Homestead_Knight (2) STAIL FORM!Mt.11L!We1 TRFASLRIB FORM S-IA
♦/PROVED BY SL ATE BCARD OF.LMRRI\'6.n, PAFYMBFD BY IfiI DEPART NT OF LOCAL rOVr NMrNr FINANCE IC 4-I.1`4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited in one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ester for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires aspasers who receive the homestead standard deduction to serif'that they am eligible to receive the
benefit and to provide additional identifying information necessary to allow county grwemmem to better monitor homestead
filings.This information will be Lqr confidential and can only be acre sed by authorized county officials.The Department of
Local Government Finance will use this information to create totals that will help counts'officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Knight, Charles B/Rita J
77 ox 25
Oakland City IN 47660
5534 Cha es B/Rita J Knight
1852 S 1150E State Parcel Number Legal Description
IOakland City IN 47660-7622
IIIIIIt II l IIiIt IIt IIItIIIl II Ill 11 IIII III IIIIIIIII II Hi 26-14-19-103-000.481-006 003-00481-00 PTNNW 19-2-82.7126 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
CknR.CES eaDDJ /5.../ // •
_
®ng Address(number and street,city.state',and ZIP code) Same as property oddr¢; - - -- - — — ---
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) 1 yl Same as pmpeny address
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 1'yE/� Date
•
FORM HC 10 1979
Prescribed By State Board of Tax Commissioners
To Be Filed in Duplicate
CLAIM FOR
HOMESTEAD
PROPERTY TAX CREDIT FOR YEAR 192
J
SEE BACK FOR FILING INSTRUCTIONS
00 -5-
00`,� l�00
dy
Q � t-
� �
(We)
� certify that on
the 1st day of
arch, I, (We) occupied as our principal
plat of residence tA following described real property for
which a Homestead Property
Tax Credit is
hereby being claimed: '
I, (We) � owned Q��–�7 /.7 –��� , e::•
are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description
Taxing District (City, Town, Township):
Parcel Number
If buying on contract: Owners name Dee simple owne.)
I •• / Township
or legal description shown on tax statement:
Qt , 1),Z 1/0- 9'I 0i %4 m-.2-9 % O 8ac-g,
Contract recorded in Recorders Office - Record No
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
statement is true, correct and complete.
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 -
True Cash
Value
Land not exceeding 1 (one) acre immediately
surrounding residential improvements ® (1) .S0- -d I. Other Land p (z) VO
[[[
Total Land K3� (3) �S o
Residential Improvements r
jLrl 5 1NgIling
Garage
Other Improvements AUDITOR
T.p(�'-' Improvements - Line (6) plus (7) equals (8)
I00"y certify the above true. correct. a complete.
$itj Wture of Axsexsor
_ erTl n1 rxv
App
(a) S2o
(5) —0
(6) �q�O
(7) .3 d-O
(8) �O g13 O
J
At in1TnR _
Assessed Homestead
Valuation Valuation
� ....�.
79
Date
Date: