Homestead_HaukeFONM HL 10 1979
Prewi0e0 By State BoarE ot Ta. Cammissfoners
To Be FileU in DuO���ate
CLAIM FOR HOMESTEAU PROPERTY TAX CREDIT FOR YEAR 19 �`�
SEE BACK FOR FILING INSTRUCTIONS
'�(We) s-- ,, ��-'�-�-e-�- ��� ��'� (• certify that on the 1st day of
�iarch, 19�, I, (We) occupied as our princip place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
� (We)�owned �O�p - Do814
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in � County ���'"' Township
Taxing District (C+Ly..Jewn, Township): �a-�--f�-^—
Parcel Number or legal description shown on tax statement:
v.s
��. �%a dJ�a cS�E�/,r ��-/—�o /.3' �
If buying on contract: Owners name ��ee s�mme owneq
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�/�/ertify tyh,e�bov tate ent is true, correct and complete.
.Q�CQ�'�/ / �/ C�����2��l�LC�/
. �'-,�.2 .-u��'�. . a�. . y ��; 7 a
'SfgnaNre SVret AO..re55 Gity. Sca e ana Zi0 C�e
' Individual either owns or is buying under a contract that provides he is to pay ihe 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 Improvement�
� � � �welling
Garage
- � • � ' ��`� Total
Other Improvements ��/ /
Tor�i Improvements - L,'�,(6 plus"�7)-�equal��
:�by certify the above � frue. correct�Cand�Fcomplete.
Si9�ture ol Asseswr
True Cash
Value
(�) �3 �O
(2) a 8 0 0
(3> C�3oo
(4) /-S-�ao
�5� —1 99'a•c�
(6) / � r/n n
�>> � q ���
(8) /S�oo
- ACTION BY AUDI
Assessed
Valuation
•
I �
-�-- .
�j��jj��
%/,/,%%
. _
��l.—�—�-
� �
Homestead
Valuation
G — �— �9
oa:e
Approved: ��-Q . /1�.��. Date: � aA/979
•
Gibson County Auditor
101 N Main
PRINCETON IN 47670
81$
IndiviJuaL. anJ inarriaf coupks arc Iimi�N �o nnc homcucaJ aandaN JNuninn. As �hz receip� of �his Jaluninn bccomc,
morc beneficial, thae is morc incrntnc than e�er (or honxstead frauJ. Ilamotead frawl cauxs hi�her tac hilk (ur all: therc(ae.
HE.\ I i�4f-?1N19 requim uxpa.m �ho receire t6c haneviceJ c�anda�J dnlunion w.rrify �ha� ihey sre diciNe w recci.c tM1e
benePo and ro pnr�iJe aJJiiional fdenuirinc iniomwuun ixcesvey tu alluw' counp� ememmrnt ro betki munitor homese:xl
tilin��.'ILix infmmuinn will M Aryw c�n�idemial anA nn nnl)' M. accrsuA M' amhnri�eJ rnuny olTiciuR.'I'hr Dcpanmcm nf
Lucal Gm<mmem Pi�urn�e ��ill u.c this inioemazion w crea[c 0.vin �hat will h:lp cairrty otScials diminam homesicad fraud.
� � � � � � -
Tn�pavrr Namr Prooert�' AJdresti
Hauke, Donald J/ Helen M �gss /✓� ��� R� 6s
!' ___i� �—n"�`-�,,.
� Princcryon I\ i7670
Donalil J/ Helen M Hauke
-R3�Box.-i&8_.. � g� � N ST!! TE t��.
Princeton IN 47670-8502
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Savrity Numbcr (lasi 5 digiu) Ihiver's Licenx/Siam ID Nmnber (lui 5 digib)
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First
�L� �
g Address (Number and stree�, city, swie, xnd ZIP cuik)
i��'a /�/ s%flT� ��-Y• lo� �
Stturib• Numbcr Ou� 5 dik��l lhivcr's Liccnsc/Statc ID Nwnbcr Qa � 5 digi[s)
� State Parcel Number Leeal Descritition
26-OS-31-400-000.814-027 OOG00814-00 PT E �� SE 31 1 10 1.80 AC
C-1 '
V I
�,[�k
Sumc ati propen- ou.'.r.�, a
� Same uti pmperty addres�
�Q !
undersignetl certifies, under penaliy of pzrjury, that the aboce and foregoing infonnution is true and corrzct and that he or sh,e is elieible to
:e the homesiead standard deduciion on ihis propeny. Fach undzrsiened al>o unders�ands that, by claiming additional homestead deductions
��fully, he or she may be liable for back taxes and substantial financial penalties. �
I SiFnaLVC _ � � Uete Telcphone ,
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