HomeMy WebLinkAboutHomestead_Martin (4) ' STATE ORMr35t tt/V.MI flFASUItR FORM is-IA
ArrN1A'ED BY STATE IIMAJ1p'NYfRI.\1S._PV PuSTIamnY nlEorPARTMINT OF LOCAL CAtrtNs1rfT FINANCE 101-1.1-2:4,1
• Gibson County Auditor 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
I PRINCETON IN 47670 Individuals and married couples are limited to one homestead sandanl deduction.As the receipt of this deduction becomes
morn beneficial.there is more incentive than eser for homestead fraud Homestead fraud causes higher tax bilk for all:therefore.
• HEA 1344-21109 requires taxpayer who receive the homestead standard deduction to verify that they are eligible to recene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
fling.This information will he kepi conlidential and ran only he accessed by authorized county officials.The Department of
Local Government Finance will use this information to create rvls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Martin, Mary M and 1/2 int
Trust/Kenneth 1' / 1
— RI Box 154 S
Oakland City IN 47660
8655 �r- y / Q
D� l• K/�.j�r0 vN'
Mary M Martin O a /1/, p.ZF (�,,t,t iC o
8573E 650 S State Parcel Number Legal Description
OAKLAND CITY IN 47660-8551
III I I I I I I I I ' I III I III I I 26-20-15-100-000.495-001 001-00495-00 PT NW NW 15-3-9 1.59 AC
to ntt ear n ntuutntnu ton tear 0-8
PART 2:TAXPAYER INFORMATION
Owner I First Middle -� " Last
731 Qrrf hh . vi r te` '')'n eu i?,,e ,1 6✓t1-r_LA �
•ag Addresytnumber and street,city,state,and ZIP code) /__ �1sme as property address
95/ 3 1 Cr°.-:
/
Spouse Fits: Middle Last
/ l Q/'t/L/ZZ . a i0- vrt971
Mailing Address(Number and street,city,state,and ZIP code) ('Same as property address
7f'73 E GCo - o I,0 C I• /1-7 Ga
- - - -- - - - - -- -- - ------ - - - -
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 S,iwFgn//a�sv�AU,.e, �1�� //�� �' Date z
FORM HC 10 1979
Prescribed By State Board of Tax Commissioners
To Be Filed in Duplicate
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 1g 79 /
SEE BAC OR FILING INSTRUCTIONS O� I� UUygS_op.
�(We 5222, certify that on the 1st day of
March, 19—;Z-,9, I, (We) ocEupied s r cipa place of resid a the following described real property for
which aicHomestead Property Ta edit is h by being claimed:
I, (We) 4 owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in— a County Z57, - Township
Taxing District (G4y, Town, Township):
Parcel Number - or legal description shown on tax statement:
If buying on contract: Owners name Ven simple owner)
Contract recorded in Recorders Office Record No. Page If any portion of the relpatilif s'�Cti r he and, not exceeding one (1) acre that immediately surrounds that
structure is used to pro cejnci,,:,,iQ cr he use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property: County Township
a. r /K_
hereby certify the abov fate entAUDtTQR correct and complete
X76,
'Signature S:reet Address City. Aate and Zip Dose
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
Total Land
Residential Improvements
Other Improvements
True Cash
Value
(1) Soo
(2) Q v/__4 o
(3) 8 9 O
Dwelling (4) 7-5-30
Garage (5)
Total (6) 7 _ 3 o
T�Improvements - Line (6) plus (7) equals (8)
I...-.,.by certify the above is true. correct. and complete-
pl Assessor
(7) 35 -00
(8) // 0.30
- ACTION BY AUDITOR -
Assessed Homestead
Valuation Valuation
.,_.
s- i v 99
Date
Approved: t.9- Date: 9sd�7, �9 ?�