Homestead_Watkins (3) FORM HC 10 1979 To Be Filed in (Vitale
Prescribed By Stale Board of Tax Commissioners ••-'-t
CLAIM FOR HOMESTEAD PROPE,iiTY TAX CREDIT FOR YEAR 19 77
SEE BACK FOR FILING INSTRUCTIONS
all It ` �J
(We) ' .—, certify that on the 1st day of
larch, 19 79 , I, (We/occupied as our crincipal 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 st in the taxpayer �]/ ,
Property Description in County r Township
Taxing District (City, Town, Township): rf
Parcel Number - or le al Ascription shown on tax statement:
le al
JgrSZ X9_/_7 e ci
If buying on contract: Owners name Ilee simple owner) ZZ ' S
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
I hereby certify the above statement is true, correct and complete.
)' „ O / / / . / 5 /Ja a i I/ _ t7/
dy'� /
_ _
,/ 'Signature Street Address City. 5:a,e 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) ern /70 770
Other Land FILED (2) ..262,0 el0 - 'Y//Jt
Total Land (3) .3/02 0 10 '10 .;; ������
.....................
Residential Improvements (4) //,Sec0
1979 Dwelling
� _///� Garage (5) -- — O _ '4
t Y�i rAcc Total (6) //S' o d S7:I�S7D _ ,_,_
Other Improvements (I AUDITOR (7) X970 -44- 6irjj/jjj�j
Ti‘ Improvements - Line (6) plus (7) equals (8) (8) /6S-30 Q---
I Seby certify th above is true. rrect. and complete. 7'170
�� / t�3 _ /E_ 79
Signature•ol Assessor _ Date
— O, - ACTION BY AUDITOR -
Approved: ROI - / (,Q-Qa P1 Date: 7/2/79
• 51\ME FORM:Wt.IR'(WYl IAFASSRU EOM 731A
APE/OWED BY CTSTE 001R0 I1ENTARNa, aN PILESOUBED BY TIE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC I.Iial
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 IndividuaLs and married couples are limited to or homestead standani deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ewer for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
fEA 1344-2IX9 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kepi confdontial and can only be accessed by authorized county officials.The Department of
Local Government Fiance wilt me this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Watkins, Mary Lou/James
It I Box 95
Francisco IN 47649
869 LEirpmber Mary Lou/James Watkins F I R 1 Box 95 Leal Description
Francisco IN 47649-8902
2 -06-1 -400-000.848-017 009-00848-00 PT SE 19-1-9 22.5 AC
IIItlIItllILlltttltrlllltIIIIItlllrlll I illlltttlltlllttl APR - LUlL] Cl
GIBSON COUNTY AUDITOR
PART 2:TAXPAYER INFORMATION
Owner 1 First Middle � 0 Last
-CJ A "1ES MARLI N w �-r'� 1 NS
g Address(number and stem,city,state,and ZIP code) " - " ❑ Sato as property uddress — — - —- — — —
•
Mailing Address(Number and street,city,state,and ZIP code) Ql'•Same as property address
40093 c_3 rot/ f J I /sefl ,Jsy
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
Sate
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
S