HomeMy WebLinkAboutHomestead_JacksonFOftM HC 10 19i9
Prescri�e0 By State BoarE oi Tax Commissione�s
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 79
To Be FileG in Duplica�e
�(We) `n�-�--a-$-�. �`"-0.�—� �' �� certify thai on the 1st day of
arch, 19 �91, (We) occupied as our p cipal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) � owned
❑ are buying under contract
O have a beneficial interest.in the taxpayer
Property Description in �-�-a-�-T'�'
Taxing District (Git�c.-Zewft; Township):
Parcel Number
If buying on contract: Owners name ��� simv�e owner�
Ob�'4b979
��"' Township
or legal description shown on tax statement:
�d- ill ll�'��l ,t� N � �y � - z-�� l �-.'-c /t )
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:
�hereby certify the above statement is true, correct and complete.
Aoore55
County Township
Gry. 5tace aM 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 -
t
Land not exceeding �n� acr�mm�tel�
surrounding residenti m ove nts
Other Land
Total Land ���� 2 � �97g
Residential Improvements Dwelling
�/ ���arage
vi �
AUDITOR Total
Other Improvements
T� Improvements - Line (6) plus (7) equals (8)
I.._.aby certify the above is true. correct. and complete.
Signa:ure of nssessor
True Cash
Value
(1) SC o
(2) 3 lo 0
(3) �' � O
(4) / o �o
(5)
(g) ip�o
Assessed Homestead
Valuation . Valuation
i 7 O i 7 O
(7) � � t�
�g� i o � a —�S�o
� - �-79
Date
- ACTION BY AUDITOR -
Approved:—_�� ���� Date: —L��1�—
�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
1362
ai�rzroRai.�w�Ri..r�
IndiriJuaL anJ mtitiN rouple; arc limimd �o orc homestcaJ �andaN J<Uuni�m. A� Ne mctipi ol �his Jaxluction Fecome�
morc beneficfal, thrrc i. morc incentice than rcer (or M1umrstexl fnm1. Ilomes�eaJ frdwl cau.se� highrr ta� bills tur all: therefae.
HEA 133A-'_009 requirts uxp�ren ��ho receire Ihc Fames�e�d siandard Jnluctiun m.eri(y ihn ihey mc el ¢iNc m me.i.e ih.
brnefit an1 to pnn'idr additimui idrntii��ins inWrmauun necesary tu allw' counp� earmmrni ro betmr�munircm homes�eaJ
Iilirp��.'lliis iNUrmatinn x�ill Ir Aqv contidcntinl and r.m only M. acec��eJ b�' wlhnrivcd counK n(Gciul>(IM1e Ixpanmem nf
I.ceal Govcrmn<nt Pinanc< ��ill u.c this infomution w crcau nvls �hm �riil hcln ��N oiMials dimiia�< hcmrcstcad iraud.
Flore Jackson
� R3 Box 264
PRINCETON IN 47670-8402
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'Sg .qdAtcss (numher ond ivett.-ciry. >eam, end Z[P cudej - - -
r 3�� y� -: F7 �- ecJ O./�-we.e�
cial5ceuril} Numbn (last i dieiLC) Driver's Licensertale ID
�-�� �
Address (\umbcr and �tree4 cilp, sWlc, and ZIP cuJe)
(lu[ 5 dieits) � Drivcrs Liccnsc/Statc ID
T•rsoarer Name
Jackson, Flore
State Parcel Number
26-11-OS-200-000.979-027
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1'rince�on I\
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OOG-00979-00 PT
D-1-18
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s pmperry cddress _ —'-
70
�r �plcuc spcciCy in Pan 4 bclow)
� Samc u p`openy addrca�
in Pan 4 below)
f
)/V
I �7�W
5 2 11 4.20 AC
undersi�med certifies, under penalry of pequry, that the abovt and foregoing infortnution is true and cortect and that he or she is eligible to
:e the homeslead standard deduction on this propeny. Each undersi¢ned also underslands that, by claiming addilional homestead deductions
rfully, he or she may be liable (or back taxes and substantial financial penalties. I
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