Homestead_Steelman (2) FORM MC 10 1979 To Be Filed in Duplicate
Prescribed By State Board of Tat Commissioner; -
"w'
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 79'
SEE BACK FOR FILING INSTRUCTIONS
'(We) 6� E. s"c�� � u1 t e-dn-e� . certify that on the 1st day of
I arch, 19 1, (We) occupied as our prl Ipal 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 inter t in the taxpayer
e nw _
Property Description in County Township
Taxing District (City, Town, Township):
Parcel Number or legal description shown on tax statement:
-
Qt `fin /rs9 /-i0 07.a2St2 a)
If buying on contract: Owners name (tee 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
aki hereby certify the above statement is true, correct and complete.
2 � gal? t' 7 e `%76C (
6111F
ignature Street Address 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
Value Valuation Valuation
Land not exceedin (4) ace im is ®�
surrounding residential improvements"'" (1) 4 -0-0 X70 / 70
Other Land
Land JUN 71979. (3) t , Z0 7`-0,171
Residential Improvei Dwelling (4) °Z���a O
��//ff — /
AUDITOR Garage (5) .3.10
Total (6) .�<S�(a 0 �nr dy
Other Improvements (7) b'T /37/'OD�/D00000/
To Improvements - Line (6) plus (7) equals (8) (8) S n-
I;Why certify th hove is true. c rect. and complete. a, S' 369.0
a� . 'A��J 1 S//— 79
Signature of Assessor // Date
v ACTION BY AUDITOR - q
Approved: r ^, Date: 617/I 9
•
ALOE FORM!3/MIDR_/sED IRF SUILR POEM TI-IA
.A/MINED BY ALOE WARD OF AMA/NM MN PREMIUM°BY nIr DEPMMFVr(F LOCAL MINElermr-ti FINANCE K' t.lU-.l
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead aandani deduction.As the receipt M this deduction become,
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 taxpayers who receive the homestead standard deduction to verify that they are eligible to reeehr the
benefit and to provide additional identifying information necesa'nv to allow county government to better monitor homestead
filings.This information will he kept confidential and can only be stressed by authorized county officials.The Depannteni of
Local Government Finance will toe this information to create tools that will help county officials eliminate homestead fraud.
• PART-U-PRO�PERTY INFORMATION
Taxpaver N'tine Property Address
_ Steelman, Jack a'Lyn Mae
2030 E Steelman Rd
rPatoka IN 47666
927
Jack E/Marilyn Mae Steelman
2030 E Steelman Rd \\ State-Parcel Number Legal Description
Patoka IN 47666-9110
L26-05-57-059-000.745017 009-00745-00 PT MD 591101.59 AC
C-1
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
�aee Cvertetr te.e /man
- g Address(number and suxxt,city,state,turd ZIP code) u Same as property address - ---
02, o30 r—. $-r&r /ma-,, Rd .
SppuA;e First Middle Last
H\a" 1. I c y n l�'� a e C )fin v�
Mailin Address(Number and street,city,state,and ZIP code) r• 1SAme a pmpeny address
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- _ PART 3:CERTIFICATION
Each undersigned czrtifies,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