HomeMy WebLinkAboutHomestead_Jines (4)PORM HC 10 19i9
Prescri0ed ey State BoarO of ta. Commissioners
CLAIM FOR HOMESTEAO PROPERTY TAX CREDIT FOR YEAR 19 79
To Be Filea in Du;licate
SEE BACK FOR FILING INSTRUCTIONS
�(We) �O�E�2T � E �LO.eiff „/inJES certify that on the 1st day of
March, 1979 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:
I, (We}-8�owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in �i�`35o.✓
Taxing District (City, Town, Township):
Parcel Number
If buying Ofl contract: Owners name ��� s�moie owneq
pb(v - 00�'r9 �
/-ATOKA
w
Township
or legal description shown on tax statement:
fX' SF �f S-.Z -io /� 5��f /�
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.
/I _
County Township
ana
' 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 ihe taxpayer.
- FOR ASSESSOR'S USE ONLY
Land not exce�g �(on�acr�m ia ely
surrounding re enti I im ve s�'
Other Land
Total Land _�•`' � ���9
Residential Improve�nents / ,,/i{k _�
l Cl ,L' � 'd.� eti
�� AUDITOR
Other Improvements
Dwelling
Garage
Total
T�Improvements - Line 6) plus (7) equals (8)
I....,eby ceriify the abov��,true. correct. and complete.
True Cash
Value
(7 � Soo
�Z� L3o
(3) // 30
(a) /7zSa
�s� —
�s� i7z8o
Assessed
Valuation
: .
jj��j��jj
����������
. •
��� 6 5�0 -3°° �-+-a
�a� i�9zo $�S4�a
� s-�
Dare
T�1\�.;'��������Ji�
Homestead•
Valuation
/70
/ .
��jj/�j�/
���������
���� �ate: �S �97%
[l{{[ ft10.N �!KIN:! ��MI TRE4W AG fO0.Y-S1A
' VfRy.'E�PTAUtPMR�nFMYV�pTS.Tx PRIANpFDUYTIC�E�MTtF�T<rtLMTI[IOVERIlMI:ATiM�9CF.IfH.1-L-s.l
Gibson County Auditor !
101NMain '� '�' • � � � 1 �•�• • ��
PRINCETON IN 47670 � �
"fnJiciduaL. and nufriN caupks arc IimitN to onc hmircMCaJ wandaN d:�lu.tion. As �he rcreipt ol thie; Jedunion becrnrcc
morc brnaficial. therc is morc incentnx llun e�er (or humeitesl &aud. IlomesrcaJ fraud cau� hi�her Iaa bills (or all: �herefore.
• L, r(; �FIEA ���Q� rcqvirtm uaparm who rcccirc ihe hanestced s�andud dniuction fu .xrily thai �hey uc cliciNe to maci.e �he
y� � benrfi� a�io prtw�iJe >klitional iJentitrin_ infwmatwn neca.sarr to allw' cwnq' grn'rmmrnt to W.ner mmiror Aomesrc:rJ
�����filityp.'Ihis inlnrmalion xill M lept contideNial and nn only M acce_ud Ay wtMrimd rnunh' nfficials� "fAe Ikryunntcm of
'--y�f Loc ' emmem Pivnce will ux �his mturmat�on W cre,m 4qb tha� x'ill h:Ip aoanrv ufBciaL. dimm.ne Imm<srcaJ hauJ.
p'(� � . .�. �' 1 -
e!°99M 5QUN7V AUDITOR Taxoarer Name Prnpem• Ad�lress
APR R COIU
_ Jines, Robert J/Gloria Trust �
��J ��
C��� COL�Ty AUDlii�+
Robert J/Gloria Jines Trust
1409 TAFTOWN RD
Princeton IN 47670.8610
���n���������ii��i����iu�n�n��iun����ni��ni�i�ini�i��
State Parcel Number
2612-05-400-000.997-027
�
R3 fbz
1'rincelan I\
Leeal Description
OOfr00997-00 PT SE 5 2 70 76.478 AC
C-1 �
1 �
Owncrl OOgt�(�( Fim �o.vnfN:�✓ naiddle fiA/EI �az�
R
— �g:1,',�ras (m�nb:r and �o-:.ct: city: r.:.::: mid Z:^:cd:) -- _-- - _ - - '�/ �Samc s pm�ny edd�c. . � . .
l�foq f 7kf�o�,✓ Rd pR�n/cE7o�✓ r,v y����o �
Socu�-Sccurity Numbcr (last 5 digiu) Urivc's LicenvJState ID Numbcr (lut 5 digil) Other (plcuc sptciCy in I'art 4 below)
r �
Spou;e First Middlc �NEJ I �t
(r� oF /A �u,✓E I
Mailin� Addrcss (Numbcr an�i svcel city, siaie, and LfP cuJr) �-S:une u pmpeny add+ra;
��1�9 L" / fff TOw,✓ Rd• PIQ/NLETo�/� S.U• �f767o
Social
�
Each undersigned cenifies, under penalty of �pury�, that the above and foregoing infortnation is we and correct and that he or s6e is eligible to
receive the homeslead standard deduction on this pmperty. Each undersigned al>o understands that, by claiming additional homestead deductions
unlauiully, he or she may be liable (or back taxes and substantial financial penalties. j
Owntr 1 Signature Uate,/ 7'clephonc �
�p,tT C��/ %�- 7— /O (
. U,� -Ge-9— �
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