Homestead_EdwardsFOHM HC 10 1979
RescriEeE By Sutt Baard of Tax Commissioners
To & FiIW in DuD���e
CLAIM FOR HOMESTEAU PROPERTY TAX CHEDIT FOH YEAR 19��
SEE BACK FOR FILING INSTRUCTIONS
,(yye),��'x'(ri,n��.0 n�_ ,L AcLnw ya.,. L.. 'Y/l. i,d.w.��-.r. �La1 certify that on the 1st day of
March, 19�1, I, (We) occupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) Q'owned
❑ are buying under contract ���j -D�S3�. —
❑ have a beneficial intere/st i�n the taxpayer
Property Description in �-w`� CQunty ��� Township
Taxing District (City, Town, Township):
Parcel Number
If buying on contract: Owners name ��� sim0�e o.�e��
or legal desCription shown on tax statement:
(�E /UG ��v (a -�-/o . 95F7
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:
�hereby certify the above statement is true, correct and complete.
n O)dl'!/JUe� �� .�YLf/13�FQ'�% �
County Township
ire Sueet Atloress � Ciry. Swte antl Zip Coae .
� �c,�,rz. i! �979
' 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 exceetling 1(one) acre imm�tely
surrounding residential i�v�ts �
Other Land � �
Total Land
Residential Improveme}Id�l � 1g79
True Cash
Value
(t) a 9 70
(2) —
(3) a 47 0
Dwelling (4> /P3 30
Garage
�' � Total
Other Improvements �DI�R
T,��mprovements - Line (6) plus (7) equals (8)
I i�,eby certify the above is true. correct. and complete.
ASSesso�
(5) �
(s� /P 3 3 0
(�) �i70
�s� ai s o 0
- ACTION BY AUDITOR -
Assessed
Valuation
99�
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Da�e
Homestead
Valuation
Date: G��� /
SfATE FDR\I 53369 (R'J6�O9)
APPRO�'ED BY STATE BOARD OF ACCOU�TS, _'0p9
'fRFASUREqFNM TSIAI
PRESCRIBED Bl' THE DEPAR"fME�T OF IACAL CAt'�7{,�NEM f:�A.�CE ICbl.l-3?-8.1
�rill be kept confidential and can only be accessed by authorized count}� ofticials. The Department of Local
Government Finance will use this information to create tools'that will help count}� officials eliminate
homestead fraud.
Taaoaver \ame
Lonnie L / Cookie Ed«ards
Complete and return to:
Prooern'Addras
R 3 Boz 132
Princeton IN 4767
Shre Parcel \vmber
26-I2-06-201-000532-0? i
Y �
GIBSON COLiNTY AUDITOR, 101 N�IAL\ PRINCETON IN 47670
o«�,R i Fim
LV�%� � e
Mailing Atldress (n�reder aM sveel. tly, state anE 21P cotle)
�n 3 � La�Ce �.tf�
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nmoa (u:� s aroie��
Leeal Darrinrion:
006-00�32-00 Pi NE 6 2 10 .847
AC D-I �
a
r� � � ,U � ��Udl-rfs
�rtEtt antl streel tlry. state anC ZIP m0e) �
� SameaspropertyaEEress
� L.4-Ke Z'.Yu�aa� �/— �
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tav
cacn unoersignea cerunes, unaer pena�ry or pepury, mai me anove ano roregang mwrmauon is we ana correc[ ano ma[ ne or sne is e�.gioie ro recerve m
homestead sfandard deduction on this property. each undersigned aiso understands that, by Gaiming additlonal homestead Geductions unlavf,ully, he or
she may be liable for back taxes and subsiantial finandal penalties.
Owna 1 9�aMe Date Tdepnme i
` , �� / 7 -/d ( �l 2- ) =3� �i�o
Spause Si Gce / Dare TdeMme �
�� � '� /7 —/D ( �/z ) 3 �-�ii�