Homestead_SlatonfOPh7 HC 10 7979
P�ewri�e0 By Sta�e Boa�E o� ia. Commissioners
CLAIM FOR HOMESTEAO PROPERTY TAX CREOIT FOR YEAR 19�
io Be FileE in �uplica�e
SEE BACK FOR FILING INSTRUCTIONS
�(We) �� • ��• ���"'���ertify that on the 1st day of
vlarch, 19� I, (We) occupied as our pr cipal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑�/ owned
]Q�are buying under contract
O have a beneficial interest in the taxpayer
Property Description in �`�—�-a-m
Taxing District (6ii�y—Fown, Township):
Parcel Number
If buying on contract: Owners name �'� 5inip1e
aoe=or�ss
l�'a-c-�.�
Township
or legal description shown on tax statement:
p�. NE%� ��-a-., ��.�>>
Contract recorded in Recorders Office - Record
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 complete.
Individuai 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 Improvements � � � ^ {�-nW �
t�t�
Garage
�'�� � � ��lyTo�al
Other Improvements , /
_ f �/ �
Tr '- Improvements - Line (6)�plus�(7) ,�qua�s: 8) o_�;
I��eby certify the above is tr `�'� correct. an����lete.
-� . , _ _
True Cash
Value
(i� Sco
(2) l 7 !� c�
r3� a a-� o
(4) `iS_ � o
(5) —
�s> �SC� o
(7) —
(8) �i � C� o
- - - - - U --- -
- ACTION BY AUDITOR -
Assessed
Valuation
�o
. � ,
Homestead
Valuation
/70'
-�-�c' �'�/_//l�
/70
L - iy-�9
Date: ��/9-Z,9
�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
2107
�„��,.,,,.»,ti,,.�.
hWividuaL. anJ mvrial roupb arc IimiitJ m nnc honteucaJ �andaN deJu.tion. As thc receip� ol Ihis dNuction hcomc
more beneficiaL ihere is more incemne tlun ecer (or homo'rcal frvwl. Ilome+�ead &aud causes hi�her ta� bil�s (or all: therefae.
HEA 13�4-�IXM) rcquim �a�papen vho rcceirc Ihc turmrs�raJ s�andarJ JeJunion m cerify ihat they arc eliaiMe to rcreice Ihe
benefii ani ro pnr'idr a4litiu�ul iJenuiyin_ in(wma�iun Mcran� to sllw' counn� gm'rmmeni ro bener ,runimr homesrc:rJ
tilin�,a_'Iliis inlnmu�ion will M I.ryw rnnlidcmial anA r.m only fx accc:avl M1y amhn�irrJ cmm��� o(t¢ials. Thr IXpanmeni af
Local Gwcmmem Finam�e ��ill uw �his infortnation �u arca:e hr�is �hat �rill h;ln cwnb� ufficiaL. dimiiuc hum<s1eaA haud.
Alan J/ Patricia K Slaton
3551 S 50 W
PrincetonlN 47670-9200
���u��in����n��u���ni�i�u�i�����ii����ni���i��i������i�
Taxparer Name Prnpertv Addie�s
Slaton, Alan J/ Patricia K
K � [3ox ���
1'rincemn In 47670
i
State Parcel Number Lesal DescripYon
26-11-36-200-001.785-027 006-o778s00FTNE 36211 6.87AC
D-17
Y
I First
�i' lA-n� � o s e p�1
t�AdErc:u iaur..�ir and smx4 cit:. smm. a: � ZIP coC:i' —'_ _' _ '_
SS/ S .S'n u - � � r*� - � N �G
$
ling Addrtss (Number md eVce4 ��Ip, slale, anJ ZIP cuJe)
5'��e t..� a•,�o v �
� /9-ta �✓ I
:mc ns pmpe�*y ndd_s' _ — �
Part 4
���«,� I s�.��d�
ps�,� u P�an. m�
/
undersigncd crnifies: unJ:r penatty o: pzrjury�, thatthe above�and foregoing :nfumwtion is wt and cotrect and that he or stie is elieible w-
�e the homestead standard deduction on this propeny. Fach undersi¢ned al;o understands that, by claiming additional home:,tead deductions
rfully, he or she may be liable (or back taees and substaniial financial penalties.
1 Sie�t�m _ Date TeleDhone �
Si namre y
�„-��,,,, K- �..�"�
�Ry-/o
y-�y /6
(�'/��
;?�
R