Homestead_Schmidt (2). c�{t{{n0.\1!1K�IL`/��N� � 1PfAS�IAERPo0.N�F1A
.\�f0.mE1�PT�!\TEIXM0.D(K.✓[�R:TI.F�rI pRF4l11pmpYT1(DE�MTff.Vil�F�I�CTLCA\'cRYN!lAiiR.:�VfEI('bl.l�'3.1
Gibson County Auditor
101 N Main � � � ' � � � � � � � � � � �
PRINCETON IN 47670 hWividuals anJ rtu:ried coupla are Ifmiitd w nre IromeiteaJ �taiMaN Jedunion. As �he rmtip� oi �h'i Jeduction becomr
mere beneficial. thrre is morc fncrn:nx tlun r�er for homeiteaJ frauJ. Ilome»ead frewi nuss hi�M tu $ills Iw all: therefore.
�� ��� HEA IiJi-3009 rcquirt5 taapren who rceci.c iAc hanes�eaJ s�andaW Jtttuction to .eri( �hat th<y ac :IiciNe to reccnc the
Mnefil anJ fo pnn'ide addiLO1u1 idemiirinc mforma�wn nemvrc �o allw' eounp� gmrmman �o bcner mumror tqmeseaJ
i
iling... Iliis iniorrtu�inn will 6e Aery mnlideniial anA �n nnly h: acce:.eJ hy amMrizeJ couni�� n0eivl:.'I he Ikpanmrm ol
, Local Gwemmem Fieu�rce will ua this mfurmanon W creau 0.vis Iha� �rill help ev�ain� offiial. dimi�ive homesrcaJ fraud.
APR 1 g �uw
QI880�OUN�� IT�3R
822
John W/ Helen J Schmidt —
1939 N Old Petersburg Rd
PrincetonlN 47670-8511
�i�u��ui�i��u�iu���ui�n�n�i�ini��ni��n��i�i�n�i�n�
� Same u Pmpeny ad�lte>
C
undersiened cerrifies, under penalty of perjury�, that the atwve and foregoing infurtnation is we and correct and that he or slie is eli�ible to
:e the homestead standard deduction on this property. Each undersiened al>o undernands that, by claiming additional homestead deductions
rfvlly, he or she may be liable (or back taxes and substaniial tinancial penalties. I
�
\ /
WflM HL 10 1979 �
Preu�iOeG By Sta�e BoarE ot ia. CommiSSioneu
To Be FiIM in OuDlicate
CLAIM FOR HOMESTEAU PROPERTY TAX CREDIT FOR YEAR 19 �9
SEE BACK FOR FILING
following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned �ip ' �I /,3 °
❑ are buying under contract
❑ have a beneficial inter�e/st n t_he taxpayer
Property Description in �"""'""� County ��� Township
Taxing District (C�—Iau�cr, Township): ����-
Parcel Number or legal description shown on tax statement: �
��.9y
�v� il/ ���. 5� ��,� 3�_ i— i o
.
If buying on contract: Owners name (�� �'mple o.�e��
Contract recorded in Recorders Office - Record No. Pa9e
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.
i _ /1 - „ -
'Signaiure
Svee� Amrezs
County
Township
Ci:y. Scaie ana Zi0 �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 immediatel
surrounding residential imp�m�nt� � �
Other Land
Total Land
Residential Improvements ��� f u 1979
� �/�(�`k Dwelling
—f�
� '�Z(��a9e
AU DITOF�o ta I
Other Improvements
T�' '� Improvements - Line (6) plus (7) equals (8)
I�by certify the above is true. correct. and complete.
Sig�uwre ol Assesso�
True Cash
Value
�t) �oo
(2) �7"�'�
(3) f--�—�'—
(a� i�i�o
(5) �
(6) /L76o
(7) / G o
(s) / 6 `a�.o
Assessed Homestead
Valuation Valuation
300
��°_ i
300
v _ %�%%%%%%%%%%/
= `�j�/���/�j
�, .
.
H- ��- 79
Da:e
- ACTION BY AUDITOR -
Date: ���