Homestead_Fuhs (7) STATE FORM Kt.iN2t HYI TREASURE"TORN g1A
.AP/ROVED BY,IATt.BIAROO.AM RINTS.:Ina PRTWInn[D BY MEtCPARnecn it LOCAL c vttsMrrrraaseElc41.1r-1.1
Gibson Cowly Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and untried couples are limited to one homestead:standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever fur homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to averse the
benefit and to provide additional identifying_ information necessary to allow county government to better monitor homestead
tiling.this information will be kept confidential and can only he accessed by authnrieed 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
Fuhs, Victor T/Margaret A - Living 4 j Sy L" SR /(e D
Trus
R T nos t t n
Fort Branch IN 4764'0
8695
- - -- Victor-T Fuhs -Living Trust — --— — - - —— —__ ___ _ _ - __ _. _ _ _ _ —
6354 E SR 168 State Parcel Number Legal Description
FORT BRANCH IN 47648
26-20-1 8-200-000.248-001 001-00248-00 PT NE 1 8-39 105.00 AC
/ ' D-8
•
PART 2:TAXPAYER INFORMATION
Owner I First Middle / Last
V_Po+•O`- Fa[ h s ,may 5 ti--
11110-1 g Address(number and street,city,state,and ZIP code) - -- - _ aSame as property addres -- _ -- - -- __-
435-4 t' 5#alt Re4d /68 rt. B.-a. -,e. 4 /4 ce 7eg2
Spouse First A Middle //'' IJ - 4 s Last
Mailing Address(Number and street city,state,and ZIP cock) E.Same as property address
1-i!
-
_
G3sy t Se- _/68 - ' - Fre 4r , 4 - i47- - U74--v8 - - — - . -- --- - -- - -
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 Signature
/ Z T er� Date/O /a
•
FORM HC 10 1979
Prescribed By State Board of Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 1929
To Be Filed in Duplicate
V
SEE BACK FOR FILING INSTRUCTIONS 00 /-00zf ? -00
bWe),< . d N
� /�-� - ��-� _ -- ,��rtify that on the 1st day of
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) 91 owned p?(O -o?o —/9— ::.; aO —G��.
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in —�-0' County f'�o_ Township
Taxing District (City, T-ewrr, Township): 9
Parcel Number or legal description shown on tax statement:
If buying on contract: Owners name 11" simple
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: County Township
by certify the above statement is true, correct and complete.
39
Street Address - r >Gly. State and Zip Cade
Individual either owns or is buying under a contract that prohe 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 (orF ac lmlledial
surrounding residential improvients E
Other Land 1979 J (�
A4pV 1 ,1 _
Total Land
Residential Improvement s�J ._,(�Iling
TOGGaarrage
AUDITOR
Total
Other Improvements
rovements - Line (6) plus (7) equals (8)
certify the_above is true. correct, and complete.
of Assessor
True Cash Assessed Homestead
Value Valuation Valuation
0) _Sncn 120
(2) 109,90
(3) / / J1,P 41
(4) 1,e_
(5)
YOO
(6)
U 0 P 0
(7)
060
(8)
I o / V o
- ACTION BY AUDITOR -
Dale
Date:.