HomeMy WebLinkAboutHomestead_Douglas (6)wun nc ia iem
RescriCeO By Sute BwrO ol Taa fqmmissioners
To & FileC in Duplicate
CLAIM FOR HOMESTEAD PROPERT.Y TAX CREOIT FOR YEAR 19 �19
SEE BACK FOR FILING INSTRUCTIONS
�(We)' 'F' ���- ��- ��� certify that on the 1st day of
.�arch, 19 � I, (we) occupied as our principal place of residence he following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) C3'owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description
Taxing District (City, Town, Township):
Parcel Number
If buying Ofl contract: Owners name ��� simo�e owner�
��� ��QSQ� �
nty 1��� Township
or legal description shown on tax statement:
PG SE'�� /3-a-// �.sa A.
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
;hereby certify the above statement is true, correct and complete.
��. - _ Qd J �� P ' _ e � � �..�.�. y ��—,
'Sig ure Sueet Aaaress Ciry. State and Zip Coae
' Individual either owns or is buying under a contract ihat 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 immed�ly �
surrounding residential�prqyeme�
Other Land tl
Total Land
Residential Improvements
Other Improvements
J�N��1979
��i
Dwelling
G rage
AUDITO�tal
To'°' improvements - Line (6) plus (7) equals (8)
I��y certify the above is true. correct. and complete.
�
True Cash
Value
(1) S d o
(2) 3 oa
(3) 8oa
(4) 9GDp
( 5 ) �{ ,� o
(6) /d O � 0
(�) � .'S-'cz
(g� ��.0 O _% o
- ACTION BY AUDITOR -
Assessed
Valuation
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Dam
Date: �
Homestead
Valuation
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
1213
aiiTE FIIRnI! �M IIL'/ �+nl
iREtSVRER fO0.Y 1IA
IndiriJual. anJ ma:riN coupin are limitnl Io onc homeucaJ uandaN d:Juc�inn. As �he rttript ol'thi> dedunion bccomcs
mure beneficial. �herc is morc incrntive Wn e�er (or honxste:ul G�uJ. I lomr>�ead frawl eausa highrr u� bills for all: thert(ore.
HEA G-t3-?OLW requim uxpaym Mho retcirc �Ac hqnes�cad standard deAuaion iu .cri(y dut they are'eliciWe �o mcei.e ih.
benefit aN ro p�m�ide adJiiional iJrntiivinc infwm�non �xcr:'vrv ro allw' counn� ga'emmrnt to beuer mmitor Iwmesrc:d
filin�. This informalinn x�ill hr A�7M cmfidwial anA ean nnly it aatt..eJ b. authorietd rnunly nfficiats. 7Te Ikpanntem af
Local Gm'ermn<m Pinam'e wiil mc ehfs fnfonnatiun ro crcatc twls �ha� �vill hclp cv�mtt uffirials dimiiute home�tead fiauJ.
•�� �r � -
Ta�paver N•rme Prooert�� Address
Douglas, Slephen Alan
w�u a ov-o;b
{'rincemn 1\ 47670
Stephen Alan Douglas
1368 S 100 W
PRINCETON IN 47670-9302
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mber and svicet, nty, smtc, and�ZlP code)
State Parcel Number
26-11-13-400-000.506-027
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�3 ��' ,S Io0 � (i, � �
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Securitr Numbcr (lan 5 diei�s) Ihiver's License/SUte ID hmnbcr Qut 5
Address (Number and sltt<4 n�y, sL+lc, and "LIP caie)
Stturity Number (lazt 5 digitsl � privcYs Limnse/Stare ID Number (la:t 5 digit)
(Pleuc
Lesal Descrintion
006-00506-00 PT SE 73 2 11 7.00 AC
D-1 �
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Sume a� p�upcny ntiwua
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Ty in Part 4 bclow)
� S�une as pmpeny addres.,
Each undersigned certifies, under penalty of perjury�, [hat the abo�•e and foregoing infurtnation is we and correct and that he or shP is elieible to
receive the homes�ead standard deduction on this property. Each undersicned al>o undersmnds that, by claiming additional homesiead deductions
unlawfully, he or she may be liable for back taxes and substantinl financial penalties. i
I $iymsdac
Unte Tclephonc
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