HomeMy WebLinkAboutHomestead_HasselbrinkFOftM HC 10 19i9
Preu�iGeG By 9ate Boara ot Ta� Lommissioners
To Be FileG in ouoiaa�e
CLAIM FOR NOMESTEAD PROPERTY TAX CREOIT FOR YEAR 19�
SEE BACK FOR FILING INSTRUCTIONS
��(We) V ;�r����� �• '� l�Z� certify that on the 1st day of
✓�arch, 19�7R 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:
'. �"'e��� d01�-d08b�
are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in � County �� Township
Taxing District (Gii�y-��v+rr Township): Q��'�-^-
Parcel Number or legal description shown on tax statement:
i CT r . � /�2 J G /��f c� % — � — � � 1 ` �/
If buying on contract: Owners
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: County Township
��here y certi�t� above em t- is true, correct� d complete.
. /C. '�i�i��ce /Gyr=lv `�
'SlgnnNre Sheet AEOress City. Siat a�a z�o �oae
' 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 �r �
Residential Improvements u� Y Dwelling
��
,UN 14 y91�arage
Tot
Other Improvemenis
�r� � Improvements - Line (�s � qua15�4��S�R
P��by certify the above is true. correct. and complete.
True Cash
Value
(7) e5 00
(2) 3 8 0
(3) � 80
(4) � a �Ro
�s� —
cs> aaa90
(7) a 3 �o
�8� a �c, 3 �
Assessed
Valuation
_ �
••
� � �
j/�jjj�jjj/
��������
� :.
.
: .
Homestead
Valuation
/70
�����
(o- S -79
Da�e
J�� Date: /
►�� o��-�.
.. . �liiE f01[\I!!%/ IIL'/ YNI
.vrmn�ener�r�nenunnr w.��.�rz.m.
Gibson County Auditor
101 N Main � � � ' �
ITPFASURFAfU0.4 :SIA
PRINCETON IN 47670 Indi.idua(s anJ �nrriN mupks arc limi¢d to oce home�cad sandard �lunioa As Nc rtteipt ol �hi dnluction become,
morc beneficial. ihere is morc incenme dun oer Por M1omeateael GdW. Ilomesrad faW caus6 hi�hcr ta� bills (rn aIC rhert(ac.
� HEA I�A-i-]O(19 rcquim b�poren who rami�t ihe hwnestrad >Wndard deductian m verilY that �hey are eli_ide to recene the
benePo anJ �u pnn'ide �kliGonal identiiyin_ fnfortnatiun nem'vn ia allow counq� wrrmmeni ro W.trei muni�or homese:xl
fili�.�. This infnrmmion will br Aqv con(Ceminl and r�n nnly tx: accecvJ hy authariurt cnuntr o0iciaii.'fhe IXpanmem of
�
I�cal Gm'cmmem Firtim�e xill u.e this fntorma[ion to awtc twle tha� x�ill h:ln ��rv officia� elimmne Mmnesxad GauJ.
a,,,
William R Hasselbrink
3003 S 350 E
PRINCETON IN 47670-8803
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�g Add�s (number ond sttcet �
04 3 .� �S'l� �
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rirstl
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Address (Number and svee4 cily, sia�e, and ZIP uHlc)
T•rxna��er Name Prnoertc Address
Hasselbrink, William R
�? 130� ila7 1/
� Pdficeton I\ �7670 Q v
��� 3 S�s��
flyj rce o H� lil/ `1%%!°
�
State Parcel Yumber Le2a1 Description
26-12-27-400-000.808-027 OOa-OOeoa-oo PT SE 27 210 e0.00 AC
D-10 i
i
__ _ _. ._�__'--'�" __. �'__ _
Snme ns pmperty oddrev . � _. -...
,/VL{ %�, JO �
5 digiB) O�h<r (pleace specify in Pan 4 below) '�
f
;
i
M�aai�
� $ame :u pmpeny addrc�s
Olhcr (p'c�sc spccify in Part 4 bclow�)
undersigned cerrifies, under penalty of pequry, that the above and foregoing infortnatiun is we and correct and that he or she is elieibte to
;e the homestead standard deduction on this property. Each undersigned also understands that, by claiming additional homecaead deductions
,�fully, he or she may be liable for back taxes and subsiantial financial penalties. '
I S€'y� urc �n (�tc Telephone ��
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