Homestead_Reneer (3)FORM HC 10 1979
P�escri�e0 By State BwrO of ia. Commissioners
ia Be FileG in Duplicate
CLAIM FOR NOMESTEAU PROPERTY TAX CREOIT FOR YEAR 19 7°j
SEE BACK FOR FILING INSTRUCTIONS
r (We)' /1 EiJcc�Q �%rQRu �+cs ��.4�Jrist iu• certify that on the 1st day of
�arch, 19 I, (We)' occupie a�ncipal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
�- (We) �ned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in LL'L F�i coa � n
Taxing District (City, Town, Township): /"� :
Parcel Number
If buying Ofl contract: Owners name ��ee s�mpie ow�erl
bOh-ol�4b
� � flrJ- Township
or legal description shown on tax statement:
�T .iu�'�t ; /-2-// 3��4e.t�-S
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:
I hereby certify the above statement is true, correct and complete.
-� � � � ✓/ �// l w i7 � .
� _
ntlaress
County Township
r
6 �
Giry. Sca:e na 21� Code '
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 reside�l i�prov�ent� �
Other Land
Total Land
Residential Improvements�UN N 7 1979_ Dwelling
�/ /'/�`k .—{�-� Garage
, � � =d�� Total
Other Improvements � AUDlT042
Tot � Improvements - Line (6) plus (7) equals (8)
I��certify ihe above�is true. correct. and complete.
True Cash
Value
( i ) j'oo
( 2 ) �-a-��z°
(3) F�-O
�4> s7� o
�s� -
(6) s%� v
1�) `�
Is) �7G u
Assessed Homestead
Valuation Valuation
/_70
�� 3/0
�` —z�-7�
oa:e
Date: �(/ J
STNE FOF4!) W �0. / w+l 1%FASllLLER Po0.N YIA
Gibson County Auditor �
101 N Main ' � ' � � • . � • • � � • � •
PRINCETON IN 47670 IndividuaL. and in�,-ricJ coupla arc limi�ed io orc hnme�tcaJ �tandaN �duc�ion. As �hc rmtip� oi thi> AeJuaion becrnies
� murc benefiNal. �Me is morc irrcrntn�e ihan e�er (or homntea�l G,md. Ilomeivad fraud causes highrr tai bilk (or aIC thertfae.
• i
T� a �� HEA I+li-7IX19 requves uapa�m �'ho rece�cc Ihc hancstceJ <�ndard ANucuon m rcrify dui they are eLCiNc io recen�e the
�_ +� d benefit aN to p�m�idr aiWitmiui identiirfm in(wm:rcwn Mces'vry to allw' ewnry� gm'rmmmt ro bener'munitw Iwmesrr:W
p ■ �ilin�,�. 71iis inlorttu�inn x�ill M Aryv confidential and can only M. acresseA br autharived ronnh� o1Tmi��ils. il hr Ikpanmenl of
1L �J I.ucal Gmemm<m Fifu�rce �cill mc [his intormanan W<rwic t�vls thai x�ill h:ln camn' olix'iaL.� diminaic hwnesrcaJ fiauJ.
APR 1 4 [UlU
GIBSO� UN� AU�ItOR
1307
Jerry Lee / Wanda Lee Reneer
724 Old Hwy 41 N
PrincetonlN 47670-8304
���i���u��i��n�������iu�n�in��i��nn����u���i�u�i�i���
1 F�rst
c�e rv'y � P�
c Address (nuinbcr and stteet city, sta�e, anA ZIP codc) " — �.
a�- o�d u s H� 4-� /�� � v
Securiry Numbn llast 5 diei�s) Uriver's Liernse/Statt ID Nmnber (lact 5
Taxpacer Name
Reneer, Jerry Lee / Wanda Lee
Rr i lkit
:e�on I\
State Parcel NumAer Leeal Descripiion
26-11-01-302-001.646-0�7 ��� �� PT S W(1 2 71 3.58 AC
l� �-� I
�
Afiddle
/�� Yieer
— �r�` ,' Sume m pro(�ny uidres;— '
�ti��t��z ,L�e /�e�'Iee�
g Address (Number and stree4 ril�', stale, and LIP cu�k) ��S�une ati pmpeny add`a-i
2� C'J(c� cQ S � �- i/v �<< ! 1 v� !� 7670
Each undersicned certifies, under penalry of perjury•, that the abo��e and foregoing infortnation is we and coirect and that he or she is eligible to
receive the homestead siandard deduction on this propeny. Each undersigned also understands that, by claimin¢ additional home;tead deductions
unlawfully, he or she may be liable for back taxes and substantial financial penal�ies. I
O..�ner I Sienaiwe / Uetc