Homestead_Jones (2) FORM HC 10 1979 To Be Filed in Duplicate
Prescribed By State B:nrd KTa,Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 77 .
SEE BACK FOR FILING INSTRUCTIONS
1 are) '\�--6-eA.t f-' /C certify that on the 1st day'of
�Jlarch, 19 , I, (We) occupied as our principal la e of esidence the following described real property for
which •a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial int estxpayer
Property Description in v ,�},� County Township
Taxing District (City, Town, Township): __ l�l//
Parcel Number or legal escrip�ttiion shown on tax statement:
�± %L I, ea 1 /-10 /o,53 4.-a-1 al
If buying on contract: Owners name lfr simple owner)
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
Elhereby certify the above statement is true, correct and complete. -e -
'Signature Street r / City. State and Zip Code
' 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.
-- 1
- FOR ASSESSOR'S USE ONLY -
True Cash Assessed Homestead
Value Valuation Valuation
Land not exceeding (4 ) aL imEiatD.
surrounding residential improvements (1) S.o-o /7o O
Other Land ti IN 8X979. (2) ireare2 .2-2 o ii,
Total Land ��/�J�, , (3) tige 411r.58�j�j��jj�j
Residential Improver [s /L!�`k� (a) oZ0 0 /0 /���j- j/zy
Dwelling 0/ /,% i% zi
AUDITOR Gar ge (5) _o - r4J _ i .
Total - (6) �D O /O .:�• neat? - - .iad!
Other Improvements .(7) 90 a , �jj/jjjjj/
Tot^' Improvements - Line (6) plus (7) equals (8) (8) 4D /0-C 4d°&"
Sby certify the abo is true. correc and complete. 9'4/0
-. 2._.4_/ S-ii- 79
Signature of Assessor Date
(�/� - ANION BY AUDITOR _-
Approved: �• R . Il l'i Date: 64/7`
SIAM FORM.13:4.10.7/...BB TRFASIIIIA FORM SIA
APPROVED BY YIYTE BflU D OF MYY CBI c.W■ JITSCRIBm BY IiII-DrrARTMENT OF LOYAL r9\ZR.'MrKr MANCEwf-I.1_4.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual>and married couple.are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than eter for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
•- ' HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verity that they are eligible to reeeue the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing This information will he kept confidential and can only be accessed by authorized county officials.The Ikpanment of
local Government Finance sill use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Jones, Charles Robert I Nancy Jo
.' R1 Box 68
162 Hazleton IN 47640
/
\\
Charles Robert I Nancy Jo Jones
2449 E SR 56 State Parcel Number Lezal Description
Hazleton IN 47640
26-02-57-063-000.375-017 009-00375-00 PT MD 631-10 10.53 AC
// L
�I
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
NAPLES • RolcRT JONES
J�g Address(nutnb i mid 4uett.city.slate.and GIP eodej_ _ _ _ -_ -_ -_ _ —rte}WJ Same as property adds s— --ayv9E. 51. Rd. 56
Spouse First Middle Last
AlANcy Jo JoNEs
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
•
d 949 E. 5i- Rd 510
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.
Owner I Signature Date
PART 4:ADDITIONAL INFORMATION
III