Homestead_Rode FORM MC to 1979 To Be Filed in Duplicate
Prescribed By State Board at Tax Commissioners
•
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 %%
SEE BACK FOR FILING INSTRUCTIONS
®(We) r 1, t+t-J — erte.C. certify that on the 1st day of
March, 19 , I, (We) occupied as our principal place of residence the following described real property for
which a�Hoommestead Property Tax Credit is hereby being claimed:
I, (We) L�1 owned
❑ are buying under contract .
❑ have a beneficial inter t in the taxpayer Q��
Property Description in X� County !/V i - Township
Taxing District (City, Town, Township): 4 •
Parcel Number or legal descriptio/ shown on tax statement:
Qt. 9711 Ye 4J* LZ8-/- 9 /a zJ
If buying on contract: Owners name flee simple ownerl .
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
thereby certify the above statement is true, correct and complete.
a4j4.) • art— C ( mS
jj. ¢7G49
ognature
Street Address 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.
- FOR ASSESSOR'S USE ONLY -
True Cash Assessed Homestead
FrotE Value Valuation Valuation
surf oundtingX residential( D (1) C� /7c /70
Other Land iiiJJ� (2) -D - -0 —
Total Land JUN 11 1979 (3) 3-0-0 /70
Residential Improvements (a) / tea 0
welling
� �= Karage (5). —� D— i,
AUDITOR D
(6) Jy-So 2 0 , ; - -•
Total
Other Improvements (7) /-O- - 0 -
Te.±a Improvements - Line (6) plus (7) equals (8) (8) /5`.5x0
. I S_ by certify the bove is true. cor ct. and complete. ef�j/
a-c �rJ q �J ..1--/i- 7'
Signature of Assessor - -- - Dare -
- ACTION BY AUDITOR -
Approved: I g 4 Q/1 Date: s1/46 77,
S titt}TAPM:sw IR'r fwd TREASURER FOAM YIA
.A nRrwEO BY WM. KR°OF Nna4NT%R"M RESTinrnv 111E DEPARTMENT(w LOAlydn2RNMEA'T FINANCE irea.s-r-ci
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to or 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 1344-2009 requires taxpaxcrs who receive the homestead standard deduction to verily that they are eligible to receve the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he dept confidential and can only be accessed by authorized county officials.The Ikpanment of
Local Government Finance M ill u'c this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Rode, David/ Martha E
Francisco IN 47649 1`
1136
David/Martha E Rode
2762 N 775 E State Parcel Number Legal Description
Francisco IN 47649-9268
�t�tt��ttt�i��ttt�tt��t�tt�t�tttt�t�r��tr�r r�I l��rrrl�r��rl r�� 26-06-28-300-000.656-017 009-00656-00 PT NE SW 28-1-9 1 A
X
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
�Au10 10/1142¢ ens l COp
t¢Address(number and street,city.State,and ZIP code) • 0-Same as property uddnv - - -- --
o9. 7(n3. N 77SL-
Spouse First Middle Last
c
Mailing Address(Number and street,city.state.and ZIP code) [ftAhe as property address
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
•