HomeMy WebLinkAboutHomestead_Meade (2) FORM HC 10 1979 •‘-� --. To Be Filed in Duplicate
Prescribed By State Board of Tax Commissioners _
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 77
/t/� SEE BACK FOR FILING INSTRUCTIONS
(We) / ` n" t !s' . //�-�-, -- certify that on the 1st day of
i arch, 19�4, I, (We) occupied a our principal place of residence 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 interest 'n the taxpayer ,
Property .Description in County Township
Taxing District (City, Town, Township):
Parcel Number • or legal d cription shown on tax statement:
0±. 971i/riot/ /- / o /ac
If buying on contract: Owners name flee simwre 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
-hereby certify the above statement is true, correct and complete.
�\ •Si l -� s %,%-\ dress � State and �LUv Street Individual either owns or is buying under a contract that provides he is to pay the proper: y taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
FTrue Cash Assessed Homestead
Value Valuation Valuation
Land not exceeding 1 (one) acre irTTTi�{{TT�fdid y
surrounding residential improtgAb'nCs ' (1) S-0-0 L_70 0
Other Land (2)- — 0— —0 - �j7j77/
Total d
g424s
(3) .S6 r7 a
Residential Improvements 6 AUDITORwelling( 4) °Z/V/ 0
Y4 Game (5) ^0— /
Total (6) 2l�/ 0 ira'i "
Other Improvements (7) 0 — — 0
T ' ' Improvements - Line (6) plus (7) equals (8) (8) 2./ Y-/1 D
IIPby certify the above true. correct. an complete. • /04ro
a—c/L y //- 77
Signature ul Assessor Date
- ACTI BY AUDITOR -
Approved: • Date:
STATE r ORM!s'a IR_I NnI TRFAS iLER PORN i IA
APPRT'ED BY SATE NURDOFACC%NTS 20N PRENRlnm BY TIr DE PARTWNr OF LOCAL IXNERNMIM FIANCE ICH.1-:'-!.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 lndividuaLs 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 tax bills for all:therefore.
HEA 1344--2000 requires taxpayers 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
filing.Ibis information will be kepi confidential and can only he accessed by authorized county officials.The Department of
Local Government ri anee will the this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
—. Meade, Robert F/Judith G
Welltt 09-158
Patoka IN 47666
1085
Robert F/Judith G Meade
5840 N SR 65 State Parcel Number Legal Description
PATOKA IN 47666
26-05-57-121-000.483-017 009-00483-00 PT MD 121 1-10 1 AC
C-1
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
Yz-� VC)t3tovr- MF F-
g Address(number and street,city,state,and ZIP code) - - - &Same to property uddrxas -
5 -400 ►J -£ 2 GS C d 1/27- x ea:-23 1-1719 G(0
Spouse First �� Middle ,S � Last
Mailing Address(Number and street.city,state,and"LIP code) Same as property address
5 840 t1 S s 2■ ‘c>.5 p a c c o V 3■ 1 -T Cs L 4 7 ( )((,
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.
Own lgnature Date