HomeMy WebLinkAboutHomestead_Emerson (2) clap FORM 53,4.01:1 u•• TREASLtEA EOM(11A
J•xtwEO BY'Tinet\UUM MY'A.n1S"op/ PVSCRIBEn BY nIroEPMneil IF LOCALrswERNMENT FINANCE ICHI-_J.1
Gibson County Auditor
11 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
it more beneficial.there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
ill 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 identifrine information necessary to allow county government to better monitor honesead
flings.This information will he kepi coot:dential and can only Fe accessed by authorized county officials_The Depannient of
Local Government Finance sill use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
FT E .
1.i Taxpayer Name Property Address
• Emerson, Leon C
APR 7 Lulu RI Box 281
Francisco IN 47649
4822
Leon C Emerson aa�
6371E 250 S GIBSON OUNTY AUDITOR
FRANCISCO IN 47649-9062 State Parcel Number Leaal Description
IllllIIlllIIIIlllllllllllllllrllllrrlllltlllrllrtlltllllllrltl 26-13-30-200-000.179-004 002-00179-00 PT NE 30.2-92.54 AC
PART 2:TAXPAYER INFORMATION
Owner I i s First Middle }/�/�/� ^ — Last . .
- _ (tea i (/v�/'
'Ong Address(number d street,city,state,and ZIP code) -- ON'Saine as praperiv nddresi
Spouse e-r) First Middle Lot
Mailing Ad dress(Number and street,coy,state,and ZIP code) EU4 me as property address
Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
Sate
, PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is tree 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 0.� .c Date
PART 4:ADDITIONAL INFORMATION
411
FORM HC 10 1979 c To Be Filed in Duplicate
Prescribed By Slate Board e1 CLA�MSSiFOR HOMESTEAD PROPER'rY-TAX CREDIT FOR YEAR 19 g�0
SEE BACK FOR FILING INSTRUCTIONS f^,O`1
a � n - �/"
Y (we) N /r cs ✓a ��. CAC e n. �- � s v Ak- 1 , P • certify that on the 1st day of
arch, 19 �, I, (We) occupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed: !l
I, (We) ❑ owned ' C —/.$ -30- SOD -':
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description .in A A� County - et� Township
Taxing District (City, Town, Township):
Parcel Number
If buying on contract: Owners name 0- simple owner)
or legal description shown on tax statement:
eM. Ij E '14 Zk C' - - 9 TA
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: County Township
P
hereby certify the above statement is true, correct and complete.
I
ri
c17
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
Total Land
Residential Improvements
True Cash
Value
(1) So 0
(2) 3440
(3) 940
F O 9 o D1h L
Garage
6' 1-
RRI271981 (6) �? s�
Other Improvements (7)
Total, Improvements - Line (6) plus (7) equals
I �)y certify the above is true. correct. and RU coo np�Ae.
f1 �
Signature of Assessor
App
a73r;
- ACTION BY AUDITOR -
0
Assessed Homestead
Valuation Valuation
-7 v
o Aso
7�—
-owe
Date: