Homestead_SkeltonFORM HC 10 1979 To Be Filed in Duplicate
Prescribed By State Board of Tax Commissioners '
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 191_
SEE BACK FOR FILING INSTRUCTIONS
da21 � C� o��' ooa44- o0
�(We) f certify that on the 1st day of
rvlarch, 191 I, (We) occupie as our principal place of residence the following described real property for
which aHoomestead Property Tax Credit is hereby being claimed:
I, (We) 2 owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in _d7, e - County Township
Taxing District (city, Tewn Township): (�
Parcel Number or legal description shown on tax statement:
Pf .1/F - .Sw-� / '/ - 9 /a-c
If buying on contract: Owners name (fee 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:
certify the above statement is true, correct and complete.
County T .•, nshi
`rye
Inc Imo-
zr/
and Zip ' o// — Z Z _ 7),K-
Individual 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 l�,p I L
Total Land �"
Residential Improvements in j 1979 Dwelling
f/f �Garage
tal
Other Improvements rl AUDITOR
Tnt�lmprovements - Line (6) plus (7) equals (8)
I by certify the_above is true. correct, and complete.
of Asse55or
Approved
True Cash
Value
(1 j So a
(2)
(3) s-l7o 0
(4) 0
(5)
(6) 9 o
(7) a J a 0
(8) /OOO
Assessed
Valuation
/70
:ir7L
Homestead
Valuation
/(S7
Date
J��J IjQj A TION BY AUDITOR -
/ \ 1 A Date:
Staff FORM')VwlR tv ' TRFASUtER FURY t-IA
.Allis EO BY STATE BOARD OF AMOUNT,.219" Rtr IDED BY 111E DEPARTMENT OF LOIAL GOViRNMERT FINANCE et-Lt-22-1.1
• 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 incentne than ter for homestead fraud.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 clieible to reecho the
benefit and to provide additional identifying information nectar).to allow county government to better monitor homestead
tiling.+.Iltis information will he kept confidential and can only he accessed by authorized county officials.The Ikpan:nem of
Local Goverment Finance will use this infomation to create tools that will help count'officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Skelton, Charlotte C- Living Trust
R3 Box 118
Oakland City IN 47660
8643
Charlotte C Skelton- Living Trust -
9857 E 700 S State Parcel Number Legal Description
OAKLAND CITY IN 47660-7724
26-20-14-302-000.998-001 001-00998-00 PT NESw14-3-91 AC
IIIttlltttlllltttllttllt1111ttlltttlttlllllttIillltltttlllllll
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PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
11-frJd7-7-C CATryFRiNr 5kEL7-ow
s -
gAddress(number and soar,city,start,and ZIP code) - � Same. property hddt¢s` '- -'-- -- - " - - - -
9Y57 E70os OlkL4NI) CITY. Le) °I7646
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as properly address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
site
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 SSignaturep y / Date
•