HomeMy WebLinkAboutHomestead_Reinhartwun xc �o �v�s
PrescriDea By Sute BoarE of Taz Gommissioners
To & Filed in Duplicate
CLAIM FOA HOMESTEAD PROPERTY TAX CAEDIT FOR YEAR 19 � y
SEE BACK FOR FILING INSTRUCTIONS
�(We) � � %k � certify that on the 1st day of
.+arch, 19�, I, (We) occu ied as our principal place of residence the following described real property for
which a Homestead Property Tax C�edit is hereby being claimed:
I, (We) ❑ owned 0b� � Q�(p�
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Descriptian in ����- County ���a�^� Township
Taxing District (Citq�own; Township): 0�-�-%�--
Parcel Number or legal description shown on tax statement:
�`-• sw'�n 9-2-.0 ( . �g.gJ
If buying on contract: Owners
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.
svre� nmress
County Township
. �7� �O
Gty. S:ate ana Zio �e
` 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 � o�m� � �
Other Land
Total Land
Residential Improvements ��N 2 t� ig7g Dwelling
Other Improvements
�% �/�/�u2�Garage
�� Total
�� AUDITOR
True Cash
Value
�O D
( � ) �-�6
(z) —
(3) (�^sf"a
�a� /3 800
�s� —
�g� / 3 8c�
(7� `�loc
To+��-Improvements - Line (6) plus p) equals (8) (8) /`�� ��
I�oy certify the above is true. correct. and complete.
Assessed
Valuation
/ 70
�a
��j�jjj/
. � �_
Homestead
Valuation
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Da:e _ _
Date: ��z�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
3427
Jack E Reinhart
1855 Outer Lake Road
PRINCETON IN 47670
�I.VEfDRY!�W 12'lHnl
1R�ASUAfR fORV 11A
InJiriduals and msrriN muplce arc IimitN io orc hnme3eaJ uandaN JNunion. As the recetipt of ihu dNuction beconx:
murc bcneficfaL �hrrc is more incentnr than rcer (ar hamcstead frvuJ. IlomesmaJ fraud causs hi�hrr tn bilis lur all; thertfae.
HEA I;4-t-2IX!9 requim uyraren who rccivc ihc hanenmd smndarJ JcJuaion to .erity �he� �hc} am cligiMc w mcei.e the
brnefit anJ ro pmeidc aJJitional iJentifi'in_ informatiun r�ece.mn to alluw' county gm'rmment ro beucr munii�r humeste:wl
tili��. Ihis infotmatinn will he AqM mntidenlial a� ran nnly M accr: ud M1�� nuthnrized rountp n�licials. "1'hr Ikpanmem nf
Local Gm'<rnnrnt Fiiu�rce will u.c ehis iniortnuiw to vcatt hvle �hat will hclp cv�mn� offcials dimii�,ih humes�<ad Fraud.
� � � � � � -
T•rspacer Name Propertc Address
Reinhart, Jack E Etal
1&?s outerlakeRD
Princctnn IK 57670
State Parcel Number Leeal Descrintion
26-12-09-302-001.635-027 006-0163500 PT SN' 9 2 10 .69 AC
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OWner I First � - Afiddle `/��� LaS�
acK- �
ig ddress (number o/nd ��street, r/irv, smte, and ZI code) n � Samc n� pmpem addlw
�b��� (SlCl�.PJZ� C�K�' 7LQY - ---^- — -
Socul Stturity Numba (las� � diC�LS) Drivds Licenx/Slate IU Nmnbcr (list 5 digils) Other (plcsse specify in Part S below)
� �
Spou'.c First Middlc Lazt
Mailing Address (Number and s1rce�, cily, �mlc, and "LII' caie) �$ame xy pmpertr add�
Sociai Sauriq� Number (last 5 digi�s) Dnvers LicenselState ID Niunber Qast 5 digits) Other (plcue spccify in Pan 4 bclow)
svs
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Each undersiened certifizs, undzr penalry of perjury, that the abo��e and foregoing infortnation is true and colrect and that he or she is zlieible to
receive the homesiead standard deduction on �his property. Each undersiened also undzrstands tha� by claiminc additional homestead deductions
unlawfully, he ot she may be liable for back taxes and subsianrial financial penalties.
Oancr 1 i�mnwrc Da�e Tdephme
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:c Sipumtt pytc Tcicphone
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