Homestead_Reising (3)FORM HC 10 1979
Prescribed By State Board of Tax Commissioners
To Be Filed in Duplicate
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 192
SEE BACK FOR FILING INSTRUCTIONS 001_ OO�'�C_00
D(We) I � yam/ - d �> ?� certify that on the 1st day of
March, 19? I, e) 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) owned
❑ are buying under contract
❑ have a beneficial inte st In the taxpayer /J
Property Description in o County Township
Taxing District (G4y, Town, Township):
Parcel Number _ or_legal_description_ shown on tax statement:
If buying on contract: Owners name it" simple owner)
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
certify the
is true, correct and complete.
Street Address I City. State and zip Cede
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 Land F L ED
Residential Improvements
.!UR 2 5 199 Ding
pYGarage
V 1 / `-"O J
Other Improvements ' AUDITOR
T I Improvements - Line (6) plus (7) equals (8)
Irby certi tthe above is true. correct. and complete.
Sig.ture of
True Cash Assessed
Value Valuation
•
Daze
- ACTION BY AUDITOR - L
Homestead
Valuation
LIME FORM♦rya IR I Ad.) MExnIIFA NAM SIA
xm 11PORTANT NOTICE TO DEPARIVEA/T OF LOCAL
PROPERTY OWNERS
Gibson County Auditor
i01 N Main
1 i PRINCETON IN 47670 Individuals and married couple are limbed to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever for homestead fora_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 receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Depanniein 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
—. Reising, Kenneth R/ Marcia L
R2 Box 125
Fort Branch IN 41648
703 Q
Kenneth R/Marcia L Reising
6429 S 700 E State Parcel Number Legal Description
Fort Branch IN 47648-8603
�IlI tlll ttllIlrltll rllrt1r1rr1rr11t rll Iltrl llIIlItl rrIIlI 26-20-08-300-000.838-001 001-00838-00 PT S SW 8-3-9.744 AC
D-8
r
PART 2: TAXPAYER INFORMATION
Owner 1 First Middle . Last
li
� emye.h R . Re i9/.4/j
_ _�¢Addiess(riumb&r and street.city,state,and ZIP code) —n Ef/Same as pmpem`addr '- - - - - -
12 q-a 9 S
S . loo F Fort A r4Nc-in riN 476 e—eG-o 3
Spouse First Middle Last
�`'Y)cur c, ia 1., e eeisi-4'3
Mailing Address(Number and street,city,state,and ZIP code) Erame as property address
(, 4 29 Sr 740 E. Fort AraNC4 , SN 117G4h! �6a3
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 3 Date
PART 4:ADDITIONAL INFORMATION
1 ill