Homestead_Hollander a/ME rRBI f l5,IR_l)+MI TRrASUt(A NMI 7S-IA
ArlRrwEn BY MAW BMROIII',NYYRINtS:”N PRGARI,n,av TIraRARINENT Of-LOCAL nIKT.R.YMRM FINANCE IC 4-I.I1241
Gibson County Auditor
101 N•Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuab and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than e'er for homestead fraud_Homestead fraud causes higher ta'bills for all:therefore.
HEA 1344-709 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to receve the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
tiling'.This information will he kept coniidemial and can only he accessed by authorized corny officials.The Ikpanmenl of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY LNFORMATION
Taxpaver Name Property Address
_ Hollander, Henry J/Chloetta Rae
kr 2 Box 145
Eon Branch IN 47648
8720
Henry J/Chloetta Rae Hollander
7682 S 650E State Parcel Number Legal Description
Fort Branch IN 47648-8621
-26-20-20-100-000.355-001 001-00355-00 PT Nw.20-3 9 t-sat AC_
D-8
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
fleiynl rt_P_. _ _�{o�l a�vcfe� _
g Addr (number and street,city,state,and ZIP code) LvJ"Same as property.adds _
74, a 5 ✓o s-o K J s-Y$rANck Tyr/ 71, Y �'
Spouse First Middle Last
Gftoe,%Pa /fay yLj. jAider
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as propene address
76 ? 2 s G,5-o MiucA 1)k-/ q7(> Ll
Each undersitmed 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 1 Signature Date
PART 4:ADDITIONAL INFORMATION
IP
FORM HC 10 1979
Prescribed By State Board of Tax Commissioners
To Be Fled in Duplicate
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 1929
Opp_ po3SS — °o
SEE BACK FOR FILING INSTRUCTIONS v/
which a Homestead Property Tax
it is hereby being claimed:
certify that on the 1st day of
Ilowing described real property for
I, (We) O owned C�Z'o?O��l>
❑ are buying under contract
❑ have a beneficial interes in the taxpayer
Property Description in --c�y-�-� County Township
Taxing District (C4yrTewn; Township):
Parcel Number or legal description shown on tax statement: -
/llW�1 x70-,3 -9
If buying on contract: Owners
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
hereby certify the above statement is true, correct and complete
n n_
0, ,g•p. 5411y
City. SW. and Zio Cade
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 -
i
Land not exceeding 1 (one) acre immediately
surrounding residential impEovempnts p1
Other Land kF�}r,
Total Land
Residential Improvements y;liN 15 X97$.
Dwelling
• e
Other Improvements AUDITOR
Tr;I I I provements - Line (6) plus (7) equals (8)
i y certify_the above, is true. correct. and complete.
of Assei r V
Approved
True Cash
Value
(1) 'j— 0 0
(2) 70
(3) %7D
(4) _i 3 `j O
(s) a °
(6) -1- 9 0
(7) // / D
(g) 7 & o
- ACTION BY AUDITOR -
Assessed Homestead
Valuation Valuation
Date
r a
Date:
r