HomeMy WebLinkAboutHomestead_LawsonFORM HC 10 1979
HescriOM By Sta:e BoarO nf Tax Commiuioners
CLAIM FOR HOMESTEAD PHOPENTY TAX CREUIT FOR YEAR 19 g�
To & FiIW in Dupliwte
SEE BACK FOR FILING INSTRUCTIONS
�(We) ��"`'� `-'`�-'h'Y-� �'� • E`� �'"�-a-� "' • certify that on the 1st day of
rch, 19 �� I, (We) occupied s our principal 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
❑ have a beneficial interest in the taxpayer
Property Description in �-t-�-a-�' County
� / / '
�a�-.�-+�_.
Township
Taxing District (6ity�awn, Township): 't`�a-C-e-h-.-� o.�-utab .
Parcel Number or legal description shown on tax statement:
�n /. 3 z
Ti�- � it/ CtJ ��4- / `f - .Z - it . S 3 �
If buying on contract: Owners name �'� "nip1e °""e"
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.
anee� noaress
County Township
�iry. a�me arw uV woe
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 �i �i�Cly��
surrounding residential improvemepw 1� ��
Other Land ,�
7otal �and MAY 11 19¢�
Residential Improvements � �
ling
• • R
PVp1j� Garage
Total
Other Improvements
T �mprovements - Line (6) plus (7) equals (8)
I���rtify the above is true. correct. and complete.
r �( , �-�--
Signawre o� A552550�
True Cash
Value
(1) So 0
(2) S o
(3) S $ o
�a� aaa�o
(s� —
�s� a a a c� o
(�) —
(8� aa�(oo
- ACTION BY AUDITOR -
Assessed
Valuation
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Homestead
Valuation
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Dace
Date:
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.\�YRIT'E11MYt��iEyl\RDMNYYy.\it:��`� PFf'XNOm0Yi1RDE�ARI�YIOFLU('ALf�tiVM(TifY<.�\CEICII.I-L'a.l
Gitison County Auditor
101NMain �� � � � � � ��� � � � �
PRINCETON IN 47670 InJieiJuaL� and ma;rittt <oupkw are limited �o orc hnme�eaJ �tandaN Acriunion. As �he rmtipt ol this dcduction become>
more bcneficfal, therc is morr mcrnme itun rwr (or M1ome>teal fr�uJ. IlomnttaJ faud causa hi�her tai bilk ior all: the¢fore.
• HEA 13A-t-11NN requim ia�pacen ��ho recrive ihe hwnes�eed >�andard �4vluction w.xri(y dut tM1<y are eliyiWe m rceei.e �M1e
benent anJ ro pnT'idr :uklnional iJentiiyinc infumi:nwn necr.'vey tu allux� rounrc ga�emmmt ro bener muniror homesrc:xl
filin��. -Ihis iNnrmvion will be l.ep ranli�leniiN mA r.m only hr. aeee�ud M1p nmMri�N emmry� nlTcials. "fhr Ikpanmem nf
1813
Alfred M/ Lois G Lawson
2131 W Columbia Eslates
Princeton IN 47670.9320
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�. Address (Number and slree4 ��y. stale, anJ ZII' cade)
y Numbcr �last 5 dfgiu)
Taxp�rer Name
Lawson, Alfred M/ Lois G
iii�
State Parcel NumAer I
26-11-14-102-001.179-027 006-0�
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R I 13ox i
Princcton IN �
— _ . ' � yj Sumc�ui p�u�n�iynudr<��—' _ -
O�hcr (pleue specify in Part 4 below)
ps:,m� � P��� �aa�
Ocher (plc�sc specify in Part 4 bclox•)
ach undersiened certifies, under penalry of pepury•, that the abo��e and (uregoing infortnation is true and correct and that he or
ceive the homes�ead standard deduction on this property. Each undersiened also understands that, by claiming additional hom
ilawfully, he or she may be liable for back taxes :uid substantial financial penalties.
rn<r I $igneNre Ue�c Tclephprc
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A EST 13114
elieible to
deductions