HomeMy WebLinkAboutHomestead_Hacker • %IAIE FORM 53,o+ _/t5n1 fRFASUtLR FOAM TS-1A
ATM-En 6r.rs1EBoSRO OF Arnt.Nlcenn PICISCAIBED tvnIC OFPARTMNr(f EIMAE(mapNMrnr FINANCE M 6-1.1-_4_I
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 exer for homestead fraud.I lomestead fraud causes higher tat bills for all:therefore.
ILEA 1344-2000 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to receive the
• benefit and to provide additional identifying information necessary to allow county goemttent to better monitor homestead
filing.This information will he kepi conlidemial and can only be accessed by authorized county oficials.The Ikpanntent of
Local Government Finance will we this information to create wvls that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Hacker, Arawan _ _ -
_ __ -.� _ _ _ _ _ -. __ _'_ '_ - - - 707 11 Strain
Fort Branch IN 47648
7884
Arawan Hacker
707E Strain State Parcel Number Legal Description
FORT BRANCH IN 47648-1426
�t�n��nil,llut�n��u�n u��r�n�n�r�r��n��ut�nt�u ulll 26-19-19-102-000.283-0216/011-00283-00 PT NW 19-3-10.30 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
nee (number and street.city,state,and ZIP code) / /y -- — -- Same pertv —_— _
'101 C . /. $441t�} Y- 7 G g
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) Same as property addrrss
Social Security Number(last 5 digits) Drivels License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
seas
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
•
FORM HC 10 19i9
HesuiGeG By Sta�e Boa�d al 7ae Commissioners
CLAIM FOR NOMESTEAO PROPERTY TAX CREDIT FOR YEAR 19Z�
To Be FileO in DuO�icare
SEE BACK FOR FILING INSTRUCTIONS D ODpS (��-O�
�/-
�(We) ��-�, ,� �• ��`z-2-�^-^t--�✓ certify that on the 1st day of '
��Iarch, 19��, I, (We) occupied a5 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 �-��� County ���-�� Township
Taxing District (�ii�q,—Town, TewRShip): �� � ���y`-��
Parcel Number
If buying Ofl contract Owners name ��ee simple ownerl
or legal description shown on tax statement:
O.t_.v��'% � �- �-,o , ao
Contract recorded in Recorders Office - Record
If any portion of the residential structure or the land, not exceeding one (t) acre that immediately surrounds that
structure is used to produce income, describe the use and portion of the property utitized to produce income
Any other counties in which individual owns or is buying real property:
�hereby certify the above statement is true, correct and complete.
� „ _ n
County Township
ury. .ace ano uD woe
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 interesi in the taxpayer.
FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre immediately
surrounding residential improvement� -- � �
Other Land � � f�
,�
Total Land '
Residential Improvements r�pv �? �o�g
Dwelling
��'titik.di�i'e
,�
Other Improvements AUDITOR
T�' ' Improvements - Line (6) plus (7) equals (8)
��by certify the above is true. correct. and complete.
SignaWre ol AsSMSOr
True Cash
Value
(�l J�lo
(2) —
�3) 9 �f-o
(4) T�So
cs, a o-93 0
(6) '�-�O�
(�) `
�
- ACTION BY AUDITOR -
Assessed
Valuation
3l0
�-
Homestead
Valuation
3io
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%Yl.a.� 2 z � i �'i � 1
Date O
oate: �- j � 7%