Homestead_Phillips (5)FOHM HC f0 1979
PrescriDeE By Sute Board ol Taa Commissioners
To & FileE in Duplicate
CLAIM FOA HOMESTEAD PROPERTY TAX CREOIT FOR YEAR 1�
SEE BACK FOR FILING INSTRUCTIO ��
,(We) 7 1'�rtify that on the 1st day of
,��arch, 19�, I, (We) ccupied our principal place of resi ce 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 interest in the taxpayer
Property Description
Taxing District (Ci4y; Fewn, Township):
Parcel Number
If buying on contraci: Owners name �'� "'"a° °""ef�
Obb - o��a �
��-�-�+- Township
or legal description shown on tax statement:
�i� 5��/y i-z-�o �.$8A�
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: County Township
�hereby certify the above statement is true, correct and complete.
, Q � �. �
'Signa re ' Svee Oeress Ciry. State ena Ziv Coae
1
O
' Individual either owns or is buying under a con[ract that provides he is to pay the property taxes
on the residence, or has a beneficiat interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Tru� Cash
Value
Land not exceeding 1(one) acre immediately
surrounding residential improvements (�) � ��o
Other Land � � � ,rj � (2) �b ��
Total Land `�J (3) ��a
Residential Improvements �U� ��I��9 �4) J O 7�--o
�f .� a 9e (5' —
� �']1Nf.a� (6) / 07zco
Other Improvements AUDITOR ���
T�� ' Improvements - Line (6) plus (7) equals (8) (8) / 07�-0
I.�by certiTy the above is true. correct. and complete. �
Assessed
Valuation
j�jjjjjjjjj
jjjjjjj/�j��
• +
- �L+]
�
�
Homestead
Valuation
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- �� 0
L-//-7
Da:e
Date: � - °Z�' -7 "�l
. ' '�.
•Gibson,County Auditor
101 N Main
PRINCETON IN 47670
� � � � �
APR 9 �uw
SIiRtOA}I!�KIR:/YNI
hWividua� aod in�rtiN coupkti are limi¢d io onc hnmexcaJ sandaN drJu.�ion. As Nc �meip� ol Nis�dedun'wn beconm
morc benencial, there is morc i(rcrntne Wn err (or M1omn'teyl frduJ. Ilome»eyl fr.wd nuses hi�M tac billi tm all: thertfae.
HEA 13J3-?(N19 requires mxpayen x�ho mceive Ihe Iwmeslcad siandad �Y.ifuc�ion m.eriiy tha� �hey am c�;iMc m rraene thc
�fii an1 m pnn�ide y4fiiiunal iJentiirin� infurm:rtwn Mce.san' to allw' counp' ea'rmment ro betrcr1 monimr homrsm;xl
fili . This inlmmmion will be Aery mnf.drntial and e�n nnly tk aam.eA br amlwrirN munq' of(¢inB;7T�r IMpanmrnt nf
Gm'<mmrn� Fimm'< will mc chis informa�ion w ncatc muls Ihal will hdn cvmrv o(ficial. dimin�rc humcsrcad trauJ.
Taxna�•er Name
Phillips, Mary M
_ ��� ��
GIBSON COUNTY AUDITOR �
3401
Mary M Phillips
1703ESR64
u
a? �3ox
1'rinceton I\
PRINCETON IN 47670 State Parcel Number Leeal Des
26-12-09-300-001.52G027����52rroo ai
✓
Add�ss
Address (�umber anJ strm4 rily, sta�e, anJ "LlP cuik)
Sauriiy Num6cr (last S digics) � Drivds LiccnsclStatc ID Nianber
Middle
�!; /l, 5
Snmc ¢s pmpcm addiess
� s;�� :� P�y��y ma�,
� Mlow )
��
210 1.88AC
mdersigned certifies, under penalty of perjury�, that the above and foregoing infortnatiun is we and co�rect and that he or stie is eli4ible w
e lhe homestead standard deduction on this propeny. fach undersiened al;o undentands ihat, by claiming additional home:itead deductions
fulh�, he or she may be liable for back taxes and su6stannal financial penalties.
I Sigc.uuc Us�c Tcicphone �
7/1�_ ��% ���� ;. �_ 9_`1i,in �
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