Homestead_Wallace (7) al.VEFORM!OA.P=/Ynl mmLssuta PORN CIA
LP/ROVED BY STIJL IMMO .i(YrIINlt.!VA PRElIWBFD BY Olt DEP.V,MEYT OF LOCAL n)Vtty tEAT FB:AxrE lee-LI-U4.I
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 ever for homestead fraud.Homestead fraud causes higher tax hills for all:therefore.
HEA 1341-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to ruche the
benefit and to provide additional identifying information necessmy to allow county government to better monitor homestead
filings This information will be kept confidential and can only be accessed by authorized county officials.The Ikpanment of
Local Government Finance will we this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Wallace, Terry A/Diane M
RI Box 483
Fort Branch IN 47648
2646
Terry A/Diane M Wallace
R1 Box 483 State Parcel Number Legal Description
Fort Branch IN 47648-8157
l l l l l l l l l l l l l l l l l l t a l l a l l l l l l l l t a t l l l l l l l l l l t l l l l III 11 1 1 1 26-18-33-300-001.065-024 004-01065-00 PT SW 33 3 11 1.30 AC
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 INFORMATION
Owner 1 First Middle l/ / Last
rr`/ *Al/CM a C1 -4---
4111pg Address(nurr&r end street,city,state,and ZIP code) �me as property address
Gt/ /0005 f--F- en/114c/ Tit) 1/76Y8
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP aide) Same as property address
I/ 31,/ tA) /coo 5 `Ff. 6rcct..d_)-r 277‘c/g
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, /4 � `/C/"'"_ — Date
•
FORM HC 10 7979 Ta & FileO in DuD����e
ReuriOeC By Stnte BaarE af Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 8 ���
SEE BACK FOR FILING INSTRUCTIONS ��
I, (We) ���-`�-�-- ,�-�-�+� l.� ��{-�+-� �» � certify that on the 1st day of
�rch, 19�—,yl, (We) occupied as our rincipal place of residence the following described real property for
ich a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned �� � '� �Q �O� �a
� are buying under contract / /,/,/ ��� �� �
❑ have a beneficial interest in the taxpayer �(�-��-,�„3-�j�'C�'.
Praperty Description in�.,e��n--� County Township
Taxing District (City, Town, Township):
Parcel Number or legal descr tion shown on tax statement:
� .Sw �i� a33- 3 -i� . 80
If buying on contract: Owners
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:
I hereby certify the above statement is true, correct and complete.
��.cJ a_.1
o�ree� naaren
�.vv'�
County Township
ury. a�are am [i0 �e
' 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 resitlential improvements
Other Land
Total Land
Residential Improvements Dwelling
Garage
Total
Other Improvements
Total Improvements - Line (6) plus (7) equals (8)
I hereby certify the above is true. correct. and complete.
ol Asseswr
Approved:
True Cash
Value
(�) Soo
(p) �'
(3) �o-°
(4) a oo a-o
(5) �
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- ACTION BY AUDITOR -
Assessed
Valuation
7
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Date:
Homestead
Valuation
/70