Homestead_Memmer (2)�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
202
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IndiviJuals and rrt�rriN couple are limiied io one homc�tead �xamlanl Acdu.�ion. As �he rmtipt of tltis dNuction beconx�
more brneficial, thrrc is morc incencn'e than e�er for homes�eacl Gaud. Ilomo�eaJ fraud causa highcr uc bills lor all: therefae.
HEA Gli-7IX19 requ'vn uapa.rn v:ho rmti.e the hanencad s�andard dcJuoiun m.eriiy tha� �hey are eligide �o recene ihe
benefit and to p�m'ide >kliiiunal identiiyin_ infurmation necessarr io aliw' counn garmment �o Nnrr mwiror homesrcaU
filin��. ILis informa�ion will M AeFM eonlidrntial and r.m only Ix� aceecxA br awhor'vavf enunry nfficials. The Ikpanmem n(
Local Gm<rtvn<m FimMC wfll u�c �Ais inio�mation m crea:e 4vls that �cill help cqmry oBinals dimma�e tama9cad Gaud.
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Taspa�•er Name Prnpertc Addrees
Memmer, Danny L/ Mary Alice . �; J�(
R?6orR7� add��55
Princeton 1� 37670
Danny L/ Mary Alice Memmer
2720 E 250 S
PrincetonlN 47670-8729
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undersi�med certifies, under penalty of pequry•, that the above and foregoing infortnation is we and cmrect and that he or she is elieible to
�e the homesiead standard deduction on this propeny. Each undersi¢ned al>o understands that, by claiming additional homestead deductions
�fully, he or she may be liable for back taxes and substanrixl financial penalties.
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FOHM HC 70 7979 To & FiIM in Duplicate
HescriGCd By Siate BoarE ol Tae Cammissioners
CLAIM FOA HOMESTEAD PROPEATY TAX CREDIT FOR YEAR 19 7 9 �
SEE BACK FOR FILING INSTRUCTIONS
� (We) ��o „-. .. r�C • -� � 4i� � �. �i%�rtify that on the 1st day of
March, 192% I, (W occupied as our princip� of resitl�ence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) O owned
are buying under contract
have a beneficial interest in the taxpayer
Property Description in�q'�����A-.�� County
Taxing District (City,
Parcel Number
Qp�_ p�3ao
Township
or legal description shown on tax statement:
.
If buying on contract: Owners name ��� simD�e
Contract recorded in Recorders Office -
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.
Street Aaaress
County Township
•nry. a�ace ana uo �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 -
Land not exceeding 1(one) acre immediately
surrounding residential improvements
Other Land � � � � �
Total Land
Residential Improvements ,
� � L 1: i979 Dwelling
Garage
Total
Other Improvement� �
AUDITOR
7,�' '-7rovements - Line (6) plus (7) equals (8)
��'certify the above is true. correct. and complete.
True Cash
Value
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�a� So 90
(s) aSD
(6) S� 5�D ;
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Sigrumre ol Asseswr
- ACTION BY AUDITOR -
oproved: .�- Q- • /��.0 �-�- �
Assessed Homestead
Valuation Valuation
�'/�9
Date
Date: % — �vZ' %�