HomeMy WebLinkAboutHomestead_Hart (5)wan+ Nc io �e�s
RewiOea By State BUdfd 07 Tdn COmmi55i0nCe5
To Be File� in DuD���aie
CLAIM FOR HOMESTEAU PROPERTY TAX CREUIT FOR YEAR 1912
SEE BACK FOR FILING INSTRUCTIONS
-� (We) � ��� d�u-r�r- �-�— certify that on the tst day of
�vtarch, 19�, I, ( ) occupied as our principal place �f r idence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) � owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description i
Taxing District (C-,ify�ewn, Township): l=
Parcel Number -
If buying on contract: Owners name �'� 51np1e
Ddl�- DD7��'
���� Township
or legal description shown on tax statement _
l�, �E �% �3 - a -�� �573% ��
Contract recorded in Recorders Office - Record
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.
�
County Township
e �10 �, � • �f 76 7G
Gry. Sta.e ana 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
surrounding residential improvements
Other Land � � � � �
Total Land
Residential Improvements
;�� � ��lling
�
J � " 1 Garage
� � ' //total,_`/,q.._
Other Improvements ���"-D-d�
To'�' Improvements - Line (6) plus () equals (8) AUDITOR
Il.by certify the above is true. correct. and complete.
Signature ot nssessor
True Cash
Value
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- ACTION BY AUDITOR -
Assessed
Valuation
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Approved: ��,��A��i Date: G �z/—�9
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
1789
lin Robert / Sally Jane
3 McCarty Rd
ince[on IN 47670-285C
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c Addrtv (�umbrr and riree4 ril)', slate, und "LIP cwk)
Stturin� Numbrr (lazt 5 dieits) Drivcrs Limau/5ta�c ID NivNx
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State Parcel Number
26-11-13-400-000.788-027
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Leeal Description
006-00788-00 PT SE i3 2 11 .5739 AC
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Othcr (pleast specify in Part 4 bdow')
Middle
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� Same u propeny addrea,
Othcr (plcasc spccify in Pan 4 Mlow�)
undersitmed czrtifizs, under penalty of peryury•, that the above and foregoing infortnation is we and correct and that he or she is elieible to
:e the homes�ead standard deduction on �his property. Each undersiened al>o understands that, by claiming additional homestead deductions
Jfully, he or she may be liable for 6ack taxes and substantixl financial penalties.
I S� urc I�te Telephanc
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