Homestead_King (3)FOflM HC 10 7979
Preuribe0 By State BwrG of Ta� Cammiuioners
✓
CLAIM FOR HOMESTEAD PROPEATY TAX CREOIT FOR YEAR 19 � o
SEE BACK fOR FILING INSTRUCTIONS
�(We)� �� (n � ���-�'°f certify that on the 1st day of
arch, 19�0 ,(We) occupied as our pri ipal place of r' ence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
To & FileO in Duplicate
I, (We) ❑ owned
❑ are buying under contraci •
❑ have a beneficial interes�t /in t�he taxpayer
Property Description in ,s�-�-�-r'^' County
Taxing District (City, Town, Township):
Parcel Number
If buying Ofl contract: Owners name ��re simple owner)
�Olv- DI�q3
Township
or legal description shown on tax statement:
�. it1 CcJ ��y- /S- � - i/ �/9c.
Contract recorded in Recorders Office - Record No
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.
� Q , 11 n ' `-iC.',._a ( �.�/ �2 ff'5.,, �L7i_ H
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 the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre immediately
surrounding residential improvements
Other Land �����
Total Land
Residential Improvements 1980 Dwelling
�np•r 7
G/T �i � L�./il�4�(�.i!
Other Improvements AUDITOR
Garage
True Cash
Value
�i� �oo
(2) y`� o
cs) 9�v
(a) �o G �o
cs> —
Total _ (6) �3-0 � �-v
(7) _
T�Improvements - Line (6) plus (7) equals (8) (8) � o �a--�
I-,...aby certify the above is true. correcl. and complete.
Sig'umre ol
- ACTION BY AUDITOR -
Approved:
Assessed
Valuation
/'o
Homestead
Valuation
/ 7v
S-io- 80
Date
Date:
- -- �
,.:. j
SIATEi1M.\I!!HI�(�+MI ITFfAS11AE0.Po0.41IA
n��rzm'FI�BYCI�ttM�RUOFnrt�LL'la.ry�u ��.EXAIOm�Yi11[�VMTff.YIfiLIXAL�LYNpRiR:AV'EIC.bI.I-i'il
Gibson County Auditor �
101NMain '�' � � 1 1 '•�• • � •
PRINCETON IN 47670 Indicidua� aud ma:riM couplec a�c limittd w oce homc�eaJ aandaN JeJunion. As Ne recrip� of this dtdce�ion bcconree
more beneficial, therc i� morr ixentive ttun ecer (or Fome�rcaJ BauJ. liomra.ead faud cauxs hi�her ua bi;ls for all: thrrtfore.
� HEA 13�t-l-?009 requim iaapa�e� Mho recei.�e i6e homesicad sundarJ d�-�iuction m.erilr ihn e6ev are el�;sible io mcene �M1e
I��� benefit an1 to praide a�ktitional idenuirin_ infomurun Ma.vrr to allw crounn gmrmment ro Nnu monitrn IwmesttaJ
� �ilit��. This inlarmation x�i0 6e AryY mnfidrntial and can onl�� h: acresseJ by amMmeJ rnunp' o(fitials. �The IApanmem of
I.oral Gmertm�ent Ffnante will u.e this intormanon m crcam twL �hat aill h:Ip mw�N ulficial. dimnum Iromes�caJ fraud.
'�' �' � �
— APR 1 2 zUw
`��a ���
519GIBSON COUN'�Y AUal�p�
Taapacer Name
King, Robert Eugene / Waughneta G
<!�
I
i
Ri BO% i���
�
1'rince�on 1\ �7670
Robert Eugene / Waughneta G King I
3052 W 50 S State Parcel Number Lesal Description
PrincetonlN 47670-8129
���i���n�����i��in���in�ii�ini��n�i��i�iii�i��n�i��i���I 26-11-15-100-001.093-027 p6-01093-OOPTNW 15211 3AC
— '_—_ .. ._ __ _ ._ ._' _ ✓ _ __ __ __ .
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county tr;easurer.
1 Firstl �
�oh � �--�
�. Addl¢s (number end ;¢ec4 ciry, sram, and ZIP code)
���— � �U S V V"f /Y l,.�T�C �
kcuriry Nvmbcr (las� 5 dieiLt) Ihivers LicrnxlState ID Number Qazl 5 digfB)
�"
� Address (NuiaiSer and Svee4 ci�y, s�ate. and "LII' caie)
l�J�� So � �h'1�.;�
Stturip� Number (lazt 5 diei�s) Drivers LimnsdSU[c ID N�unber (la;� 5
-
$eme ns propem addr¢;
Other (pleue speciCy in Pan 4 below)
���
as pmyerty
O[her (plca.c spccif;� in Part 4
mdersigned certifies, under penalry of pequry, that the above and foregoino information is we and wrtect and that he or sheiis elieible to
e the homesiead siandard deduction on this propeny. Each undersigned al;o understands that, by claiming additional homestead deductions
fully, he or shz may be liable (or 6ack taxes and substantial financial penal[ies. I
1 Sibme�ae Ua�e Telephone �
� ` �{—��-1� �
�
V 5