Homestead_OnealP�ewi�e0 By Slate Boa�d ol !a. Commissfoners
CLAIM FOR HOMESTEAD PROPERTY TAX CREUIT FOR YEAR 19�
SEE BACK FOR FILING INSTRUCTIONS
�Ne) �6T-P�"' °�', � �"�- � I� certify that on the tst day of
9il6rch, 19�, I, (We) occupie as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) �owned �O�—oo���'0U
❑ are buying under contract . •
❑ have a beneficial, interest in th�e taxpayer r, � �
Property Description in ��� �T!
Taxing District (City, Town, Township):
Parcel Number
Township
or legal description shown on tax statement:
�i� . S'asw'� �-a-rl �•4�,
If buying Ofl contract: Owners name ��ee simDle owneq
� •• Contract recorded in Recorders Office - Record No. 5 e
j�
If any poriion oi 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 tpap�du�el�t�9me
�du��n L o�
Any olher counties in which individual owns or is buying real property:
��reby certify the above statement is true, correct and complete.
County �
�,��,�%� ���� %�� 6 S�w. /
Y� .. .. .' s�,�i nm,�: cr;. s,i� a�e z�cm��/b���
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 -
a
Land not exceeding 1(one) acre immediately
surrounding residential improvements
Other Land
Total Land
Residential Improvements
Dwelling
Garage
Total
(�)
(2)
(3)
�a�
(5)
(6)
True Cash
Value
Other mprovements (�)
Tot�orovements - Line (6) plus (7) equals (8) (8)
I hereby certify ihe above is true. correct. and complete.
Signamre ol Assessor
- ACTION BY AUDITOR -
p.
Assessed
Valuation
Daw
Homesiead
Valuation
Date: �" °��-��
�
Gibson Caunty Auditor
101 N Main
PRINCETON IN 47670
n
1305
96nald V/ Mary Ann Oneal
760 N Otd Hwy 41
PrincetonlN 47670-8304
I�I��II���I�II��I���III���I��I���I
�` , - y
Address (numlfer und �trcct, i
GD N. G
:curil} Numbn (last 5 digiu)
���� �
llAlE fMM �!KIR / HMI
InJiriJuai. and inar�iN couple are limi�cd �o orc homtucaJ xamlaN JcJunion. As the recerpt nl tltis �JcJuctian bccomcs
mort brneficfal. thrre fs morc fncenme than emr (or homritrad :rewl. Homraead frawi causa hi�her �aa biIIs lor all: thereiarr.
HEA I i�4t-?0(!9 requim m�pa.rn who reccive the hanestmd .tmdard JNuction w rerifr tlut ihey are eligiMc io recei.c �Ae
brnrfit an1 m pmeide a�klitimul iJmtiPrin_ infumutiun necr<san� to allw� ewnn' grnrmmrnt �o Mtrermonlror humesrcaJ
Iilieq.�. Thix infomu�ion xill 6e Aryv crnCArntial anA c�n nnly h arresuJ hy aNMriiivl munly nfiicials.�l'Ae Ikpanmem nf
L�al Gmcmmcm Pirtinm will uw this intormation ro crcam twls that will h:In councv uffi�ials diminalc Iwmcsmad fraud.
Taxoe��er Nemr
Oneal, Donald V/ Mary Ann 6�� �'y
Rs �3ox
nceton IN
) State Parcel Number Le�al Descri[
26-11-01-302-000.508-027 ao5-0osos oo PT S S
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�o I V� I !J �N�'�t �—
s�ete,-and�"LlYCUdcj � �Iw+�pruFxrtyaidr�s
� /� �/ �e.;��r.,�,�
fhiva's Lica�sdS�a ID Numbcr (lac� 5 digiL) Other (plmst sptci[ in Pan 4 ax�)
=
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a �,� .9�� �—.
!! .4ddress (Number and sVee4 rii}', 5tate, and "LD' cude)
�b . D�.D ��u / �
I o�� �L
.1-7.S;+me ac propeny ad�
CI
� �-.� � 76 7
� pMiCv is Pen 4 bclow;� —
ach undersiened certifies, undzr penalry of perjury�. [hat the abo�•e and foregoing infortnation is true and co�rzct and that he or
xeive lhe homestead siandard deduction on this property. Each undersi¢ned al>o understands that, by claiming additional hoR
nlawful , he or she may be liable for back taxes and substannal financial penalties.
wner i �� � ����� Uxte 7'cicphont
� � � u 16, ($�
_
V 1 2 11 2.42 AC
6 70
to