HomeMy WebLinkAboutHomestead_Morrison (2)FOHM HL 10 1979
P�eunGeE By State BoarO o7 ia� Commissfoners
io Be iileG in Ouplkate
CLAIM FOR HOMESTEAO PROPERTY TAX CREDIT FOR YEAR 19 7 9
SEE BACK FOR FILING INSTRUCTIONS
�(We) , ��� ���f-�-�- certify that on the 1st day of
�vlarch, 19�, I, (We) occupied as our principal place of residence th ollowing 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 N �-�-��
Taxing District (G�ty-�vwrr; Township):
Parcel Number
If buying on contract: Owners name ��� simple owneq
dOlv -D136�
��"�°` Township
or legal desc iption shown on tax statement:
�,��. .2// �/4•7�Ati,
Contract recorded in Recorders Office - Record No. Page
Ii 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: County Township
,� hereby certify the above statement is true, correct and complete.
' Individual either owns or is buying under a contract that provides he is to pay ihe property taxes
on ihe residence, or has a beneficial interesi in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land not'exceeding 1 (one) _acre immediately
surrounding residential improveme�r j�, �
Other Lantl � �'�
Total Land �� �
Residential Improvements�U� �� i9�g Dwelling
Garage
�. �, A� Total
Other Improvements � ;
T�•�� Improvements - Line (6) plus (7) equals (8)
�by certify ihe above is true. correcf. and complete.
Signamre o� Asseswr
True Cash
Value
(�) 50 0
(2� �oo
�3� /300
�a) b ��-o
(5) —
(g) 8`�ao
(7) /`fe�0
�s� 9 8 so
- ACTION BY AUDITOR -
Assessed Homestead
Valuation Valuation
/70
�_ --'
(v80�-p- %
� �
��_q-p—
�o - �- 7�7
Da:e
Approved: � �/ 5�it�g� ,s� Date: �- 2? �
�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
�
imrcwuan anu rtu:nw mup� are umnrn �o nre nomcxcau vanauu ucuucunn. .�s mc rereip� oi w: ueuunwn occonxs
morc bcneficial, thrrc is more fncencne dun e�er for M1omesteal fraud Ilomesrad faud causes hi�her us bills ior all: thercfae.
HBA Gf-t-?O(19 rcquim taiparen aho rrceive �he hnnes�rad >undard JeJuaion iu .<rily tlut thep am e�i¢iNe �o rttei.r �hc
benefii aml io p�w'ide a�M1iUO�ul iJentii�'im_� fnformanun Ma.'vn io allw� counn gmrmmrnt ro beller mmiror homesteal
filin�.'Ihic inlormiiinn xill M Aryu mnlu'eminl and esn nnly M1c accrs.eJ hy amhm'vcA rnunry� oificiuls�'fhe Ikpanmem nl
Loc�l Gmemmem fiv�rce �cill me thi> iniormmivn w crcau 0.vls �hat o'ill h;!n ttwnrv ohTidaL.� dimmatc homcslcaJ Baud.
Dorothy Morrison
� i�9til���sn/
PrincetonlN 47670-8532
I�I��II���I�II��I���III���I„I��I�I���II���I�I��I�II�I��I���II
Taxnacer Name
Morrison, Dorothy
l�R w..i2sn�
I'rinceton IN
State Parcel Yumber Leeal Des
26-05-40-211-001.36fr027 oos-o136s-ooPT
c-,
✓
�217170 7076AC
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Owner 1 First hlidNe I Lut
d/oro"��t /�`Ifi�lE ��'ri3e r
ig.Addrt3s(numbcienUivecf.city.�stflic.eiidZlY�code) ' �' — '— ' ' >mncx,pmycrtya3d�ti �-- r —
�� a� w. a a n/ I
$ocial Sccurit)' Numbtt (last 5 dieils) Ihivu's Litt2�e/SUte IU Numbcr (laz� 5 digiLS) Other (pleae spaify in Patt 4 bcbw) (
�—
Spou;e First Middlc ( �
Mailine Address (�umbcr and svee4 �b'. siate, and'GIP codr) � S�unc u pmpeny addrta; (
Swial Saurity Numher (lasc 5 dicits) D"m•crs Liccnsc/Sta[c ID Niunbcr (1a,-t 5 digi�s) OcM1cr (plcazc spcciF in Pan 4 Mlow�) I
smrc
�
Fach undersiened certifies, under penalry of �rjury, that the aboae and foregoing inFortnation is we and correct and that he or sFie is eli4ible to
recei��e the homesiead standard deduction on this property. Each undersiened al;o understands that, by claiming additional home��cead deductions
�unlawt'ully,heorsfiemay'beiiableforback�taxesand�substantiul�financial.pe.nalties..__ __ I
Owna I Sibmallac [h�:
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Spo�a;eSi�ma[ure Datc Tcicphonc (
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