Homestead_NelsonFOflM MC 10 1979
PrescriOeO By Stale Board o� Taz Commissianers
CLAIM FOR HOMESTEAD PROPERTY TAX CAEDIT FOR YEAA 19 � y
To Be FileE in Duplicate
SEE BACK FOR FILING INSTRUCTIONS
�,(We) 1L�a-e-�.� /.J�ih,ra-�-t,.� Li-�.• ✓��7La.�t2�`�<-��y that on the 1st day of
March, 192�, I, (We) occupied as our pri � ipal 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 intere� in the taxpayer
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Property Description
Taxing District (Cif�.-Iewa-Township):
Parcel Number
If buying Ofl contract: Owners name ��� simo�e owner�
d��-o�yy3
��--��- Township
or legal description shown on tax statement: �
�t E ��: � � ���-t / .� - a- i o �//`j")
- Contract recorded in Recorders Office - Record
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.
AOaress
County � Township
ana Zi0 �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(one) acre imme�tely�
surrounding residential improvements (�) �`oo
Other �and ��ur� ? 5 1979 (2� —
Total Land .�_
Residential Improvements • � ������9
AUDfrG'�'iage
Total
Other Improvements
T�Improvements - Line (6) plus (7) equats (8)
I,,,,,eby certify the above is true. correct. and complete.
SignaWie ol Assessor
//
(3) �� d
ca) ia 9Po
�s� �
(6) � a 9 80
(�) —
�g� /a 9 80
- ACTION BY AUDITOR -
Assessed
Valuation
/ 70
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: �
. , •
�—//—
Da�e
Homestead
Valuation
/ 70
Date: _�o - /-S- %9
�. (.
Gibson County Auditor
101 N Main
,, PRINCETON IN 47670
�
0
3507
�n / Marietta Nelson Jr.
71 E 50 S —�
inceton IN 47670-8871
u��iu�i��n�iu���ni�u�i�N
llR 2w��
Address (numbcr and strav, city, smtc,
32�/ ,� .SoS
lRlASIIACRfO0.4iS1A
PAFVRIBm
InJiciduaL. and im:ricJ coupla are limi�ed �o ore honx�caJ �andaN Jidunion. As �hc rtteipt ol ihii dcdunron becomcs
more beneficial, therc i. morc incentnc Oun e�er (or FomesrcaJ fraud. Ilom veal frauA <auses hi�her �ac hills (or ali: therefore.
HEA I�ii-2CU9 «qvim uapaim .cho rttrirc the hanestraJ s�andard Jr�luction m m�ity �lui thcy me cliciMe m mcenr �he
bznefi� an1 ro pnn'ide :Kkliiiuml iJemii�'im_ infurmatwn iucez'vry io allw' counn� gmcmmrnt to M_ue monitm homatt:d
tilim� . Thi+ infomuiicu� x�ill Fe Aqv crnli�leniial anA can onk h ama. uJ hy amlarizN rnumy ofiKial•� "ITe Ik7wnmcnt of
Local Gwcrmncm Fi�um'< aill uw this infonnation W cr<a:e 4wls �hat a'ill h:lp mmm' of�ial. dimivte homesteal fiaud.
Taxpa��er Name
Nelson, Darwin / Jr Marietta Louise
R? Bax
I'rinccton 1,
� State Parcel Number Leeal Description
I I I I I I I I I I I 26-12-15200-001.443-027 006-01443-00 PT E NE 15 2 10 1 AC
i i�i n� in i�i � i� � C'� (
I�'IAol�!'� � �.
Addrns (Numbcr and e-�rttl city, siaie, nnd ZIP cale)
Liccnsc/Sta[c ID Numbcr Uaa 5 digits)
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:L.to�
pmpem�oddrezc
a eduM�
(U� Lso r�
pmpenyadd1cs
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Each undersigned certifies, under penelry of perjuq�, that the above and foregoing infortnation is we and corrwt and th•rt he or she is elicible to
receive the homestead standard deduction on this propeny. Hach undersiened also understands that, by claiming additional homes�ead deductions
unlawfully, he or she may be liable for back taxes and substantial financial penalties. (
Own<r i $i�meWre Us�c Telcphmc �
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