HomeMy WebLinkAboutHomestead_OwensFONM HC 10 1979
HeuriEM By Sute Board of Ta. Cammiuioners
CLAIM FOA HOMESTEAD PROPERTY TAX CAEDIT FOA YEAR 1922
SEE BACK FOR FILING INSTRUCTIONS
�cwe> �t,�.a, , `�--a- � " � �,b—
arch, 19�r1, I, (We) occupied s our principal place�of re en
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) Ud'owned
❑ are buying under contract
�� ❑ have a beneficial interest in the taxpayer
Property Description in �-�-�-n-�--
Taxing District (6iFy� Fe�w-Township):
Parcel Number
If buying Ofl contract: Owners name ��� �""D�e owner�
To & FileE in Wplicate
certify that on the 1st day of
the following described real property for
do�o-o►y79
��� Township
or legal description shown on tax statement: �
��t . .V w �/y /�/w % �G - � - /� l' • 9�sB�)
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 certify the above statement is true, correct and complete.
�� � � _
AOOr¢ss
County
Township
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ena Z CoGe
' 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.
� � �- f�i �SSOR'S USE ONLY -
JUN ; ;; i979
Land not exceeding 1(one) e i ed y
surrounding residential im�m � /�����_ '�°=s
Other Land � ����
AUDITO
Total Land
Residential Improvements
Other Improvements
R
Dwelling
Garage
Total
T�'-'- Improvements - Line (6) plus (7) equals (8)
:�ny certify the above is true. correct. and complete.
Signawre oi nssessor
True Cash Assessed Homestead
Value Valuation Valuation
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(6) �%�/-,�a
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Da:e
Date: —(O � �� - � /
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G`ibson County Auditor
101 N Main
PRINCETON IN 47670
702
SliiE f()A,4 �J W Iti/!+MI
�.u.�sueFn mz� zu
fndividuaL. anJ rturried couple arc IimiteJ to ore homc�nJ �a�MaN dtnlunion. As �he rccrip� 01 this dMun'wn bccomes
more benencial. �her< is morr incrntnx ;tun eer ior homesuad fraud. Ilomemazl fiaud <auses hi�hrr tan bil(s ior all: thert(ore.
HEA 1i4-F-]0119 requvrx utpa)en xho rttCire �he Iwmes�eeJ >landard JeJuction m verilv t1u� they arc eli¢iNe to mcci�c �he
brnefii aN w p�m'ide rlJnfowl idenuirmg informatiw rncess�ry �o allw' counrc gmrmmrni to bener �.ronitor IwmestcaJ
nlin�,�. This iniamuiinn xill be Aryw crnlidrnii�l anA nn nnl�� F.: acc�+¢J M1r wihnrirnl rnunry� o1T¢iul..'fM1r Ikryunnrem of
Lucal Govrmmrnt Fivnce �cill u.e this in(o�ma[ion W crcam 4wls Iha� will h:lp counry uf�iciaL. dimimc humesicaJ (mud.
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Tuspaver Namr Prnpertc Address
Owens, Roy E/ Evelyn J
Roy E/ Evelyn J Owens
P O Box 279
Princeton IN 47670.0279
�i�u��ni�i��i��u����u���n�n�i��ni��i�i��ni����ini����
State Parcel Number
26-04-36-100-001.479-027
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POIbr?79 /�
Princrton I\ a7670 � �l
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Lesal Description
006-01479-00 PT NW IJW 36 1 11 1.2952
AC C-1
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Owner 1 , First MidNe Lut
�o y �. �'� � ,,• S
� �g Adaiqs �number end svect: cirv. smre, and Zlr codej - —'--. -'. .�-Sume�nipmperty aidr� -.. '
. O,!3X � 7%. L`7�o d o-�� 5� /� PR �.�a e T.c! l.✓ `f76 �'o
Socul $ccurity Numlxr (las� 5 digiLS) Ihiver's LittnsdState ID Nmnber Qut 5 digils) Other (pleue specify in Part 4 beWw) '
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Spouce First Middle � Laay
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Mailing Addrcss (Number and �'Iree4 riry'. ���e, und "LIP cuik) � S;une ai pmperty �d�i .
P � t3 o x � 7 z�o � o-t�C 7 � r�. PRin/c tr�✓ 1�! `/7G7o
Social S«
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Each undersicned certifies, undzr penalty of pequry�, that the above and (oreeoing information is we and correct and that he or sh: is elieible to
receive the homestead standard deduction on this property. Each undersicned al;o understands that, by claiming additional homes!ead deductions
unlawfully, he or she may be liable for back tares and substantial financial penalties. �
Owncr I Si lurc � Dam 7'cicphonc
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