Homestead_Sevier (4) SLUE RAM`n—tR`/w,l TIFASt:IFA FORM i}IA
VIRw'ED BY AVE WARD Of MRRrWc 9n IRISCRIBW BY TIr DEPARIMEIHFLOC L roxrpNMLtr FNA'CE IC A-1.1.124.1
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 eser for homestead fraud.Horns—steal 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 reecho the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only he accessed by authorized county officials.The Department 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
_ Sevier, Janet S
Rr 7 l3ox 31-c
-- , - -
— __ -- Fon Hunch IN 47648
1209_ -- —_ -- _
iSt, Janet S Sevier
7744 S SSO E
State Parcel Number Legal Description
Fort Branch IN 47648-8443
i(i 11 tt itlLn lrJlrR II 1RlLl ltlrt hr llrr 1 IJrrti 11 26-20-19-100-000.936-001 001-00936-00 PT NW 19-3-91.0044 AC
` / D10
Y
Spouse First Middle CC Last
Pr
Mailing Address(Number and street,city,state.and ZIP code) 'Same as properly address
7? 171/S.' c scJe CT Fong(/ -f,...../ J/7cWS
,- •
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
FORM HC 10 1979
Prescribed By State Board of Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 197_
(We)
March, 19_Z_�_' I, (We) I
which a Homestead Property Tax Credit is hereby
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
//
Property Description
Taxing District (Gty- T&wft, - Township):
Parcel Number
If buying on contract: Owners name (fee simple ow "e`I
To Be Filed in Duplicate
J
INSTRUCTIONS
9= / -9 0 0 (- oq a31,- 0'0
certify that on the 1st day of
, esidence the following described real property for
�, a�.G/ Qr✓'.�
my Township
or legal description shown on tax statement:
}
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:
d, hereby certify the above statement is true, correct and complete.
County Township
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 -
Assessed
Valuation
.5 =/ 79
Date
Date:
Homestead
Valuation
True Cash
Value
Land not exceeding 1 (one) acre immediately
surrounding residential improvements
(1) 3-00
Other Land FILED
()
Total Land
(33) 5—,o D
Residential Improvement JUN 71979
Dwelling
(4) °2 .5.P
Gauge
(5)
/
4!
Total
(6) a S8 3 0
Other Improvements /� /{-' AU�
(7)
Tr "'L Improvements - Line (6) plus (7) equals
(8)
(8) _5 P.3 °
I•Wby certify the above is true. correct. and
complete.
Signal of assessor
ACTION
BY AUDITOR -
Assessed
Valuation
.5 =/ 79
Date
Date:
Homestead
Valuation