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WPM HC 10 1979
RescriEeE By Scaie BwrO ol Tm Commissioners
TO & FiIW in Duplkate
CLAIM FOR HOMESTEAD PflOPEflTY TAX CREDIT FOR YEAfl 19 � 9
BACK FOR FILING INSTRUCTIONS
y v
.�(We) /� ����� 4'��-�- certify that on the 1st day of
arch, 19� I, (We)� occupied as our principal place of r�ide�ce the Following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) C}�owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description
Taxing District (GitK,�erovr,rTownship): ��'
Parcel Number
If buying on contract: Owners name �'� "'"o'e
a01�-o►��,3-�
nty �� Township
or legal description shown on tax statement:
�'� S LeJ �/y �- z- i i � 7 0 8 9A�
Contract recorded in Recorders Office - Record No
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.
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 -
Land not exceeding 1 (one�re�mme��tel� �
surrounding residential imp m ts
Other Lantl
Total Land
Residential Improvements
,;tiN 1 ; 1979
�/t . � � D �a9e9
� AUDI�P�
Other Improvements
T�Improvements - Line (6) plus (7) equals (8)
I �..,.aby certify the above is irue. correci. and complete.
Signa:ure O� A952550r
Approved: �•� � ��"°�-
True Cash
Value
(i) 35 0
(2) '
(3) �SG
(a) /5�So2c
(5) —
(6) /s�8zc
(�� fl o
(g� /'� !/aa
- ACTION BY AUDITOR -
Assessed
Valuation
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Homestead
Valuation
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(0-��-79
Date
�ate: �'—D.,c�a-c- �`�; / 97 `J
Gibson County Auditor
101 N Main
PRINCETON IN 47670
u
24%6
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Sl VE fORM!lM �R'/ YN1
IndiriduaL. and m�rried <oupks arc limi�ed �o oce IromeyraJ �amtaN Jerlunion. As �ht rtteip� ol Nu dedunion become�
more bemficial, thrrc is morc incentne tlun e�er for homestead fraud. Ilomeaead fewd causss hi�her ta� bills ior ail: therefae.
HEA 13�-1-]IX19 requim �azpaeen v.�ho receive ihc hanesteaJ gandarJ JNuc�ion w reri�y Ihat tAer ye eGciNe to mcci�r �ha
benefi� anl lo p�m'ide a�kliUO�u1 identifcmc intwmatron nece.san to albu' cuunn� earmmeni eo W.tmr,mmfmr homesttaJ
fili��_ This in(omu�ion will be Aery crnFdmiial and can only h: arrrssN by authorized rouny oR�ials. T6e Ikpannmi of
I.ucal Gwemmrn� Fi�uirc< will u.e this iniormaeiun ro crcaR twls ilwt a'ill h:In avuntv ofiwtial. eliminaie haneveaJ fiaud.
Carolyn June Rinsch
2395 W 100 N
PrincetonlN 47670-8563
���n��ui�i��n�ni���u��u�u�i�n��nn��i�i�in�i�i��ui�
Carolyn � June
Address (numbcr and sacct, ciry, smcc, arM ZIN codc) —- � —
2395 W 100 N Princeton, IN 47670
Joe H. Rinsch
Deceased
Address (Number and svee4 riq�, state, and ZIP uxle)
Security Numbtt �lasi 5 digiLS) � Driva's LicenseJSUte ID Niunber (la�,� 5
Taipaver iVamr
Rinsch, Carolyn June
State Parcel Number
26-11-02-300-001.663-
1'rinceton IN
PTSW22718.00AC
' - .� j{' Swrn iti prupeny nd�Lea;. ' ' . .
� Same u pmpeny addrts�
undersigned cenifies, under penalty of pepup�, that the abo��e and foregoing infocmation is true and correct and that he or
�e the homesiead standard deduction on this propeny. Hach undersiened al;o understands that, by claiming additional hom
rfully, he or she may be liable (or back taxes and substantial financial penalties.
I 5iymanue Dstc
: Sipamre Datc icicphonc
Deceased ( 1
I
:lieible to
deductions