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Homestead_Obert (2)FORM HC ID 1979 To Be Filed in Duplicate Prescribed By State Roard-ol Tax Commissioners CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19_;Z1_ SEE BACK FOR FILING INSTRUCTIONS q �1 / oo(- ooba3 -..o0 =� (We) G� / . -� , � e �- certify that on the 1st day of larch, 19_�, I, (We) o upied a our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby being claimed: ( I, (We) owned ❑ are buying under contract ❑ have a beneficial interest in the taxpayer Property Description in _SA44.t � County —Ate— Township Taxing District (City, Sawa, Township): ztp - Parcel Number - F or legal description shown on tax statement: If buying on contract: Owners name Itee 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 I hereby certify the above statement is true, correct and complete. 0-1, 1 - - 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 Signature of Assessor /�/ Approved 6 � 8° True Cash Assessed Homestead Value Valuation Valuation (1) Soo t!� ACTION BY AUDITOR - 170 r� Date Date:/, I L ED TTottal Land &1 Residential Improvements Dwelling J UN 2 9 1979_ Garage Total Other Improvement' "s' r ./� TMHI Improvements line (6) P lus-AWIT Is (8) I by certify tyabove is true. correct. and complete. Signature of Assessor /�/ Approved 6 � 8° True Cash Assessed Homestead Value Valuation Valuation (1) Soo t!� ACTION BY AUDITOR - 170 r� Date Date:/, • MAIL FORM!IW■R2I'ant TP!ASURFA mRN TtA AFFM*En BY a tkIE BOARD M Mr+LNTS.204 PRIYAIBLDBY mEDIrMTMENT OF LOCAL rxwapNmErcr FINBNCE n'41.1-r-ra 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 deduction becomes more beneficial.there is more incentive than ever for homestead fraud.I lomestead fraud causes higher tax bills for all:therefore. HEA 13-14-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to med.,'the benefit and to pmcide additional identifying infomtatmn necessary to allow count'government to better monitor homestead filings,.This information will he kepi confidential and can only Ns accessed by mthori,ed county officials_The Department of Local Government Finance will use this information to create awls that will help county officials eliminate homestead fraud. PART I: PROPERTY INFORMATION Taxpayer Name Property Address Obert, Winfrid J/ Marian T Eon Branch IN 47648 -- 8712__ , _ . _ - __ _ Winfrid J/Marian T Obert R2 Box 31 A State Parcel Number Legal Description Fort Branch IN 47648-8441 I I I I I I I I I I I I I I I I I I I I I I 26-20-19-100-000.623-001 001-00623-00 PTSW NW 19-3-9.7639 AC I n nt m nt u n t e n n o star u t n t nt X PART 2: TAXPAYER INFORMATION Owner 1 , First F �©ti Middle b b e )- Last CU .r✓ kr ' /one Address(number and stmt.city,state.and ZIP code) Same as piopenv addns; • - — - "` — --' 2q2! S SSA F FOY'f 5v4-uC1. i/✓ ' y7 b 3 Spouse First • Middle - Last et.r/q p /ki k eS 0 ID t' Mailing Address(Number and street.city.state,and ZIP code) IOC-Same as property address 7922 S ,;S° c io v gra- ,cJ\ 1 A/, c( 7 6 �/L—tk , 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 • 776 l 4 R JJ 2 f3cn 3i or{ not u c LI.J ,p 4. 7 4 ckr S4NIC Plc^ 77�dnr 6-0414,2.4 7f.27 SSSot Fokf era tie al -Li 474LIer