HomeMy WebLinkAboutHomestead_Siekman (4)FORM HC 10 1979
Prescrloed By State Board of Tax Commissioners
To Be Filed in Duplicate
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 7 Q
SEE BACK FOR FILING INSTRUCTIONS DD(-
n -
(W�r��
larch, 19-7-f— I, (We) occupied as our pr
which a Homestead Property Tax Credit is
(We) ❑ owned
❑ are buying under contract
❑ have a beneficial interestAn the taxpayer
Property Description
Taxing District (6i y Tewn,, Township): y
Parcel Number
If buying on contract: Owners name (lee simple owner)
certify that on the 1st day of
ace of residence the following described real property for
being claimed:
gTownship
or legal description shown on tax statement:
A. /du/ y 9
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
hereby certify the above statement is true, correct and complete.
n 0 % 19 /_
Street Address
City. State and Zip Code
S— /Fr -75
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 -
True Cash Assessed
Value Valuation
Land not exceeding 1 (one) acre immediately
surrounding residential improve (1) _300 /00
Other Land FILED (2)
Total Land (3) 3 0 0 /00
Residential Improvements MAY 21 1979welling (4)
Af G ge (5) AUDITOR � o
11 —
Other Improvements (7) 3
TnT ,aI Improvements - Line (6) plus (7) equals (8) (8)
10e1by certify the above is true, correct. and complete. /c?,300 GY3�
15=/6' 7
sig ure or As5e55dr Date
ACTION BY AUDITOR -
Approved: Date:
Homestead
Valuation
/_7
_ stn FORM!l W,n:/YNI 1RFANa1Z 1.010175-1A
ArrMw'E°BY SIAl1.BMROOf}n"n1:sTa.9r PRIMED BY nil OFPAATfFVT OF UkIn GtreEIsy.R.r FINANCE m 4-M.1.r4.l
*Gibson County Auditor
11 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N
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 us bills for all:therefore.
• HEA 1344-2009 requires taapaycn who receive the homestead standard deduction to verify that they are elieible to receve the
benefit and to provide additional identifying information necesary to allow county government to better monitor homestead
filings.This information will he kept ronidential and can only be 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
Siekman, Donnie James/Frances L
8631 S 850 E
Buckskin IN 47647
8772
Donnie James/Frances L Siekman
8631 S 850E State Parcel Number Legal Description
Buckskin IN 47647-9002
�t�tt��ttt�t��ttt�lt��ttt��t�ttii trriit ttrririrr ii err ri iirtrii 26-20-27-100-000.947-001 D100947-00 BUCKSKIN 9
X
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
00 t� ► • c�nlc�S iFi� �IN\ ex_pi —
__- •ia Address(number and street,city,gate,and ZIP code) - - - Saint as property ddM- - - —' - -
V (a3i S . Vso E &oc-kS ffirh ti, 47G> y7
Spouse First Middle Last
Fv, nee. S Le-e S I c a_ n
Mailing Address(Number and street,city,state,and ZIP cock) ®Same as property address
5-t 3 ( 5. SSG E Sucks KL'h yM Cf (e 7
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 elieible to
receive the homestead standard deduction on this property.Each undersigned also understands•that,by claiming additionalhomesteaddeductions
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Owner I Signature Date
•