Homestead_Taylor (7)•
_ :TVE MOWN.R_/
WlYNi MEASURER FORM SIA
ArTRcwEO BY MATE en.snnr MYs RI\Ts_a n pnf4AlamaY THE DEPARTMENT. OF LOCAL GOVERNMFM FQ:ABCE ICV1.I-r4I
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 el er 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 neces n to allow county government to better monitor homestead
flints.This information will be kepi eonlideminl and can only he accessed by authorized county officials.The Department of
Local Government Finance w i11 use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Taylor, Thomas A/ Denise A
— 203 S Polk
Fort Branch IN 47648
6832 •
Thomas A/Denise A Taylor
. 203 S Polk State Parcel Number Legal Description
Fort Branch IN 47648-1323
Il1ttllrrrllllrtalrrllt lltt ttllrt'Itatll ltt,• •, 11111 1111
26-18-13-403-000.774-02b/ 011-00774-00 PT SW SE 13311 .38 AC
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
_ pia ma 5 A /a�1 d c
g Address(number and street,city,state,and ZIP code) - 9 Same as pruptirty address — - -
/23SPn/'' St, �r±&an A X1 4'764/8
Spouse First Middle Last
;Jr°,/7/se A 6--J.V/at y,
Mailing Address(Number and street,city,state,and ZIP code) 0 Sans as p pent'address
Z 43 rS PrIP SI- Fnr�&r4n o I N 4i 7( e/SI
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
heSC�iU¢0 By Siate Boartl oi ias Cammissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19�_
To Be Filed in OuDlicate
SEE BACK FOR FILING INSTRUCTIONS DII� oOt'ltl(}'� O
,. � ... ( (
.�
�(We) �-e-- � certify tha[ on the 1st day of
'arch, 19 �0 ,(We) occupied as our principal. place of residence the following described real property for
_ �hich a Homestead Property Tax Credit is hereby being claimed:
I, (We) �owned �%i1��Qi
are buying un er contract
❑ have a beneficial interest in the taxpayer
Property Description in � County ���n- Township
Taxing District (City, - own Township):
Parcel Number
If buying on contract: Owners
or lega� description shown on tax statement:
� �w% �'�'% /3-3-ii ��.�- •38R
Contract recorded in Recorders Ofiice - 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:
I hereby certify the above statement is true, correct and complete.
County Township
ana Zip Cooe
' 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 resid�����
Other Land
Total Land �p R 2� �980
Residential Improveme'h1�
�. � ��.�e.�+�
AUDITOR
Other Improvements
Dwelling
Garage
Total
Total Improvements - Line (6) plus (7) equals (8)
I�by certify the above is true. correct, and complete.
� c��
Sigwmre ol Assesmr
True Cash Assessed Homestead
Value Valuation Valuation
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- ACTION BY AUDITOR -
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Date: '3 - �" 7 � �