HomeMy WebLinkAboutHomestead_ShannonPORM HL 10 1979
NeurioeC By Sta;e Boa�E at ia+ Commissfaners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 �%
io Be FileO in Duplicate
SEE BACK FOR FILING INSTRUCTIONS
�(We) �� `�'�- �'�"`����^-'-�—`""""'certify that on the 1st day of
—March, 19� I, (We) occupied as our prin ipal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I. (We) ❑ owned D�`�' _ O I�S �
❑ are buying under contract
❑ have a beneficial interest in the taxpayer ^
Property Description in �^ County v�--ti Township
Taxing District (�j�jt�ewr,rTOwnship): �°�'�t-
Parcel Number
If buying Ofl contract: Owners name ��� simple owne.l
or legal description shown on tax statement: �
�� . S GcJ ��y� � C iy S. 1_ i o�- '' o�F 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: County Township
�hereby certify the above statement is true, correct and comptete.
�n
' Individual either owns or is buying under a contract that provides he is to pay ihe property taxes
on the residence, or has a beneficial interest in the taxpayec
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre immediately
surrounding residential improvements
Other Land �I � �
Total Land µ►�,�"
Residential Improver�F,fits � Dwelling
JUN 2� � 1g�g Garage
�/y7 Total
Other Improvement5�� • �
AUDITOR
T� Improvements - L e(6) plus (7) equals (8)
I�eby certify the above is true. correct. and complete.
'` C�� �f ��„ ���
Sig�mre o1 nssessor
Appro
True Cash
Value
\�1 � J :�o
1
(2) �
(3) � �-o
(4) / Y�� 30
�s� —
ls) /�f�.�v
(�)
�8� i y� a 30
Assessed
Valuation
/ '70
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Homestead
Valuation
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Date: �/� ���
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
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�tart em�a ��v.�a_�w.�
.rrm� [n er ��.�e enixnnr rr..�.1a. y...
�AfvNflmBY TI! D[P.Ut1MEYffK
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nr.uuaumRV:zin
hWiviJuaL� anJ ma;riN rouples are IimitM to ore homevcaJ uandaN �'YWaioa As ihe rcceip� of �hi> JNuninn bmomee
morc beneficial, thrre is morc inerntne rtun r�er for M1omeste�l fnud. I Iomc��eaJ frawl causes higher tax bflls (or all: thrrcfwe.
HEA 13+i-?fN19 requim uxprrrs who r.*reive the hanes�ceJ >�andaN deduaion m.erily ihat th<y are eligiNc to rcccne the
benefi� ani ta p�m'idc aWitio�ul Wemiiyine mtorm:nwn nec�s'vn �o allw' caunty gm'rmmmi ro Nner moniror homesteyl
tili�qy. -Ihis infmma�im will M Aryv mnfidcmial anA �nn nnly h. aire: �eJ br amMri�d ronm�� n(Tai�.ihi. lTe Ikpinnrcnt of
Iural Gw�mmmt Fimcee ��ill u.e this ininemuinn m cream uvds that �viil heln munrv uF1'rials dimiram Iw�enex�ead traud_
2226
Car�yle / Barbara Ann Shannon
R3Box13
PrincetonlN 47670-8605
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I�� A����a,-(���mw�ond�>van, rr
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il Sccurity Number (last 5 digits)
! �
Address (Number and strtt4 ��)'. statc. and ZIP cak)
Sccuriry� Numbcr �last 5 digiis) � Dmcrs Liccnsc/Sta[c ID Numbcr Qazt 5
� �
R3��13�
State Parcel Number Leeal Descritition
26-12-05-400-001.758-02�s-Oi�sB-oo PT Sw! SE 5 210 1.Oa AC
c-, �
MidNe
�A
.�^C-�����
,. c_me rt : ^-`Fem.�.,inn��_
x�ow�
� Same as pmpeny ad�
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undersigned certifies, under penalty of pequq�, that the abo��z and foregoing informatiun is we and correct and that he or slie is elieible to
:e the homestead standard deduciion on this propeny. Each undersicned al;o understands that, by claiming additional home`tead deductions
✓full}', he or she may be liable for back taees anJ substantial financial penal[ies. I
�I SignaWre Dste 7'elephonc �
si�u[ure -
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re��yn«��
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