HomeMy WebLinkAboutHomestead_Gottman�Gibson.County Auditor
101 N Main
PRINCETON IN 47670
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442
/ Jane A Gottman
5535 W SR 64
Princeton IN 47670
SIAiEfORN!J.W �M1:/uY�
rvscwem er n¢ ov.ui.uxr or
I00.411n
InJn�iJual and mirried roupb are limited to onc homcucaJ sundaN dedu.iion. As �he rereip� oi �hu dcduc�an hcome�
mure beneficial, there is morc incentn<dun aer for homrtiexl Gaucl. Ilome�:ead fmml causes higher tas billi liu all: thercfore.
HEA 13i1-]0(19 require> unparen vho receive ihe Iwmencad aandard JNunian tn .�eri(y tMt �hey are eliGiWe to recei.c ihe
brnefit amf to pm�'ide aiWitio�ul identiirine information necezsarr to alluw� counn� �emmeni ro Y.rter inunimr homesrcad
filin��. Ihis into�rtution will 6e Aryv ton(Ceuinl and can nnlr h: arcessnl by authnriied rouny� o(fioials. 7M Ihryunnem ol
Lueal Gm'<mmrn� Fivmc will ua this intormation tu cream twls tha� will hdn cvnin� olTiriais diminme homnmad fiaud_
- .
G o tth-ra �
�-Same as pmpeny addrcc;
Fach undersigned certifies, under penalty of ptrjury�, that the above and foregoing infurtnation is we and correct and that he or she� is elieible to
receive the homestead standard deduction on this property. Each undersi¢ned al>o understands that, by claiming additional homest�ad deductions
unlawfully, he or she may be liable for back tares and substanrial financial penalties.
FORM HL 10 1979
hescriGM By State Bwrd o� Tax CammiSSioners
To & FileE in Dupiicare
CLAIM FOR HOMESTEAD PROPERTY TAX CREUIT FOR YEAH 19 �y
INSTRUCTIONS
�(We) !� �`'`-^� ��--�-�- ��-�— certify that on the 1st day of
.iarch, 19�`L, I, (We) occupied as our principal p�ace of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) �ned QQ� � Q��pi0.5
❑ are buying under contract
❑ have a beneficial interes�t in the taxpayer
Property Description in �'"�-�-�� COounty� ,�"`""�`�- Township
Taxing District (.GiFy-iv� Township): �-�->``="-'
Parcel Number
�
If buying on contract: Owners
or legal description shown on tax statement:
�1�. .SE�% �-z-ii �93A�
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
Any other counties in which individual owns or is buying real property: County Township
i h�eJ�/by ceRify the a ove statement is irue, correct and complete.
I �7j�ll'l�.� �i . ��O�JLJ n �
✓ � /�
'SignaWre Sneet Aaaress Ciry. Sute na 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
surrountling residential improvements '
Other Land F I L E D
Total Land
Residential Improvements �UN 11 1979 Dwelling
Other Improvements
�Garage
�������Total
AUDfTOR
To} ' Improvements - Line (6) plus (7) equals (8)
I�oy certify the_above is true. correct. and complete.
Signa:ure ot Asusmr
APP
True Cash
Value
(�) / % b
(2) —
(s) / 70
(4) � S�o
�5> � 7 � �
(g) � z 8 0
(�) —
(g) � 2 8 0
- ACTION BY AUDITOR -
Assessed Homestead
Valuation Valuation
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Date
Date: �/`� �7T. 9