HomeMy WebLinkAboutHomestead_Moade (3)wan+ nc io is�s �
ReSCnGed By State BoarE of iac Commissioners
To Be FileO in WD��cate
CLAIM FOR HOMESTEAU PROPERTY TAX CREDIT FOR YEAR 19 �9
SEE BACK FOR FILING INSTRUCTIONS
�(We) ��'f-'Q-�� ��-�°-�-t ����- �• certify that on the 1st day of
�vlarch, 19 %�, 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:
� (We) �owned ��.013y�
❑ are buying under contract
❑ have a beneficial inter in the taxpayer
Property Description in i��"'-"'` County �� Township
Taxing District (City—Tewrt; Township): ��-O�
Parcel Number or legal description shown on tax statement: y
Q� . CJ ��z S c.c� �i.F / s� - -z - � � � '�
If buying Ofl contract: Owners name ��� simo�e owner�
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 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 cerNfy the above statement is true, correct and complete.
� ������
'Signature
Sneet
County
Township
�� �����
Gry. State ana Ziv �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 -
True Cash
� �, Value
Land not exceeding 1(orie) acre imm�iat� '
surrounding residential improvements (� 1 S°�
Other Land �'��r� u� I�79 �2� �� c
Total Land
Residential Impro�ts � �' Dwelling
AUDI70R Garage
Total
Other Improvements
T�'-'.Improvements - Line (6) plus (7) equals (8)
I�aby certify the above is true. correct. and complete.
Sigtu:ure ol Assessoe
Approved
(3) � o i c
(4) �o S �o
(s) —
(s� �880
(7) �`�G
(a) 7 � 70
�� ' - ACTION BY AUDITOR -
Assessed
Valuation
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Homestead
Valuation
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Date: � 7
Gibson County Auditor
101 N Main
PRINCETON IN 47670
•
STATE fl1RY!).'MIII_'l�'rvl
InJi��iduaL anJ rturricJ rouples art IimitN to onc homcucaJ :aandanl J�yluaion. As the rttript ot Utis�Jcdunian bccomc�
merc beneficiaL �herc is morr incentnr ttun ner (or M1omes�eyl fnud. Bomrsmxl fraud causa higher �a� bills tur all; the¢fwe.
HEA GA-f-'_009 requim u�pacen who n�rivc ihe hanestcaJ �mndard �vlunion m ccrifr that ihcti are eiiyiblc �o mcei.c ihe
brnef,� an1 ro pmrid< aJditional idrnuirin_ inturmaaon necY.'vrc ro allw' crounrv ernrmment ro b:ver munimr Iwmcsrc�l
filing+. Thiz infomuiinn will M Aryw mntidemial mA r.in nNy h: aattcuJ by awhariuvl counry ofTaiols.l'fhr Ikpanmcm nf
Local Govcmmcm Piwncc will usc �hi� in(urmation w crcatc ¢wls �hat will h:ln cvunn' oliiciais elimma�e humesrcad fiauJ.
1087 . � � - ' '- � - �
Robert H Moade
1206 S 250 W
PRINCETON IN 47670.8169 '
�i�n��ni�i��n�ni���ni�n�nn�����n�i�u���ni��n���n�
Taaoarer Name
Moade, Robert H Life Est Etai
Ra Ro. .
Princeton IN
State Parcel Number Leeal Descriotion
26-11-14-300.001.344-027 OOfr01344-00 PT W S�N 14 2 11 12.00 AC
� D 17 I
(numbcrand'atl¢I,cirv,s[atc;and�LlPcode) � - -- ---- --
� n - .
��OiO -�i
al Sccurity Numba (last i
� `�
.4ddress (Numbcr and Aree4 ciry�, sta�e, anJ ZII' code)
Stturiry Numbcr (lazt 5 digi�s) � Drivcr+
prupen�-sci.lrw ----f.. _� _
spccify in Pan 4 bclax�)
� Same:u pmpeny add+cas
spccify in Part 4 6clow�)
mdersigned certifies, under penalry of perjury, that the above and foregoing infurmation is we and correct and that he or she is elieible to
e the homestead standard deduction on this property. Each undersiened al>o unders�ands thaS by claiming additional homeslead deductions
fully, he or she ma�� be liable for back ta�ces and substanrial financial penalties.
I SiEmawrc Dau- 7'elcphone
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