Homestead_Sokeland •
STATE FORM 53560(530-tO) TREAS(JRFA FORM iS1A
n c •� APPROVED BY STATEBMROOr A(YOII.`.T5,2L01 PRESCRIBED BY TIIEDEPARTMET OF IocAI.GOVERNMENTFINANCE IC 61.1224.t
Gibson County Auditor
ty IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street - Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
Princeton, IN 47670 more beneficial,there is more incentive than ever 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 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 Department of
FILE]]-Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
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PART
Taxpayer Name PROPERTY INFORMATION Location tionAddress
Sokeland, Bobbie Joe/ Marilyn L
APR 0 6 2011 402 N Hillcrest
Fort Branch IN 47648
7865 _ _
BobbilissomeaApilLLYY93/44t@TIQR III_III111[IIIIIIII IIIIII u:iiii�110101III0II]IIIIIIBIT1111_IIDIIIUIIIIIII�II
402 N Hillcrest
Fort Branch IN 47648-9702
IIIIEIIIrrltlllrrlllll'X11'III'IIII1�1'I�'��'lll"IIII'�II�IIIII� State Parcel Number Legal Description
26-19-18-302-000.739-026✓ILLCREST 57
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This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
f --_ ._."SART):TAXPAYER INFORMATION_ —
Ov.._. r - -_
First Middle Last
044I E • foE SoKLLA ALP
Mailing Address(number and street,city.state,and ZIP code) - El Same as property address
1 o z N f//LL diL-'sr /-'okt Q/1Ne 7W(/ '/ 76sf- 9762 •
=.
Spouse First • Middle - Last
A1A ,e IL y og/Nt- SaK�L ,W'
Mailing Addresa(Nu itber and sweet,city,smte;ancIZlP code) Same as property address 4-al N- 11/L I. a LEST rdier /li4izc/I /N *7644P- 9 7o4
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that heor 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 1979
PrescriDeO By S�ate Bw�a of ia: fqmmissioner5
io Be FileG in Wo�icaie
CLAIM FOR HOMESTEAD PROPERTY TAX CREUIT FOR YEAR 19 �9 �
SEE BACK FOR FILING INSTRUCTIONS Q/I � OQ,�•�3 Q` ��
�`(We) �- �^�b-�-~'-� �/"*'-'- d z 2`-^�1-certify that on the 1st day of
�tarch, 19�, I, (We) occupied as our princ pal place of residence the following described real property for
which a Homestead Properry 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 (6it�y-Town, �ewrtship): �- �+-�^--�-
Parcel Number or legal description shown on tax statement:
iZ4X�t� � 7
If buying on contract: Owners name ��� simpie
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:
hereby certify the above statement is true, correct and complete.
County Township
ana
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 ra T T � T
Total Land r 1 L �..�
Residential Improvemenls ���y � 1979 Dwe��ing
�Garage
����1��Total
Other Improvements AUDITOR
Tr� � Improvements - Line (6) plus (7) equals (8)
I�by certify�the above is true. correct. and complete.
Slgnamre o� nssezzor
.f���Yy
True Cash Assessed Homesiead
Value Valuation Valuation
��� �380 7 90
(2) — —
(3) �3.80
(4) 7�G�$3�
(s) � R g o
(6)
(�)
(g) /�n-a-�'Q
ACTION BY AUDITOR -
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Date: —