Homestead_McDowellWPM HC 10 19i9
Preuri�eG By S�ate Bwrtl oi TaK Commissloners
To Be fileE in Duplicate
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19Z`�
SEE BACK F FILING INSTRUCTIONS
� (We) a� � / ` ��--�^�-�-P- ��+ -�»^ �� ' � /��� certify that on the 1st day of
�vtarch, 19�2, I, (We) occupied as ur principal place of residenc� the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned bD�•D�y�O
❑ are buying under contract '
❑ have a beneficial inte est in the taxpayer �/
Property Description in �-�-4--^^ County ��'�+- Township
Taxing District (r� Tn ° T^wnship): ���a-
Parcel Number or legal description shown on tax statement:
��. LCJ �i N�"��i� /�� Z- i o�/• o.s� .9)
If buying on contract Owners name ��� simple owneq
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 [hat
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...,�,L� ��G` d��� .�2t�z ;
Sneet
County Township
� � ��G �a
City. Stare ana Zio Gooe
' 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 -
True Cash
Value
Land not exceeding 1(one) acre immediately s�-o
surrounding residential improvements (�) �-�
Other Land (21 -'
Total Land � � � � � (3) ��
Residential Improvements Dwelling
.+U�� 1_ 5 19/9 Garage
// �T j�t a�I
Other Improvements � , /��2�k'_,��Ceit�
T' Improvements - Line (6) us (7) equa19U�1'OR
',�eby certify the above is true. correct. and complete.
Signamre ol Asseswr
�a� /7a�o
�s� —
(s) / 7� 3 v
��� a so
(s) � 7 � 80
Q
Assessed
Valuation
�-7 a
��
l.20 4-�'
Homesiead
Valuation
�
Cv- /�-79
Da:e
�a
- ACTION BY AUDITOR -
Date: �`�/ � �
/
u
Gibson County Auditor
101 N Main
PRINCETON IN 47670
3506
fIARlOR)1 �!MIL /�W I
m.Etisua[n nw.0 3.0
InJividuals anJ marrieJ toupb arc Iimiitd �o onc hom�ucaJ otandaN Jnlunion. As the rereipt ol �hia dedunian bttromes
morc benencial, iherc is morc incrnme than e�er for homrste:d GauJ. I lome>�eaJ fquJ cau.scs higM taa tills tor nll; therefore.
HEA 1i33-_'OIW requim uaparers who reccire �he hanesteed .mndaed Jnlunion m.cri(y iM� �he�� am elieiMe io rccci.e ihe
brnefii aN tu pnxidr 011(IIIIUNI idrntiiyine inWrm:rtion nett:'vn� to allw� counn� gmemment �o bner munitur hun��e:xl
lilin,p. Thi� inlnrmuinn xill M Aryv contidemial and can nnly M arrrsed hy authneiicd rnimry' nfleiuls The Ikpanmem n(
Lucal Gm'<mmem Pinance ��ill u.c thfs fniormauon to cmatc ttuls �hat a'ill h:Ip camn' offirial> dimfauc Iromahad FauJ.
, • ' , . ' .
Taxpacer Name Propertc Address
McDowell, Mary E "� �O � F i op Nr� r r� �
-R'"-nor361
Mary E McDowell
3102 E Top Hat Rd
PrincetonlN 47670-8861
�i�n��in�i��n�n����ni�n�i�n�u��nni����niu�i�ni���
State Parcel Number
26-12-15-200-001.420-027
�
1'rinceton 1\ -17fi70�
Leeal Description
006-01420.00 PT W NE 15 2 10 1.056 AC
C-7
1• 1
O�.�ner I First hliddle La4
fJ � � �� �o �.✓ E `L
g Address (num nnd ittect, city, smte, and ZIP code) '--- — -- -- --�' Snme nk property oddrtss -- —�' "` -
,�/oa2 E To p�iR ;/� D. pie rNc E ro,�/ Tic/ /� �� ��
Swial $
First Middle Last
M1failine Address (�umber and slreeL cil}', sW�e, nnd "LIP code) �$ame ati pmpeny addrev
Social Stturity Numbcr (laat 5 digirs) Drivcrs Liccnsc/Statc ID Niunbcr (lai� 5 digi[;) Othcr (plc�sc spccifv in Pan 4 bclow•) �
sox
�
Each undersigned certifies, under penalty of perjury, that the above and foregoing information is truz and correct and that he or she is eli4ible to
receive the homesiead standard deduction on this propeny. Each undersigned also understands that, by claiming additional homestead deductions
unlawfully, he or she may be liable for back taxes and substantial financial penalties.
O�.�ncr I Si�mnhue Uaic ielephonc
Cp �% e N izc-�r.�J `f/� /D �
Spou�e Sigtuture ��� Telcphone /
\ /
11 � �' 1