HomeMy WebLinkAboutHomestead_Smith (20)�
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
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4042
Carl T Smith
150 S 859 E
Princeton IN 47670
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InJividuaL. anJ rturrittf muplz. arc IimiteJ m nnc hnmcxcaJ �am1aN J,dunim. As �he rectipt M thi9 dtducian hromc�
morc beneficial. iherc is morc incrnfne tlun e�er for hunxYteacl inucl. I lamo�ead fraud causes higher ua Fills (ur all: therefur.
HEA 13i7-7IX!9 requim ucpa�crs who r.-ceive Ihc homes�,ed aiandaN JeJuction m rerify �lui they are eliciMe to maene iAc
benefit and ro pmvidc :r4iitio�ul ideniiiyin� infumianun nem'vrc to allw� counh� grn'emmrnl ro benzd munitor homrsrc:�J
filimc�. Itiis infomutinn will 6r Aryf mnlidcluial anA can nnly h arms.J by wtMrvd cnw1�� nR¢i�lti The Ikpannxm of
Local Gwemmem FinaMC ��iil me �his iniortnation w arcam n�uls that x'ill hcin rnu�m offaials dimini�e M�m«��ad fiauA.
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FEB 2 S 2012
C.�J.N�
GIBSON COUNTY AUDITOR
Tasnaeer Name Prnpert�� Address
Smith, Carl T '
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Princemn fN 476J0
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State Pa�cel Number Lesal Description
26-12-20-100-001.791-027 /OOCr01791-00 PT NWI 20 2 10 .90 AC
� D70
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1S Address (numbcr ond �rtm, ciry.
end ZIP cade)
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e First
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n Addms (Numbrr and sveel, �ii}', s�aie, and'LIP caie)
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Somc ns pmperty odd�
O�her (please specify in Pan: below)
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� Sam<:u pmpeny add`a.,
5 digi�s) � Drivcrs Liccace/Stare ID Nwnbtt Qa� 5 diei6) � Ochcr Iplcasc e-pccif�� in Part+ bclou•1
undersiened czrtifies, under penalty of perjury•, that the abo�•e and foregoing in(onnation is true and cortect and that he or shie is elieible to
+e the homes�ead standard deduction on this property. Each undersigned al;o understands that, by claiming addilional home�tead deductions
��fully, he or she may be liable (or back taKes and substanrial financial penal[ies. �
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PORM HC 10 1979
NescriGea By Sla�e�BwrG of 7a+ Cammissfoners
io Be FileO in Uuplicare
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 � 9
SEE BACK FOR FILING INSTRUCTIONS
i�(We) ���-��-,- �Q-'��- ��• certify that on the 1st day of
�Aarch, 19��, I, (We) occupied as our principal place of residence the following described reai property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) � owned
❑ are buying under contract
❑ have a beneficial intere,�t,in the taxpayer .
Property Description
Taxing District ('city�-o.rim, Township):
Parcel Number
If buying Ofl contract: Owners name ��� simo�e owner�
OD�-ai791
` �"�'-"- Township
or legal description shown on tax statement:
p�. ,�,�'�y �o- z -�o �90�)
Contract recorded in Recorders Office - Record No. Page
If any portion of the residential structure or the land, not exceeding one (t) 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.
County Township
C.cYA�G �.G=i�"°ti l l Jl � Z. �ji7CE fbH yr �a n.c y767d
'Signamre Stteet Aaaress Gry. State ana Lp Cooe
' 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
T�otal Land � � � � �
Residential Improvements Dwelling
JUr� � 1 i979
Garage
� ����ti��Total
Other Improvements ��r' AUDITOR
T�`��-Improvements - Line (6) plus (7) equals (8)
��by cerlify the above is true. correct. and complete.
Sigr�awre of Assesmr
Approved
True Cash
Value
��� //30
(2) r
(3) //3
(4) / 3 9 �o
(5) /�/ °
(6) � S / $ o
(�) —
�g� / S/ Sc
- ACTION BY AUDITOR -
Assessed
Valuation
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Homestead
Valuation
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Date: — h