Homestead_Watkins MATE FORM 5tMSIR_'/s I TRFASIIRra FORM ta-IA
sum(er°9Y MATE a04R13OfAr iNiR_wx PUrPIBWDBY fIC DFPMIMEVF Or LOCAL GOVTIONIM FINANCE IC 6-1.1-24.1
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 ever for homestead fraud.Homestead fraud causes higher tas bills for all:therefore.
• HEA 1344--7009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reecho the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kepi confidential and can only be accessed by authorized county officials.The Depannrent of
Local Government Finance will use this information to create tools Thal will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Watkins, David Roye O10 5 E 3 5 Q N
s°_Il a on nlc
Francisco IN 47649
233 0
David Roye Watkins
7065E 350 N State Parcel Number Legal Description
FRANCISCO IN 47649-9271
26-06-29-200-000.833-017 009-00833-00 PT NE 29-1-9 5 AC
'Will u �� 1 �� � � � n� �� � ��t�� r�t�t�� t��r rnntn t tnrnt
PART 2:TAXPAYER INFORMATION
Owner I ,- First Middle Last
,A;77) , eye=
Gig Address(number and street.city,state,and ZIP code)- " ' ' -' -- B<Ille as property addres— —— -- — —
7 to ✓� .L U ✓ i✓c/Sea, •/7-d*/7
Spouse First Middle /..d2 Last
Mailing Address(Number and street city,state,and ZIP code)
Efaime as property address
y /
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 Date
PART 4:ADDITIONAL INFORMATION
•
FORM HC 10 1979 _ To Be Filed in Duplicate
Prescribed By State Board of Tax Commissioners '
CLAIM FOR HOMESTEAD PROPERTY TAX CR'DIT FOR YEAR 19 9,
�/�� SEE BACK FOR FILING INSTRUCTIONS
1 1 (We) "" 1�n+Q /€0 4_c,-., certify that on the 1st day of
arch, 19_74 I, (We) occupied/as our principal place of esidence the following described real property for
which al�Homestead Property Tax Credit is hereby being claimed: .
I, (We) W owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer 4j
. Property Description in Count "-'-- _ Township -
Taxing District (City, Town, Township):
Parcel Number or legal description shown on tax statement:
. - Qiz /1 EIA cs— I -'-- 9 cr
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
®h• certify the above statement is true, correct and complete.
0
°rgnature 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 exceeding 1 (one) acre immediately
surrounding residential improvements (1) 4-0-0 X1/10 / '7 o
TToltal Land •� (3) IS 5o Ta —107,0
Residential Improvements JUL 17 1979 Dwelling (4) ad 6 /o_ %%%%77/c 000000000/0��
Garage (5) — 0 — //r
tal (6) a-7 to / 0 77761 – ''
Other Improvements r /�r���� (7) — O — ° l
T` Improvements - Line ) plus (7) e9Um�T9 (8) 2a2 é/ a c —VO
I Wby certify the above true. correct. an complete. %0 0
10-70-4 _ .to - .6— 7-76 – 79
Signature of Assessor ' Data
- ACTIO BY AUDITOR -
Approved: G� .' 4 e _ _ Date: 7-/ 7 —7 9