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Homestead_DunningFOflM HC 10 1979 Prewi�eG By Sta�e Boa�E al ia. Commissioners CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19�� SEE BACK FOR FILING INSTRUCTIONS ,� �We� g _ �tarch, 19��, I, (We) occupied as our principal place of re deni which a Homestead Property Tax Credit is hereby being claimed: io Be FileO in Dupli[dle certify that on the 1st day of the following described real property for I. (We) Ckowned Oh/_'/,,c,s�� ❑ are buying under contract ���o CJv ❑ have a beneficial interest in the taxpayer 'n Property Description in � County `�1�s�-s-� Township Taxing District (City,. Town, Township): � Parcel Number If buying Ofl contract Owners name ��� smo�e owneq or legal description shown on tax statement: t16 5�'z .T– �/ o � J? � f% Contract recorded in'Recorders Office - Record No 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 f'" C n' ° Any other counties in which individual owns or is buying real property: �hereby certify the above statement is' true, correct and complete. County Township ,[j�A ana Individual either owns or is buying under a contract that provides he is to pay ihe property taxes on the residence, or has a beneficiaF interest in the taxpayer. - FOR ASSESSOR'S USE ONLY - True Cash ���??? Value Land not exceeding t�One�acre�me iael surrounding residentia`l�imp vem s (�) So� Other �and �;�,,� t 3 1979 Total Land � Residential Improvemen /��Q�elling �/� Gara e j� AUDITOR 9 Total Other Improvements T�� � Improvements - Line (6) plus (7) equals (8) �by certify the above is true. correcf. and complete. Siqivmre ot A (2) / �F'fo (3) / 9 5� o (4) �?��8� (5) — (6) � To �>> a� F� �s� 26 / � o - ACTION BY AUDITOR - Assessed Valuation ,• ► j��/��jjj/ jj�j���� . _..�. �' . ..� - . �-.3 !�9 Da:e Homestead Valuation /70 ���. ��j/��j/ ��jjjjjj�/ � Date: � Gibson County Auditor 101 N Main PRINCETON IN 47670 2209 51 V E iORAl9•n�R]/ M1-M • I1RfAN�!Af00.M11A 6iJiviJual.. and m�;rinl coupb arc limi�ed �o ore homcsmaJ �vndaN d:Ylu.�ion. As �he �arip� ol' �hi3 dnluction bttmres murc beneficial, thrrc u morc incenmr ihan ecrr (or homes�eacl (nud. HomrsteaJ (2ud caaus higher taa Eills (w all: therefue. HEA 13-t3-?fN19 requim u�papers who reeire �he hanes�md standard dnluction m.eril'y �hm the7 are clicide to mcenr �he benefii ani ro pnn�iJe mkli�ional idrntiipin� intumi;�tiun nemvn ro allw' cuunty ga'rmmenl m bene` munitor hortresreaJ lilin�,�.'fhis in(omuiinn will M Aery contideminl and cnn only R aven.eJ by amhnnmJ cmimy n0icial�� The Uepanmem nf Iqcal Gwemmrn� Fiv�rcc will u.e this inio�mation w trcam hwls �hat �rill h:lp avuntt offciaL. diminim homeslcaA hauJ. .,' ,, ," Ronald / loretta Dunning 600 N Carithers Rd PrincetonlN 47670-8661 �����������i������������ii�n�n���������ii�����ii������������ ,mn i r'�m �;•✓,0'%1 ig ndd�em (rm�S..-r wd itrst, ciry�, sa[e,-and�ZlP code) —— 7"Li tn_ S �• � � a d /�. C��i 1"s digitsj O�hcr (plcazt spccify in Part 4 bclox�) M�am� �.%iu .Y r� � �j , 1-7-Sa�ne u ptopeny addrtas LJ (la;t 5 digiLS) � Oihcr (plpsc sperify in Pazt: bclow) — � _ —_ _ I Each undersigned certifies, under penalty of perjuq�, that the above.and foreeoing infortnution is we and coirect and that he or sh'e is elicible to receive the homestead standard deduction on this property. Hach undersi¢ned al>o understands that, by claiming additional homes�ead deductions unlawfully; he or she may be liable for back taxes and substantial financial penalties. I ���0� � 6 -�o —/r% (��� ) � ��`� �