Homestead_Hudson (3)fORM HC 1� 19i9 l io Be FileG in Duplicate
Prewi0e0 By $Iaie Bw�a ot ia. fqmmi55ioners � �
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 7 9
SEE BACK FOR FILING INSTRUCTIONS
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�(We) a�� �p- ��_�-+-�-� �� N`�• ���y— certify that on the 1st day of
��narch, 19�, I, (We) occupied as our prir� ipal place of residence the following described real property tor
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned OO(p'DOq/q
❑ are buying under contract � !
❑ have a beneficial interest in the taxpayer
Property Description in ��-� County ��� Township
Taxing District (6kq-Fowr,rTownship): ��—�'��
Parcel Number or legal description shown on tax statement:
C��. Nw'%. G- Z-�o ��� 1
If buying Ofl contract: Owners name ��� simole owoeq
Contract recorded in Recorders Office - Record
If any portion of the residential structure or the land, not exceeding one (t) 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.
`i�
' Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a bene(icial interest in the taxpayer.
FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre imm�te�
surrounding residenti�( m�over�nts
Other Land y �'
7otal �and ��� � g ig79
Residential Improvements Dwelling
� ���+/-�2tL�C�"rage
'� Total
AUDITOR
Other Improvements
T� -' Improvements - Line (6) plus (7) equals (8)
��zby certify the above is true. cor^ect, and complete
�
Sig�mre oI Assesw�
True Cash
Value
'(�) /.25�
(p) S°
�3� /300
c?l �� 930
(5) !
cs� � i 9 3c
Assessed
Valuation
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;TION BY AUDITOR -
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Homesiead
Valuation
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Date: ��__��_�
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
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Leroy F / Katherine Hudson
1415NSR65 -
Princeton IN 47670 ,
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�g'Addnv (num
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al Smurit} Numb
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�nc Address (Number and svttti cii}', stale, anJ "LIP cuik)
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ii Sccurity Numbcr (lazt 5 digicc) Drivcfs LicrnsrJSU[c ID I.wnbcr (Iz t 5
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1'rinceton M 47670 (�
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State Parcel NumAer Le�al Description
26-12-06-100-000.919-027 ���1s-oo aT NW 6 210 2 AC
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Middle
i�y�s��
f� u �i1 a �
� Same v pmpem� add�ess
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undersigned certifies, under penalry of perjury, that the abo�•e and foregoing inPortnatiun is we and cortect and that he or she is elieible to
�e the homes�ead standard deduction on this propeAy. Each undenicned also understands tha�, by claiming additional homest�ead deductions
�fully, he or she may be liable (or back taxes and substantial financial penalties. I
1 $fgnat�ve Dete Telephonc