Homestead_FrantzFORM HC 10 1979
Prescribed By Sure Board of Tax Commissioners
To Be Filed in Duplicate
� CLAIM FOR HOMESTEAa- PROP-ERTY TAX CREDIT FOR YEAR 19P
A
SEE BACK FOR FILING INSTRUCTIONS
q* (We) certify that on the 1st'day of
March, 191, I, (We occupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) downed
❑ are buying under contract
❑ have a beneficial piin,��terest in the taxpayer
i�
Property Description in —County'" Township
Taxing District (City, Town, Township): U
Parcel Number or legal description shown on tax statement:
V A- � �/� it/ � 7 5' Is- 3
If buying on contract: Owners name if. s ""ple..eff
Contract recorded in Recorders Office - Record
e
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
` *ereby certify the above statement is true, correct and complete.
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
.1
True Cash Assessed Homestead
Value Valuation Valuation
0 OEM,
Residential Improvements Iwg� (a) 3.�-90 Si3o
(5) 2-a-c 31 o 0
APR T%ahgg
(6) 3—- 1'o— S'i'fo '43i-l"'�1S /o
Other Improvements (�(7)
1 Improvements - Line (6) plus (7)�Ypuzl ,( 0 L, �g8)
1 hereby certify the above is true. correct. andpUWWA.
signature of Assessor
- ACTION BY AUDITOR -
Date
Approved: Date:
• MATE FORM!Mt.t C 1§-51 iRFsNR[R FORM 15-IA
n.YRP"-O BY MIL MAW Or AMENrt:5.r PU_YRIBm BY Tit DE/ MEN:OF LOCAL rAWERYNT,FIANCE IC 6-t.t-r-.1
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 e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1343-21109 requires aapasen who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filimg.This information will be kepi confidential and can only be accessed by authorized county officials The Ikpannrvn of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY LNFORMATION
Taxpayer Name Property Address
Frantz, Ronald P/Theresa A
R3
Oakland City IN 47660
8662
Ronald P/Theresa A Frantz
— 6815 5-Division-St- --- - - - _ -- — --- -- — -- ---
State Parcel Number Leaal Description
Oakland City IN 47660-7735
itittntttltutttn'.II..tltttutttittnttitittttutirititit.I 26-20-15-204-000.030-002 015-00030-00 PT E NE 155-39.97 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Re NIPn•-D _ F44 ACES FP—AN/t_
�tg Address(number end street,city,stare,end ZIP code) L ante as property,d&ess -- --- -" -- — -
(oSiS s. Div lsloa6 5-r. OS KuAJ O W, 1k) #77k)6-0
_
Spouse
First Middle Last
I I I-EpG-SA A�,Q Faosd-
Z.
Mailing;Address(Number and street,city,stale.and ZII'code) �..8anie as property address
— &el:5--5: i -Is10Y ST. -Kc ,�D Chi(-I-m- 47G 4. D
-
PART 3:CERTIFICATION •
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.
Owne nature Date ��,,,�,,//
PART 4:ADDITIONAL INFORMATION
•