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Home My WebLink AboutHomestead_YoungFORM HC 10 1979 To Be Fdeo in Duplicate Prescri0eo By State Board of Tax Commissioners CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 192- /`�\ SEE BACK FOR FILING INSTRUCTIONS OQ O 1l`tio oOJ vt certify that on the 1st day of \ r, 19 I, (We) cu ed as our pri ipal place of res' ence the following described real property for which a Ho stead Property Tax Credit is hereby being claimed: I, (We) ❑ owned ❑ are buying under contract ❑ have a beneficial in rest in the taxpayer Property Description in County Township Taxing District (GRr, Team, Township): Parcel Number- - or legal description shown on tax statement: — j&V� PL / / -3 -i ,69aree If buying on contract: Owners name uee simple owner) Contract recorded in Recorders Office - 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: County by certify the above statement is true, correct and complete. Township Signamee - i-r( // //Sneer Address D city. Sure and zip Code j J Individual either owns or is buying under a contr ct 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 Total Land FILED Residential Improvements Dwelling JUG! 2: 1979 Garage �� Total Other Improvements (/ AUDITOR _'i vements - Line (6) plus (7) equals (8) °rtify flw, above is true. correct. and complete. Si9.afure of Axxxd.r __Approved: ,L� U1 llP� L _ �— (8) i\ owmallow True Cash Assessed Homestead Value Valuation Valuation R i a,70 Dane rOR - 1-1,6- � <I.ME FOtSI•3?4 de/♦ml TPf SULFA FORM SIA a.EIMPORTANT?NOTICETOHOMESTEADP OPERTYROWNERS a GibsoriCounty Auditor 105 N Main PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt or this deduction becomes .e more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud causes higher in bills for all:therefore. HE:\ 1344-2009 requires taxpayers who receive the homestead standard deduction to verity That they are eligible to recent the benefit and to provide additional identifying information necessary to allow county government to better monitor homestead filing.This information will he kept ennt:dentinl and can only by accessed by authorized county officials.The Depannxmt 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 Pro erty Address Young, John Ray/Shirley Ann RI Box 167 �a-and City IN 47660 8572 John Ray/Shirley Ann Young 9993E 550 S State Parcel Number Lezal Description Oakland City IN 47660-8569 26-20-11-100-001.176-001 001-01176-00 PT NW 11-3-9.69 AC D8 __ K PART 2:TAXPAYER INFORMATION Owner I First Middle Last `j h n 'Raid yOu rte ng Address(number and street.city,state,and ZIP code)o a k! N 47[, ti Spouse First Middle Last 5hirl-ctj Are YDuni Mailing Address(Num r and street,city,state.and ZIP code) Same as property• ress 9993 F 5503 . Oakland Cif% , lid ti7ColpD 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 I Sign tire Date • d PART 4:ADDITIONAL INFORMATION t