Homestead_Watkins (2) FORM HC 10 1979 To Be F:'.d'zn Dupl7ate
Prescribed By Slate Board of tax Commissioners
- CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 if
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SEgE. BACK FOR FILING INSTRUCTIONS
®(We) JA-4-n.-/L !2 ,t certify that on the 1st day of
March, 19_74_, I, (We) occupied as our iinctpal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) Li/owned
owned
❑ are buying under contract
❑ have a beneficial inter st in the taxpayer ,]�
Property Description in County � ' Township
Taxing District (City, Town, Township): C/ -
Parcel Number or legal descri ion shown on tax statement:
of cv% 71 E7", -29-/-9 4 -_ .�
9 aw
If buying on contract: Owners name (tee simple owner) .51.. 7
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
eakhereby certify the above statement is true, correct and complete.
le �.. ' . s -
i ' n l 7 �
a ,, 9:,-)4" 99
'Signature Street Address City- St to 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) -570-0 /70 /70
Other Land (2) to l0 1� ------%ii/ �j��
Total Land FILE ;P (3) g g il0 _ - , iaiiiiiio
Residential Improvements X979 Dwelling
(4) n70
Garage (5) —0 — O, �j/
`!ii / i�`
Total (6) 137o 4.-
,. a. n-9
Other Improvements 0-
/ AUDITOR (7) 5610 Ig900,11?0��������
Try ) Improvements - Line (6) plus (7) equals (8) (8) /y £� 0 '/f
Why certify the ove is true. cot ect. and complete. 67Jo' \f N
et_ A , - - /51— 77
Signature of Assessor Date `\
ACTION BY AUDITOR _- / \
Approved: ✓ l• q / Date: �� 7/
HAFT Ton'EMT.IRS f TAM M-ASUALR TORN 1IA
• .VPRNLD BY cTArr.w zOnWACO/UNIT. Plf4RIBm BY TIT DEPARTMENT OF LOCAL GOVERNMENT FINANCE MHJ`4.t
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 titan ester for homestead fraud.I lomestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires tavpaycrs who receive the homestead standard deduction to verify that they an eligible to reeeise the
benefit and to provide additional identifying information necessrry to allow county government to better monitor homestead
filings.This information will he kepi conlidemial and can only be accessed by authorized county officials.The Depanntent of
Local Gmcrtuncrt Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name ropertc Address � J
Watkins, Donna /6 3S0
Francisco IN 47649
1879
Donna Watkins p LcQ Al
51-1-Det47—, 6< 9S _C State Parcel Number Legal-Description
Francisco IN 47649-9272
III I III I I III nV I I o I I I III 26-06-29-200-000.835-017 009-00835-00 PT W NE/PT E NW 29-1-9
r n non taro F u r o t u o o ta t tat o n re 59.57 AC C-1
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
-TOA/�t/A Ad N /.� wY1�r� 14)S
filikg Address(number and street city,suite,and ZIP codej - -- m m ptopelyaddrcss - ---- - -- --
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Spouse First Middle Last
Mailing Address(Number and steel,c Ie.and"LIP code) ❑ Same as property address
Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
seer
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
unlau y, e or she may be liable for back taxes and substantial financial penalties.
Own- I Si-, ture 11 Date l Date
Spouse Signature Dare Telephone
PART 4:ADDITIONAL INFORMATION
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