Homestead_Cox (2) MATE FORM T3 W IC'YV+I TIVARIREA FORM 73-IA
APPlaWED BY STATE Wt■RO Of MTY1L'T4.qw PRISCRIBCD BY nil DFPARTWAT(FLQ'AL COVCANNIFTl FD:A4'E M•I.I-224.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple.are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneicial,there is more incentive than escr for homestead fraud.homestead fraud causes higher tat bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kepi confidential and can only be accessed by mnhori,ed county officials.The Ikpanment 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 Property Address
_ Cox, Eric Boyd/ Rhonda Ann
RI Box 264A
Oakland City IN 47660
4282
Eric Boyd/Rhonda Ann Cox
11262E Base Rd State Parcel Number Legal Description
. Oakland City_IN_47660-8469
LLJLtIIIIIIIIIIIl I61IIIIl,IIIIl,I6IIuIIIIIIIIr16IFIl,II 2613-12-200.000:207 4006 w�oozo7-ooPTSENE12293:3024AC - -
x
PART 2: TAXPAYER INFORMATION
Owner I � Ir / First $oy / Middle �rl / Last
C, Q L
•ag Address(number and street,city,state,and ZIP code) —
an - 04i-1e as property tdiircss - -- -- - - - -"- --
t12.62 Base 2d
•
Spouse First Middle Last
(�hoh da /f n� G ox
Mailing Address(Number and street,city,stale,and ZIP code) IE Same as property address
112_ 6 Z E Base- Rd - -- — — — — — — - -
Each undersigned certifies,under penalty of perjury,that the above and Foregoing information is true and correct and that he or she is eliuible 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 t axes and substantial financial penalties.I�tc
Owner 1 Signature ( C /
FORM HC 10 1979 To Be Filed in Duplicate
Prescribed By Stale Board of Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19
SEE BACK FOR FILING INSTRUCTIONS o3 OA ®40
(We) � J certify that on the 1st day of
(4
arch, 19-7—� I, (We) occupied as our principal place of residence the following described real property for
which aHomestead Property Tax Credit is hereby being claimed:
Jof
I, (We) downed 6461, 13
❑ are buying under contract
❑ have a beneficial in rest in the taxpayer
Property Description in County Township
A .r 1 i ,
Taxing District (City, Town, Township):
Parcel Number
If buying on contract: Owners name Itee simple owner)
or legal description shown on tax statement:
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- he ebb y certif ty he above statement is true, correct and complete.
.Signal re Street ddreu Chy. We and Z,p Caoe
�r /T�
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 improvFILED Other Land
Total Land
Residential Improvements JUN 51979
Dwelling
Ga e
(/� r AU >Q
Other Improvements
?Improvements - Line (6) plus (7) equals (8)
I __. by certify the abovenis true. correctnand complete.
Slgna:ure of Assessor
App
True Cash
Value
(2) Ho
(3) !0 9 0
(4) P3 o-O
(5) 0-
(6)
(7) —0—
Assessed Homestead
Valuation Valuation
0
1E
/ ,f - �79
Dow
Date: