Homestead_CochranI • I FORM ION*IR_/full TREASURER
AP iRr amrORV 11A
r0.tn'En BY BOARD Or AEtt Ntt.'vN P4nAAlnmD nY TR DEPARThCT If LOCAL r vetVMQ.'r FRANCE w FI.I::t.I
Gipson 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 incenthe than eser for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
6 HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recebe the
benefit and to provide additional identifying information necessary to allow county government ent to better monitor homestead
lilinv..This information will be kept confidential and can only be accessed by authorized county olldcirls.The Department of
Local Government Finance will use this information to arca:c tools that will help county officials eliminate homestead fraud.
• - ' PART-1;PROPERT,Y_1NFORRAT10N----=--°------' -�
Taxpayer Name Property Address
Cochran, Matthew T L
RI V tA
Francisco IN 47619�//
1643
Matthew T Cochran
R16ox 297 A State Parcel Number Legal Description
FRANCISCO IN 47649-9074
26-12-26-200-000.084-004 002-00084-00 PT NE 26 2 10 2.77 AC
II Itt IIlllItIIltIIllIIlIllIlItlIIlrtlrlrItIuuItIIlllllllIuIllI 0-10
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.
PART 2: TAXPAYER-1\FORIIATION
Owner I First Middle Last
tg Address(number and street,city,state,and ZIP code) Some as property address
- — g365C �S 1 Ff.zrr ' scd . tHu- 671/
Spouse First Middle Last
Mailing Address(Number and street,city,state.and ZIP code) Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
Sete
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 Signature Date
PART 4: ADDITIONALIINFORMATION
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
Steve Forth 5473 (R614-03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See raverm ddo for MV iwDVcfta
-�
FORM YEAR
F -HC10
NUV 2 2 2005
I (We) 7 / ,� 9 7T / e `t2(e.A-4 /,1/iCJ ~certify that on the 1st day of March, 20
1 (We) occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
❑ 1 (We) owned ❑ Are buying under contract
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
NTR/1CTRECORDEDFa�v
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded Record number Page
j
ih3S5ES5OR USE ONLY=+-y`SS
'`_?.40PROP,ERT.Y.DESCRIP.TION ^-�-
County �N
C7 V /�
Township
Twin trio (tlfy con. fo
ip
Parcel ))number
script' n Is the property question:
—b Real property ❑ Mobile Homo ( /.C. 61.1 -7)
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that Itructure is used to produce income, describe the use and portion
of the property utilized to produce income.
a 77Qc�
g ''""B'?,a..}�`�+.��T
ZRROP.ERTY;OWNED.BY Cl'AIMANT,1'N' OTHER" COUNTIES' i. s3r :>F`_?S.s�?i€',fss'.?,cr^;` °z'
County Township
County Township
hereby certify the above statements are true, correct and complete.
Signature of claimant
x�
Address (number and street, city, state, ZIP code)
J'
j
ih3S5ES5OR USE ONLY=+-y`SS
- sTRUETAX
��VAL_UE'�r
A5SESSED VALUE
IAT.11o0Ye.OFTTV'"VALUEf-'-�
a.,Er,.._ -,
anHOMESTEAD `'f
�''N NOS- RESIOENTIAL�i�:
tii3 _h'`VALUE?
fail ROM
not exceeding 1 (one) acre immediately
g ''""B'?,a..}�`�+.��T
surrounding residential improvements.
Other land
(2)
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
'�Yqs �{'
r ^A
Residential Improvements or Annually
.cwu
Aeaesaed Moboe I Manu%cktred 1011
Garage
(5)
-
Other improvements
s_
x
3a�3�f?
Total improvements (line 4 through line 6)
(7)
10al value (line 3 plus line 7)
(6)
reby certify the above is true, coned, and
Signature of Assessor
Date signed
FIhn
mplete.
fying action - Signature of Auditor
Date signed
®`�-.> #'r = k ai�2a' -ins^II ,'•-°, `,'s??'3� DARU.DE1) UCTIONALLOWAWCE
20 Pay 20
Lesser of 1/2 Homestead
VatuaDon a 535.000 Ts
Signature of Auditor Date signed