Homestead_DonohayFORM HC 10 1979
Preuri�e0 By State BoarO af Ta. Commissioners
To Be FileC in Ouplica�e
CLAIM fOR HOMESTEAD PROPERTY TAX CREOIT FOR YEAR 19 �5
SEE BACK FOR FILING INSTRUCTIONS
�(We) `�-o'�i-c...C- � ��1-�-6'l�.a, /�Eh.rf �.-M/ certify that on the 1st day of
eiarch, 19�2, I, (We) occupied as our principal pl ce of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) C� owned f� o� �oO�n/
❑ are buying under contract V. �fo
❑ have a beneficial interest in the taxpayer �/�
Property Description in �� County `N'a--%-k*r Township
Taxing District (City, Town, Township): ��-e-� a�+a�
Parcel Number or legal description shown on tax statement:
PC. SE�i� 9-a-io .�.�09�
Ii buying on contract: Owners name �'� 51np1e °"ne`�
Contract recorded in Recorders Office - Record
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:
_�hereby certify the above statement is true, correct and complete.
i
Sveet ADOress
County Township
�7�70
Qry. S�are ana Zio �e
' 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 -
Land not exceeding 1(one) acre immediately
surrounding residential improvements
Other Land
Total Land
Residential Improvements � � �Welli�
Garage .
.:' "�! �Tot��979
True Cash
Value
(1) Soo
(2) //o
(3) � / 0
�ja) SGio
!� 5 � _
�6) SG i o
Other Improvements (�)
T�� Improvements - Line (6) plus�q s����(a)
��by certify the above is true. corre . and comp ete.
. �UDITpR
Signa:we oi
SG / o
- ACTION BY AUDITOR -
Assessed
Valuation
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Homestead
Valuation
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Date: �"-�' - % 1�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
�
3390
Deloris Donahay
2127 Outer Lake Rd
PRINCETON IN 47670
smce.
� .�
! MASURFAfO0.M31A
IndiviJuaL. aW miricJ coupks arc IimimJ to orc homcucaJ i�andaN JcJu:�ion. As ihc rccttipt of �hi: dedunion becomn
morc beneficiaL �herc is morc fncrnm'e than e�er for honx.teacl Gaud. Ilomottad fmuJ cau.tes highrr tac billi iur all; there(orr.
HEA 13+1-20L9 requim mapa�en who �eceire iAe hanesteed standard drJuc�ion in rerily the� ihcy am elieide to mcei.e the
brnefit and w{e�m'ide adlilio�ul iJentifrinc infurtnatiun riccr<'vrc io aliw' ewnn� Ev.�rmmmt to Nuo- mmitw homrs�eaJ
filin��.'lliis inl'omutinn ..�ill be Aryv crntiJemial and een nnly lc acm�ed bc aWhnri�N rounh' nffmiali lTe Ikpanment nf
I.ucal Gmcmmcm Pinance xill u.c this in(orma�ion ro tt<atc twls ihat aill h:lp munn' uffriale elimiriam humcstcad frnud.
•�� �� � -
T•rxnecer Name Propem� Adtlress
Donohay, Deloris !�I
�
_�
�
Address (Number and 5veel ciq�, state, nnJ "LIP caie)
�
?1?7 Om�TLaArRd
I4incewn I,\ d7670
S[ate Parcel Yumber LeQal Des
26-12-09-200;000.496-027 006-OOa95-W PT
� AC C-1
V
��
� Same u propmy addiess
9 2 10 2.2093
undersiened wrtifies, under penalty o( peryury, that the above and foregoing infonnation is we and corrzct and that he or she is elieible to
�e the homestead slandard deduction on this property. Each undersigned also underslands tha4 by claiming addilional homeli tead deductions
�fully, he or she may bz liable (or back taxes and substantial financial penalties.
I Si ana< [�te Telephone
� s/� io ( �
�Sig�uturc pytc Tclrphone � � 'I
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