HomeMy WebLinkAboutHomestead_Scott (7)FORM HC 10 7979
PrzscriDeU By State Boara ol Taa Commissioners
To & FileE in Wplicate
CLAIM FOR HOMESTEAD PROPERTY.TAX CREUIT FOR YEAR 19 7�
SEE BACK FOR FILING INSTRUCTIONS
�(We) ��'��, +� �`-�- � certify that on the 1st day of
March, 19�, I, (We) occupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in � Coun
Taxing District (Cif�vwrrTownship):
Parcel Number
�D� -01741
_ �°t-��� Township
or legal description shown on tax statement:
�1�. itll.cJ��s< /S - Z- io ( /�7J
If buying on contract: Owners name �'re 81mple ow�e,� '�
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.
,, n
'SignaWre
���
AOOress
County
Township
ana Zio Coae
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 improvements
Other Land
Total Land �
Residential Imp�ovem�nts � � Dwelling
'i1�1. 2 � 1979 Garage
� /��L�f-fi� Total
Other Improverrfe�fs ti
T Improvements f Line (6) p1���7r�p�quals (8)
I ��eby certify the above is true. correct. and complete.
Signamre oi nssessor
� -
Approved
True Cash
Value
(�) �o 0
(2)
(3) � D O
ca� 99 Eo
�s� —
cs> 9 9 8�
��� 7 c
(8) ,D�S�
Assessed
Valuation
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Homestead
Valuation
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Co- /5�-
Date
Date: ✓� � l`
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
0
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.1�rRl�.'ED
IndiviJual,. anJ rturriN coupla are IimiiN m onc hnmcxeaJ uand�N d,du.�ian. As the retttipt ol thiel JeJcetion beconrcs
more bemficial. therc is morc incenm�e than e�er (or humnm:vJ G.mJ. Ilorrc�ead frauJ causes hieter ta� 6dk (ur all: thercfore.
HEA liii-20(!9 requvn uapaym x�ho reccivc Ihc hanes�.ad slanda�d Jedurtion �u rcrity �ha� ehey yc dicidc lo mccnt �he
6enefit anl ro pia'ide aJJitionai idrntin�im_ infurmatiun necrsvn� to allw' rnunty gucemment ro beve� muniror homrsea0
cr�t:, n,�s ��r������� ..;u x Gm conli�?rntial and �n only 6t arcre.cA M amMrizeJ rnunty nifivixl+ Ihr Ikpanment nf
Local Gmrmmcnt Fi�unm �cill mc this inturma[ion w crcam [wL+ �ha� �rill hdn �'W��4' ufficials dimin, ic Iwmcstcad PmuJ.
3488
Michael D Scott & Etal
do Thurman/Martha Scori
2609 E Top Hat Rd
PRINCETON IN 47670-8850
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undersignetl certifies, under penalN of perjury, that the above and foregoing ir.f'urtnation is we and correct and that he or she is eligible to
�e the homestead standard deduc�ion on this propehy. Each undersigned al;o ur,derstands that, by claiming additional homestead deductions
rfully, he or she may be liable for back taxes and substantial f nancial penalties. I
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