Homestead_Wells (2) 575Th ,351,9 WC AR 7MANCE IC 41.1-221.1- APIRT'CDPYxI\rE BDVIDn'Me0.tYlx.Non PlFyA1HF➢PY nIC DFPM.MFYr(fLOCAL CAV<RNNCAi IP'A\CE IC 41.1_`-1.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
:more beneficial.there is more incentive than excr for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1343-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying infornnnon necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can nnly he accessed by authorized county officials.The Ikpanntent of
Local Government Finance will use this information to create coals that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name • Property Address
Wells, Marlin/
Et It
Oak! 'ity IN 660
8570
Marlin/ Wells
5823 S SR 57 State Parcel Number Legal Description
Oakland City IN 47660
26-20-11-100-001.125-001 001-01125-00 PT NW 11-3-9 3 AC
D-5
X/
- PART 2: TAXPAYER INFORMATION ■
Owner I First Middle Last•
i g,4 /Al �-e LLS
ddress(number and street.city,state,and ZIP code) 0 Same as property address— - —. - —"
sic?''-- 3 5 (i)71-51 s /, re"o 57
i
i 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 hack taxes and substantial financial penalties.
Owner I Si ature Date
'
•
FORM HC ID 1979 To Be Filed in Duplicate
Prescribed By State Board of Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR lg1Y- /
SEE BACK FOR FILING INSTRUCTIO NS
/o, ' ooh - o 11a5 -a°
(We)lllal'�f certify that on the 1st day of
March, 192 I, (We) occupied as residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in 7P
Taxing District (494y, Tewn, Township):
Parcel Number
Township
or legal description shown on tax statement:
If buying on contract: Owners name IfeP sirnp1e p.nerl
Contract recorded in Recorders Office - Record No. Pace
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.
'Signature
.61 StreW AddreSS City, and Zip Cpde
G99
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
Value
Land not exceeding 1 (o
surrounding residential i
Other Land
Total Land
Residential Imnrnvements welling
al��p� g
AUDR Total
.JUN r 1919
Other Improvements
Tyr I Improvements - Line (6) plus (7) equals (8)
I by certify the agja e is true, correct. and complete.
5ign21pre of ASSessor
(1) -.Sn o
(2) / 762
(3) (0 7 0
(4) 6-5-00
(5) —
(6) So 0
(7) —15-00
(8) '70 o 0
- ACTION BY AUDITOR -
Assessed Homestead
Valuation Valuation
70
Date
Approved: ' � ��D n Date: —./,//7 7