HomeMy WebLinkAboutHomestead_Tolbert (3) STATE FORM!)'M/CI'MI 1RIS&,/lt FOAM 31A
APPROVED
C/OVERNMENT FINANCE IC 14
"Gibsori County Auditor
101 N Main
PRINCETON IN 47670 Individuals and married couples are limited to one homestead.undanl deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher In bills for all:therefore.
0 HEA 1344-3009 requires aspapers who receive the homestead standard deduction to verify that they are eligible to recent the
benefit and to provide additional identifying information nectary to allow county government to better monitor homesead
filings.This information will be kept confidential and can only M aeeeaed by auihnrized county officials.The Depanmcnt 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
_ Tolbert, Esther Marie
870 F SR 56
Ilazlcton IN 47640-5
196
Esther Marie Tolbert
870 E SR 56
Hazleton IN 47640 State Parcel Number Legal Description
26-02-58-017-000.893-018 010-00393-00 PT MD 171-10 40 AC
.
Spouse First Middle Last
IsThFR /i1 4 R E 7o L. 13 ER r
Mailing Address(Number and street,city,stale,and ZIP code) I[J..Same as property address
S4A-AE 4--s ABovt
PART 3:CERTIFICATION
PART 4:ADDITIONAL INFORMATION
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FORM HC 10 1979 To Be Filed in Duplicate
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Approved: % / _ Date: C4/7,
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