HomeMy WebLinkAboutHomestead_Nelson (5)FORM ML 10 1979
HescriGeG By State BoarC at 7a. Lammissioners
To ee Filed in Ouplicale
CLAIM FOR HOMESTEAO PROPERTY TAX CREDIT FOR YEAR 19 � 9
SEE BACK FOR FILING INSTRUCTIONS
��(We) V�-^� ��-�� �• ►� certify that on the 1st day of
vlarch, 19�. I, (We place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed: _
I, (We) � owned DD�-0/yyS
❑ are buying under contract
❑ have a beneficial ir!y}iere�st i�n the taxpayer
Property Description in R�-^� County O� Township
Taxing District (SiE}�-�ewrr, Township): ���--.�—
Parcel Number or legal description shown on tax statement�a a�3h
i-r
07 i-•�o
If buying on contract: Owners name ��� simo�e
Contract recorded in Recorders Office - Record N
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.
�P,P. #,
S:reet n0aress
County Township
aiq zip
' 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 i�prov�ents� �
Other Land �
Total Land
Residential Improvements._i'JP� :; 1 ���� Dwelling
�` Garage
, �/ Total
Other Improvements (�lI AUDITOR
�T^� i Improvements - Line (6) plus (7) equals (8)
by -certify the above is true. correct. and complete.
- �, �-�
Signa:ure ai nzsessor
�7
True Cash Assessed
Value Valuation
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( i ) � ' �m � -�-Y%
(2) �
(3) .�-.�O
(a) /O 81 0
(5) "
(6) /O $ / o
(7) So
�g� /os90
- ACTION BY AUDITOR -
�
Homestead
Valuation
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oa,�
Date: a � �� �
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•
Gibson County Auditor
101 N Main
PRINCETON IN 47670
�
Donald D Nelson
2773 N SR 65
PATOKA IN 47666
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n.cssuau wx� au
InJiviJuaL anJ mattiN <oupla arc Iimi�eJ io onc homc.araJ uandaN dnluaiun. As iha receip� oi �his�dedunion 6ecoma
morc brnefinal, thrrc is morc incrntnx tlun e�er for homestexl fpud Ilam veaJ fmuA ouses higher �u bills (or all; fiereforc.
HEA 13di-?fN)9 raquim ucpa.m xho receive ihe hanestcaJ uanduJ �kvluction m.rri(,v tfut tM1<. are efeiMe �o mcenr th.
brnefit anl ro pmeiJe aekliiional iJentiiyinc inWrmatiun ncx�r.vn tu allw� aounty gm�rmmrnt �o baner muniror honxsrc:xl
tili��.'fTis informa�ion will 6e F.e�a con�idenlial and nn nnly h� atm uJ by amMri2J cowu�� n(Tciuls,The Ucpanmm� nf
Lucal Gwcmmem Pwirce wili u�e this iniomwtion w crute 4vls �ha� will h:In camn' otTicial. dimm:.m hum<stead freud.
Tasoacer Name
Nelson, Donaid D/ Barbara A
State Parcel Number
2s-os-aai o�/-ooi .aasoz�
✓
R I Box 173 (((��� ,(��
Pa�oka 1\ 57666 /) 3 N 1U
� a�� ��
Leeal Description
006-01445-00 PT LOC: 707 1 10 2.273 AC
c-, i
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Spou;c Firt Middlc � Las�
�Q.rdara �YII'1 /v� �SD�'%
Mailine Address (�umber and �7ree4 ��)'. s4ne, and "LIP coJe) �,S:une u p`opem' eddres+ I
a r/ %3 /✓. �S�a.f.e �� �,�, /�a�o!(a, �� �f 7GG�O - 9 � / 0
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Each undersiLmed certifizs, under penxlty of perjury, that the abo��e and foregoing information is true and cortect and that he or slie is eligible to
receive the homestead standard deduction on this propeny. 6ach undersiened also understands that, by claiming additional home>tead deductions
unlawfully, he or she may be liable for back taxes and su6stantial financial penahies. �
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