Homestead_PridgenFUflM HC 10 1979
PrescribeE By SUte BwrO of Tax Commissioners
CLAIM FOA HOMESTEAD PAOPEATY TAX CREDIT FOR YEAR 19 � 9
To & FileE in Duplicate
�(We) ��x- a• • certify that on the 1st day oi
�arch, 19� I, (W occupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We)`J�'�owned D��� D���
���are buying under contract
❑ have a beneficial intereQs.t{ in� the taxpayer
Property Description in �"-�-�`^-'-^r County �� Township -
Taxing District (C;•y�-r^,..^, Township): ��+� �
Parcel Number or legal description shown on tax statement:
(P� ' �/A )
�E �a �9- �-io
If buying Ofl contract: Owners name ��� simpie owner� ���
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:
County Township
' 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 immediately ��"O
surrounding residential improvements (�) -G-�
Other Land (p) — � b v
Total Land
Residential Improvements � �elling
� � � Garage
Other Improvements �U� 2'7 �9?9 Total
Tn� �_Improvements - Line (6) plus 7)�als
I�oy certify the above �rue�or p ete
SigwNre ot nsseswe
(3) �--3-0
(4) /�-770
(5) —
(g) /5770
(�) —
(g) /S �70
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Dare �
Approved: ✓�- �'� ��/���n � Date: 7 - .2 7 - 7 �
Gibson County Auditor
101 N Main
PRINCETON IN 47670
•
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4132
tLVE Po0.Y �! W IR�! �NI
.\�VRT'E11BT �Iilt. plHRUIIF MY�� 1t_ ryiw
I
IAfAS11FRfOR�1 �SIA=
IndiciduaL and mar�icJ couples are limiied to nne homtueaJ �andaN deAuctioa As �he rmtipt ol �his doductan becomes
nwrc beneficial, thrre i� mae incen[ne dun ner far honxsieaJ fqud. I Ioma�eaJ (mw1 causes hi�her ta� bilfs for all; thrrc(ae.
HEA 13+f-30(1'7 requ'va uapa.en x�ho rcei.e thc hanes�ceJ standard dnlunion �o verily ihai iM1cy srt eli�iMc to recei.e �he
benefi� ami w pnn'iJe :wkliiio�ul iArntiiplm; infurmariun riece>vry ro alluu� eounn ga'emmrn� �o Yt¢r muniror home4exl
lili�g. This in(o�ma�inn will br lepi eonfiiirnlial and nn nnly kt aceesseJ M1� aWtnrvrd mnnh' nlTicivlz "fhe Ikpannxm nf
I u�al Govcmmcm Pinancc �cill u.c �his fnio�mation tu .ream mols iha� x'ill h:ln counn' uFficials clfminate humeatcad (mud.
Carl L Pridgen
1272 E 350 S
PrincetonlN 47670-8744
�i�u��ni�i��n�in���ni�n�i�in�i�n���n��u��n�i�i�u��
9
e Address (number nnd ;ucct i
7��' .�tia�`
Securily Number (las� i die��s)
� ���
e;� I �
s���, �a zir �oa�) _ _ — ._
�R � ���-� � /�
Ihiver's Licenx/Sute ID Numbcr Qisl 5
Address (Number and strce4 ciq�, swte, and ZIP cuik)
Stturity Numbcr (last 5 dieits) � Drivcr's LiccnsrJStatc ID
5
Taspever Name
Pridgen, Carl L
State Parcel Number
2Cs12-29-400-001.562-027
�
Propertc Address
Rr? Nnx 103
1'rinceton IN 77670
I
1
Leeal Descripiion
006-01562-00 PT SE �9 2 70 2 AC
D-10
I
i
� Same as pmpeny adJro.;
�7iccif� in Pan+bciow�)
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mdersigned certifizs, under penalty of perjury, that the above and foregoing infortnution is we and cortect and that he or sGe is elieible ro
e the homes�ead standard deduction on ihis propeny. Each undersi¢ned al>o understands ihat, by claiming additional home itead deductior
fully, he or she may be liable for back taYes and subsiantixl financial penal�ies. '
I $ign��L� Ihtc 7'clephonc � ��
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