOr LC AE GOVEANMr1(T r.:AYYEM LI.I_tI
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 incenthe than e'er for homestead fraud.IDomestead fraud causes hitcher tax bills for all:therefore.
• HEA 1344--2000 requires taxpaiers 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 goverment to better monitor homestead
filings.This information will be kepi confidential and can only be accessed by authorized county officials.The Ikpannnent 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
White, James E/Norma June
Po Box 194
Patoka IN 47666
495
James E/Norma June White
Po Box 194 State Parcel Number Legal Description
Patoka IN 47666-0194
�m�rm��Trm�r��rmm��mm r��m 111 111r1mm r1m r11m1rmm1mm1m1m m11 26-04-24-302-000.417-020 018-00417-00 COL DIV 53/68
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
fa e,d?, Gd/17/f�
4pg AddFess((lumber and stove[,city;sate,and Zi P code) —-- - "- - Some ai propertyuddrccss - — - - - — -
3/U /V,fxB/!o5 0• 6. x /94� I 4JA,zAi 47776
Spouse First Middle Last
NO den A-7
Mailing Address(Number and street.city,stale.and ZIP code) 0 Same as property address
310 &.hig/i115 /. G� x/PY /C7ej.✓rice d
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
unlawfidly,he or she may be liable for back taxes and substantial financial penalties.
Owner I Signs e Date
'
PART 4:ADDITIONAL INFORMATION