HomeMy WebLinkAboutHomestead_Ford�rescriUed.By State Board of Tax Conmissioners
CLA1P1 FOR HON�STEAD PROPERTY TAX CRmIT FOR YEAR 19_ �
SEE BACK FOR FILING 1NSTRUCTIONS
'-=-�e) � i�d�Ld%J //6-�� v � /� rJ � � AJ�� �rtify that on the lst day of
;�� 19 , I, (Ple) occ�ied as our pri�ncio ola of residence the follaaing descTibed real
n rty for which a Homestead Pzopeity Tax Cra3it is hereby being claime3:
i , Q�Te ) � aanecl .
� are buyinq urrier oontract
� have a beneficial interest in the ta�mayer.. ;
Pro�rty Description in �c=1-a> �l CountY _
Taxing District (City, Tovm, Zb��mship) : (`�is�_.-f�,.s ,
DD�_�OV- V�
Ta-mship
?arcel tl�r or legal description si�awn on tax staEanent:
�_� �� s/ / 7- �i -//J %, �`a
If buvina on wntract: O4mers name (*ee simple owner)
Contract recorded in Re�rder's Office - Record No. Page
If any portion of the residentiaY structure or the land, �rot e�eeding one (1) acre that
i�iately surro�is that structure is used ta produce incane, describe the use and partion of
the oroperty utilized to produce u�come
Pny other �wzties in which individual aans or is buying real property: '�.�rnship
?�_eby certify the above staterent is true, �rrect arzi con�lete. •
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*Signature • Street Address City. State arrl Zip Code
*Individual either owns or is buying imer a�ntract that pLVVides he is to oay the
property taxPS on the reside�ce, or has a be�eficial interest in the ta�mayer.
- FOR ASSESSOR�S USE OP�LY -
Land not exceeding 1(one) acre inmediately
surroun3ing residential i�roverents
Oti7er Iand
To'-sl Land
P.esidential Itmrov�rents
otl,er Tmprrn,anents
To �� Ir�roverents - Line (6) plus
I�h►' eby certify the above is true,
�
�
Raelling
Garaae
���
True Cash
Val�
(1) .S��iLrL
(2) ��i / �J
(3) /� / O
c4> �/ S
(5)
c6, �r.s�a �
Assesse3
Valuation
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(7) eauals (8) (B) '��J�oZ� � � '�/J
correct, and �lete.
- ACTION BY A.UDITCIR -
Anproved: Date:
Datz
Fkmestead
Valuation
�3 8'i��
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
3629
111R f00.M �lHl� /!•MI 1RfAS11lER f00.V �SIA
IndiviJuaL. and mvriN couple.. arc IimitcJ io onc homcueaJ 9andaN J<du.�ion. As ihe �ttcipt ol ihu dnlunion beconre�
more benencial, there is morc incrntne dun ncr (or homn'rcail fnud. Homn'teal fraud caus6 hi�her ta� bills (or all: Iheretue.
HEA li�-I-�C(W requim mvpa.m who recci.e ihc hanesirad >�andard deAuciion �o verify tha� they am'elieiNe io rtcene ih.
brnefii aitl to prucide adliiioml iJentiiring in(urm;nwn �cn'vrv �o allw' counn� gm'rmment �o MGr muniror homrneaU
filim� . Ihis inlamv�im will M L.ryM crnlidemial anJ nn nnly h: acmcced b. aulMriieJ rnum)' n(Ticiis. "IM1e Ikpannxm o(
I�cal Gwcrmncm Fi`u�rce ��ill u.c this intomu[ion mr crca:c twls ihat �cill hclp aamtt of('icial. elimi;imc hom<stcad traud.
• � � � � � -
Taxnarer N•ame Prnnertc Address
Ford, Do ne F/ Dixie Jean
Y �9t/� ��I!6 °��
� I'rinc�ton 1\".17670
7
;
Doyne F/ Dixie Jean Ford I'
694 E 150 S State Parcel NumAer Leeal Descrihtion
-- �— -Princeton�!N�47670-8708-- %
�_- � � � -- � `— -/ D70 `, 77210"7.52AC- --
�i�u��in�i��u�ni���ni�n�i�ni���ni�n���i�in�n���ni� �
26-12-17300 000.586-027- —005-oosesm ai sw
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0 oy �
��H,�i,;�
g Address (number ond iVast. ciry, smte, and ZIP code)
�y5� s= /��.� P�r,ve�T-✓ �a7 y9<��
$
Qid iG
,/ z�.�
Mailine .4ddress (i�umber and slree4 ciq', siaie, und'GII' cuJe)
_ G9`%�. , /5�..�,—��%�/e��;!,_S.�-5'%G�O_ _ —
S«ial Sccurin• Number (lazt 5 digics) Drivcr's Liccnsc/Sta[c ID Nwnbcr (1a;t 5 digits) Ochcr (pl<
�d ��
Same as propeny atid�¢;
_I 'a��
j� S;une u pmpem addra..
(s�
undersiened certifies, under penalty of pzrjury, that the abo��e and foregoing infortnation is we and correct and that he or she is elieible to
re the homestead standard deduction on this property. Each undersiened al;o understands ihat, by claimine additional homestead deductions
+fully, he or she may be liable for back taxes and substanrial financial penalties. .:
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