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Home My WebLink AboutHomestead_Belcher FORM HC 10 1979 it To Be Filed in Duplicate Prescribed By State Board at Tax Commissioners CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 77 SEE BACK FOR FILING INSTRUCTIONS .,- 0 MA (We) /- �s . - / Q • certify that on the 1st day of r arch, 19 7 I, (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) . wned Kt) r. are buying under contract have a beneficial inte est in the taxpayer Property. Description in Sta.: D Count �-'�CT. '-�"-�' mac. try._t/ Township Taxing District 4.Giiy,_Tuula, Township): 1 -b-- .-�4-,-e-,,-.) Parcel Number or, legal description shown on tax statement: M 0 / ? — / - / b /g; 7744_ If buying on contract: Owners name lee 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, correct and complete. / '"S- aid, Street Address Cny. S(aie antl Zrp Cooe I * 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 C.surrounding residential improvements (1) •� C1-D I 7 76 fr Other Land (2) / / a) D J_ . Total Land (3) �c d '%�� Residential fmpro il eme�pts E Dwelling (4) 1 b 7,9,-n oiaaiiaaai iiaoo (5) c ?-o 1%c %D,v„ /a z?4 f i Garage - i •� Total (6) /33 5�0 �=: Ai. - - Other Improvements/ ,�/ it., (7) ) O / a Q6° T SaJ Improder�entt L4 (6) p u equals (8) (8) /5�.3 'C4 �� fey y certify t e above is M. correct. and complete. 73/O C' l�> _ — v — 7� Si cure I Assessor Date - ACTION BY AUDITOR - proved: �c .-.y /! —cT s. Date: �i— ?� 7 •1•E FORM 3s■le/twl ttLASUtf FMY31A ArrRrWEO BY ST■TE!WNW ear MT1 ATA•ea• MISNBFD BY fir.OF?ARhCer OF LOCAL GOVEINVrNT FINANCE IC 4-1.13_'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 dedunion becomes more beneficial,there is more incentive than ever for homestead fraud.homestead fraud causes higher tat bills for all:therefore. HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reeebe the benefit and to provide additional identifying information rwces ry to allow county gm'emment to better monitor homestead filings.This information will he kept confidential and can only he 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 1: PROPERTY INFORMATION Taxpayer Name Property Address Belcher, Beverly A _ SR 56 Hazleton IN 47640 197 Beverly A Belcher 842 E SR 56 State Parcel Number Legal Description Hazleton IN 47640 26-02-58-018-000.041-018 010-00041-00 PT MD 18 1-10 3.79 AC PART 2:TAXPAYER INFORMATION • Outer I First Middle Last he ti RE l t#ElZ —.ng Address(numia and sueit.city,slate;and ZIP code)- - - — - • -- -LRG -5ml us property oddness— — . — - - tf-a E sR sb /163/4,11- 1t- X76 e2 Spouse First Middle Last Mailing Address(Number and street.city,state,and ZIP code) n Same as property address Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Part 4 below) sem 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 Spouse Signature Date/ Telephone l ) PART 4:ADDITIONAL INFORMATION