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Homestead_Meade (4) FORM BC tliki To Be Filed in Duplicate
Prescribed By State Board at Tax Commissioners . -
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 79
SEE BACK FOR FILING INSTRUCTIONS
0 (We) !.1._? .. i ��i.s /._/ I/_' _�_ _ ! certify that on the 1st day of
arch, 19_74 I, I e) occupie/as our principal place / 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 in the taxpayer q,�'
Property Description in �¢%c b- County _ { I Township
Taxing District (City, Town, Township): .
. Parcel Number or legal d ription shown on tax statement:
Q %,d— /zo /— /0 , � 7 --+-f-a)
c'. %ter /a/ /—l0 , 73 taro)
If buying on contract: Owners name (fee 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
$hereby certify the above statement is true, correct and complete.
- r / /li ru/l�,c ? j�G C 1 J 47/,t ,
'Signature Street Address City. State and Zip Code
S-40—79
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 Assessed Homestead
Value Valuation Valuation
Land not exceeding 1 (one) acre immediately 1-1 V a-I a
surrounding residential improvements (1) 470 ..->�'8-
Other Land (2) —D— _a—
Total Land F I LED (3) ,S/O -(°
Residential Improvements ` 19�9 (4) /9.5:6—o
0�o
Dwel mg
MAY 2 Garage 'o '/
tor
Les; Total (s) M-5.5M-5.5-17 Other Improv ts (7) — 0 "
—d—(T�Improvemen Line (6) A(4DIVReguals (8) (8) /9SS0 4-5-01 O
by
.certify t above is true. c rect. and complete. 9.3/6'
Signature of Assessor UU__ Date
- ACTION BY AUDITOR -
Approved: Date:
STATE FORM OM*OC/YNt TRF.W:.FR FORM TIA
AMMO,BY[FATE BOARD OF AMUNTS.ZU m rr24AlatD BY IMF ufrN.MFYT OF LOCAL(MWEIMMOM FN,4'E M41.1-"J.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 ner for homestead fraud.homestead fraud causes higher tae bills for all:therefore.
HEA 1344-3009 requires axpascrs who receive the homestead standard deduction to verify that they am elicible to receive the
benefit and to provide additional identifyir2 inform aton necn6ry to allow county government to better monitor homestead
filings.This information will be kept confidential and can only be 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
Meade, Stephen J/Gwendolyn
R I Box I26-a
Patoka IN 47666
1215
Stephen J/Gwendolyn Meade
5836 N SR 65 State Parcel Number Legal Description
Patoka IN 47666
26-05-57-121-000.484-017 009-00484-00 PT MD 121 1-10 .73 AC
C-1
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
5� cph e-n ,Tr A e,a d e
®ig Address(number and street,city,smte,and ZIP code) Smut as property uldrsti.,— -- — -- - - '--
S936, /V' 6T 320 . (9s �f +LlC y76,(0 fp
Spouse First Middle Last
we,,,..4.014h /14 . A e_a_gizi�
Mailing Address(Number and street,city,state,and ZIP code) sit Same as property address
5B3co N . ST /a) g2„, / , - y76,6 ‘,
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