Homestead_Meeks .Talc FORM!MDR,R_r.-u TREASIIuz FORM IA-IA
APPROVED DT STATE n6U O(*M'.YllTS._nu PRFgNDW BY MP DEPT?EYT(i LOCAL DOVER-Wan EII:ANCE IC 4-1.1-L4.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 tat bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reeene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing This information will be kepi confidential and can only he accessed by authorized county officials.The Department 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
Meeks, Robert A/ Inez D
R I Box 109
Oakland City IN 47660
1822
Robert A/ Inez D Meeks
8765E 250 S State Parcel Number Legal Description
Oakland City IN 47660-8504
26-13-27-1 0-000.549-006 003-00549-00 PT NE NW 27-2-9 6 AC
IIIrtllrttllllrtrllrrllrrrlrrl.illllllltrtlrrlllliiml,IiIiIi.I \� D-6C-1
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 I First Middle - Last
�os-t T 4- Yi.e.e-ks
sling Address(number and street,city,a' P-,and ZIP code) ❑ Same as property address
1163 e. 45-0 5 (jI (Ni 4766a -
Spoase � First Middle � � Last
Mailin_Address(Number and street,city,state.and ZIP code) ('Same as property address
957 (p 5 E aSDS Ci a.nCt l N 41s6d
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.
Ow er Si ature I Date
V
FORM HC 10 1979 To Be Filed in Duplicate
Prel i0ed By State Board of Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 191E J
SEE BA j< FOR FILING INSTRUCTIONS Qm 1 0 L,`?k_ 04
®(
We) Q ' ¢ N . certify that on the 1st day of
march, 19 I, (We) occupied as our principg place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
(We) ❑ owned
❑ are buying under contract
❑ have a beneficial interest in the
H 7l
Property Description
Taxing District (City, Town, Township):
Parcel Number
If buying on contract: Owners name fine simple owner) G
Township
O..'_ ,
or legal description shown on tax statement:
k-
Contract recorded in Recorders Office - Record No. Page
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
46 hereby certify the above statement is true, correct and complete.
/b q�, � �- '+761
'Signature Street Address City. SaL4 and Zip Cone
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 L E
Residential Im p rovemen Dwelling
JUL 101979 Garage
Total
Other Improvements ,y��1
us
T Improvements - Libe m
I0aby certify th77above i rue. porrecAUMVMmplete.?
Signature of
True Cash
Value
(1) —5—d-e
(2) 7 O
(3) 9'70
(4)
(5) //5O
(6) /
(7)
(8)
- ACTION BY AUDITOR -
Assessed Homestead
Valuation Valuation
Approved: E�9 A2 ZF) Date: - 2= /F7 --79