HomeMy WebLinkAboutHomestead_Gray (3)F9RM HC 10 1979
NeSCri�eO By Staie Boa�O o� TaR Commi55ioners
ta Be Filea in Duplicate
CLAIM FOR HOMESTEAU PROPERTY TAX CREUIT FOR YEAR 19�
SEE BACK FOR FILING INSTRUCTIONS
;�(We) �-�' �Jr�.p�-H+v 9� `�,��-�-�-d �• certify that on the 1st day of
��arch, 19� I, (W ) occupied as our principal plac of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned Q�� ��0����0
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in �%[,�--�r- County O�-°��`-O� Township
Taxing District (6i�y-�-ow�Township): �Q���-'�-
Parcel Number or legal description shown on tax statement:
Ol� . � f.c) ��y :� 4J �i.� � - Z - / o (3 . o i A�
If buying Ofl contract: Owners name ��� s�moie ow�e��
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
�hereby certify the above statement is true, correct and complete.
�
���,..�,�-���- :ti°�t° 2 �� �-w,_-�� ��G %D
ignaWre i/ Sreet AtlOress City. State an0 Zi0 �e
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' 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
surrounding residential improvements
Other Land � � � �f �
Total Land �
Residential Improvements
.JUN 2:% 1979
Dweiling
Garage
,�% �/�/�`� Total
(i�
Other Improvements AUDITOR
Tr• ' Improvements - Line (6) plus (7) equals (8)
I�by certify the above is true. correct. and complete.
_ � ��
Sgwture ol nsseswr
True Cash
Value
(�) Si o
�z� 90
(3) b o 0
(4) �� / �%o
�s� —
�s> /� i 90
��� / 3 0
�8� �a.3.2o
Assessed Homestead
Valuation Valuation
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Date: _ �� !_�79
. -�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
�
�Iliam / Phyllis N Gray
2586 E 500 W
Princeton IN 47670
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n 258G �
Other (please sp¢ify in Pan 4 bclowj
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� $�me u p�openy addr�i
cpcciF in Pan 3 bclow)
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Each undersiened certifies, under penalty of �rjury�, that the above and foregoing infocmation is we and correct and that he or
recei��e the homestead standard deduction on ihis propeny. Each undersiened al>o unders�ands tha�, by claiming additional horc
unlawfully, he or she may be liable for back taxcs und substantial financial penalties.
Dwner I Sitmtoue � / -- ". . -- [Nte � . 7' � � � � � _ � � � �
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Spous Si � mre Uatc Tdrphone
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32703.01AC
elicible to
deductions