Homestead_RhodesFONM HC 10 1979
Presai6ed By Staie Boartl ol iaa Commisslonen
To Be FileO in DuDlica;e
CLAIM FOR HOMESTEAD PROPERTY TAX CREOIT FOR YEAR 19 �`�
SEE BACK FOR FILING INSTRUCTIONS
�(We) �J�-�! /1� 4h�.-,� �• d d-�-�--/ �� certify that on the 1st day of
,arch, 19� I, (We) occupied as ur principal place of resi ence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned - OQ(p - b i� yq .
❑ are buying under contract
❑ have a beneficial inte est in the taxpayer
Property Description in �,c_�..-.+. County �a�'� Township
Taxing District (Giijc^.T.ewn; Township):��'�-�—
Parcel Number or legal description shown on tax statement:
Qf' E�'� NE'% /o-a-ii �/�J
Ii buying Ofl contract: Owners name ��ee simD�e owneq
Contract recorded in Recorders Ofiice - 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:
I hereby certify the above statement is true, correct and complete
�i�f . ; o, , � / (�G _ �, ., / 'aDA � � Y/ . _, . , o`-
5veet Aaaeess
County
�
Township
�uv. ��a�e ano c�o wae
' 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.
Land not exceeding t(one) acre immediately
surrounding residential improvements
Other Land � �
Total Land
R ASSESSOR'S USE ONLY
True Cash
Value
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f �� �i
� F 7
E.. x,,.° .i •
Residential Improvements :, itiDweHi �4� � ° � �
.,�.. - J�I�
Garage �5� � �'-O
p Co f 30
ti
Other Improvements �' � (�) "�
AUDITOR � �3 0
Tc+ � Jmprovements - Line (6) plus p) equ s(8) (8)
I�by certify the above is true. correct. and complete.
Signamre oi nsseswr
- ACTION BY AUDITOR -
Assessed
Valuation
I "7 P
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% : . :.-
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Homestead
Valuation
/ 7 0
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Date: �- �4 "%�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
•
� 1RFASURE0.ff10.411A
A�YMTE11
IitdiriJuals and ma:rieJ mupic. are IimitN �o ore hnmvead �tanJaN dcdu.iion. As �he recatip� of tNS Jeduction 6econus
more beneficial, ihrrc u more incrntire �han e�er (or homesteacl &auJ. Ilomeittacl fraud causes higher tac t�ilis for all: Jsrcfae.
HEA I+4-i-?01@ requim U�paym who reccire iM1e hanestead standa�d Jnluaion w.erify �hat thcy are cli_iMe to mcei�c the
benefit aM ro p�w�idr adAitiunal idrntin�im_� intormauon nem-.irc �o allw' counn� gmrmmmt ro bette- monitor homenead
tilinN�. This inforrtutim w'ill br Lep canL�!cntinl anA r.m only h: atcrsnt b�' aWMriznl roumy officia�i'ILr Ikpannrcm nf
i
Lucal Gm'emm<m Finanec �� ill uss this inlormation W oreau twls �Iwt �ci0 hdp cvunty affwials diminoic homestead &auJ.
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T•rsoa��er Name Propertc Address
I
Rhodes, Larry E
Itr 3 [30�.252
Princeton IN I47670
7$7 __ __ _ _'
Larty E Rhodes
2533 W 50 N
PRINCETON IN 47670-8560
�i�u��ui�i�����u����u��ii�u�i�n��n��uin��ni��n�����
State Parcel Number Lesal Description
26-11-10.200-001.649-02�6-o15as-00 PT E NE 702 71 1 AC
1' � I
Own<r 1 First Middle I Lazl
!� R-Q C. I,, o� E S
� ig Addrtss �numbcr m�tl sstt[, nry, smm. end�uY'coticj ' -'-- �Snme us pmpem odd�;- '—� ' '
J u) s� n� , a� L� � 6 o E�,J 9[ C/�dd C FS S� �
Sceol Sccurity NumLe� (last i diGLS) Drivcrs LicensdState ID Numbcr (last 5 digi�) Other (plcue specify in Pan 3 bdow�) I
—
Last
N�a- NII� ,�l A �
Mailine Address (Number and stree4 di)', siate, und ZIP coAe) � Sumc:u pmpeny a�ldress �
/✓ Ir
Social Sccurirv Numbcr (lu� 5 digits) Dnvcrs Liccnu/S�atc ID Numbcr Qa;t 5 digiu) Othcr (picuc spccify in Part» bclow) I
N� 5op N �-
. . �
Each undersiened certifies, under penalty of perjury, that the above and foregoing infortnatiun is trve and correct and that he or sfie is elieible to
receive the homeslead standard deduction on this property. Each undersi¢ned al>o unders�ands that, by claimine additional home�tead deductions
unlawfully, he or she may be liable for back uxes and substantial financial penal�ies. �
Oxncr 1 Signznuc lhm 'I'
SpoucSifmacu. Uatc Tcicphonc
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