Homestead_Scott (10)FORM HC 10 1979 �
HacriEeO By Siate BoarE ol Tax Commissioners
To & FileU in Wplicate
CLAIM FOH HOMESTEAD PROPERTY TAX CREDIT FOA YEAR 19 ��
SEE BACK FOR FILING INSTRUCTIONS
�(We) ��wt� ���'��� �•'� ��'�-`" �%• certify that on the 1st day of
arch, 19�9 I, (We) occupied as our principal place of residen the following described real property for
which a Homestead Property Tax Credit is hereby.being claimed:
I, (We) `� owned
O'are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in �"/1 �^
Taxing District (G+ty,�own, Township): �
Parcel Number
If buying Ofl contract: Owners name ��� %'mple owner�
pQ�- �175�
�ou�nty� � Oa�`�-^-� Township
�-s-�e`
or legal description shown on tax statement: /
Qr, �'Z �w'i., /o-Z- ii (•6i�A)
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 %% i/ /
Suret AtlGrew
County Township
Gry. State aha Zio �e
' Individual either owns or is buying under a cbntract 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 imp�eme�ts � � �
Other Land d
Total Land
Residential Improvements ���J - u i��9
Dwelling
�� i /���.�i�Z�(,�
v m nts � AUDITOR
Other Impro e e
Tr•-'�Improvements - Line (6) plus (7) equals (8)
I�by certify the above is true. correct. and complete.
Signawre ol Assessor
True Cash
Value
�,> ��o
(2)
(3) �/ O
�a� ��970
(5) �
(s) Zz-97o
(�)
�8� � � 9�0
- ACTION BY AUDITOR -
Assessed
Valuation
/1�-A-e-
Homestead
Valuation
� ���
i.
�— is�—
Da�e
Date:
� 9-
, � - .—,
Gibson County Auditor
101 N Main
PRINCETON IN 47670
•
1432
Walter A/ Laura Jane Scott Jr Jr.
3001 W SR 64
PrincetonlN 47670
�r i
��
i.�.�
,�r,
wav sie
InJiriJuaL� anJ rtu.'riN <oupks are limi�ed �o ore home.aead uandanl dalu.�ion. As Ihc rttrip� 01 ihis Jeduninn beconres
marc beneficial. therc i> morc incentnx than e�rr for M1onx.teael &aud Ilomeo�eal Baiu1 causes hi�Fer ua bills tor all: the¢fore.
HEA 1333-?(N19 rtquvn uipayrn who reccivc Ihe hanes�md 5�e�dt�d JLYIuM�00 N v<fl�} Ifld� Ih<v ]R CII�INt �o ICCCnf �hC
benefii anJ ro pnn'ide adliiiunal identiiyin_ infomwtwn necr.a�ry to allw� cwnn gv.emmmt ro Nner inuniror IamesmaJ
cr�F�. rn�� ��m,�ao� will Ar {qu canfiJefuial anJ �n only h: aacc�d hy aulhnriid rnunl}' oRcial.. ITe IXpanmem nf
l,ucal Govcmmrnt Finantc will ux thfs fnfonnaM1On ro cma�c �wls that will h:lp cwnn' afficiab riimi�ut[ humeercaJ @aud.
• � � � � � -
Tasp•reer Name Prnpert�• Address
Scori, Walter A Jr / Laura Jane �
end so-mt, cirv. sm[c, az�d ZIP codej
���_ .S%fi7��Q
$
��/��
Address (Number and 9ree4 ci1y, siale, and ZIP cotk)
Stturiro Number (lazt 5 digi�s) Drivcrs Liecn:
R3 I3oz
Nrinreton 1\
State Parcel Number � �� Leeal Descriptlon
26-11-10-300-001.751-02! �l1b�U7751-OOPTS1021119.2723AC
� i
^ --- -- -------- � — —
mwum
,�- �Go�
� - _ � � .�illNi � Y:J�i.1'.^.t�.l�ISi
����G
�
spcciCy in Pan 4 bclow)
S Gv��
� S;une as pmpeny uddrev
Other (plcuc spcciN in Part+ bclow��
mdersigned certifies, under penalry of pepury, that the above and foregoing infonnxtiun is true and cortec:t and that he or shelis elieible to
e the homestead s�andard deduction on this property. Each undersiened also understands ihat, by claiming addilional homestead deductions
fully, he or she may be liable !or back taxes and substanrial financial penalties. I
//6{.. �c / _!/ ', / Da�e / �� TeleOhmc �
�