Homestead_Robb (13) MATE FORM!!w.12`r SAN, trLsStaf1 PORN YIa
APPROVED BY ST,TE BOARD Ofsn[a:Ts.n,r. PtLAAMED BY Tiff DEPARTMENT OF LOCAL nm=RVMFT'T FB:ACE 106-1.•r-1,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 net-for homestead fraud Homestead fraud causes higher tax bills for all:therefore.
ILEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receise the
benefit and to provide additional identifying information nemsan'to allow county government to better monitor homestead
filing.This information will be kept confidential and can only be accessed by authorized county officials.The Depanment of
Local Government Finance will use this information to create touls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Robb, Daniel G/Judith Ann
- S Main
Princeton IN 47670
196 _ _ . _ _ _ _ _ _
Daniel G/Judith Ann Robb
827 S Main State Parcel Number Lesal Description
Princeton IN 47670-2651
26-12-18-102-002.395-028 019-02395-00 PT NW 16-2-10.31 AC
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PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
�gAddress numbei Bnd i1rRt,ci - --- — —— - _.
( ry.state.and ZIP code)- -___ _ _. __ ��gatne to property address—-- _
827 S , ,14,f/ J"/f/yet 7-04 /AO 11 7/70
Spouse First Middle Last
t1Y AHA' toff
Mailing Address(Number and street,city,state,and ZIP code) 111 Same as properly address
9,R 7 r .y,w.w / fi,vea 7-0'/ /h,, h 7i7 eJ
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 ' ature Date
FORM HC 10 1979
Prescri�e0 By Sbte Bwrd ol Taz fqmmissianers
To & FiIM in Duplica�e
CLAIM FOR HOMESTEAD PROPERTY TAX CREUIT FOR YEAR 19�E �
SEE BACK FOR FILING INSTRUCTIONS o�q_ oa34s- ��
�(We) �-a�+-�� ��' �-� Q�� � certify that on the 1st day of
arch, 19 79 I, (We) occupied s our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) �ned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
/ ..
Property Description i
Taxing District (City, Town, Township):
Parcel Number
If buying Ofl contract: Owners name ��� simD�e owne.l
�'� � ... � .
or legal description shown on tax statement:
� , i
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:
�hereby ceriify the above statement is true, correct and complete
�-, _
�
County
Township
' 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 immetliately
surrounding residential improvements
Other Land � � � � �
Total Land
Residential Improvements Dwellin
JUN 7, � i979 9
�7 Garage
F./ ��y���,� Total
vr i
Other Improvements � AUDITOR
Tr• Improvements - Line (6) plus (7) equals (8)
I'�aby certify the above is true. correct. and complete.
Sig'awre
�%4
True Cash Assessed Homestead
Value Valuation Valuation
(1) j ydo %3a
(2) �
(s) /9aa
(4)
cs)
(6)
(�)
(8)
(030
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- ACTION BY AUDITOR -
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oate: Z° 79