Homestead_SpeedyFURM HC 10 19�
PrescnGeE By 9ate Board ot ia. Commissioners
To Be FileO fn WO���ate
CLAIM FOR HOINESTEAU PROPERTY TAX CREDIT FOR YEAR 19�
SEE BACK FOR FILING INSTRUCTIONS
�(We) ��5�-�'e-• �-� � f��� certify that on the 1st day of
�narch, 19?9 I, (We) occupie as our principal place of resi ence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
(We) � owned
� are buying under contract
❑ have a beneficial interest in the taxpayer
O� .
Property Description
Ob � -n�B35
unty ��-`-'/`'� Township
Taxing District (Ci�ft Township): �Q�+—
Parcel Number or legal description shown on tax statement:
�� /I/w �/� Nw��� /o-z-io�/�,9�
_ �_
If buying on contrect: Owners name �`� 51np1e °'xne•�
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.
County Township
' 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 Improvements Dwelling
:�.,��f � � �Q7�
Garage
����'�L�Lta�
Other Improvements � `
T�•�' Improvements - Line'(6) plus (7) c�q�tiafsQ�
I��by certify the above is true. correct. and complete.
True Cash
Value
(t) So 0
(2� / 2 z o
�3� /7�-0
(4) I 3 S %O
(s) �
(6) / 3 s7 O
(�) � 9 So
�g� / SSSo
Assessed
valuation
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Da�e
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Homestead
Valuation
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Date: — a
'Gibsoii County Auditor
101 N Main
PRINCETON IN 47670
•
sTAT[ iqtM!!M Iti/>'rvl
i
IIIFASIIAFAPoR4 �SIA
TiP: VCF.Ifbl.l-L�l.l
IndiviJuaL. and m�rricJ rouples a�e limimd �o ore homcaenJ NanAaN JnWnion. As �he recerpt ol �hu Unluctan bccrnre�
morc beneficial. there i. morc incenmx than r�er (or homnmsl (nud. liumr.ttacl frauJ causa higher ta� bi'IS (ur all: cherc(ae.
HEA li�ti-?U09 raquiro mapa�en xho rercire IM1e hanatrad standarJ dvluction m verily tiv� �he�� am d!_iMe lo recei�e �he
benefi� anJ ro pnr'ide yLfiiional iJemfiring inturm:rtion riecr.vrv to allua rounp� gv:rmment to Nircr'muniwr homrsrc�rJ
filin�.�. This info�malion will be Aqr cm�idrnlial anJ can only Fc aom�nl 6r autMrizni enunly off¢iuls. i fhe Ikpannrm nf
Local Goremmem Fi�uM'c �ciil me this IOIOf�IIdOpll IU l'f<JIC �WIS �INI \YIII M1[III munrc ofFdals dimini�c Immcstead haud.
3434
Rita J Speedy
2427 E 50 N
PrincetonlN 47670-8956
�i�u��u�����ii�in���iii�i��i�i�ni�i�n��ini�i��i�i��i��i�
— �Owner I First
�e Addmss (number ond'tmet. rity, sute, and ZIP code)
7 /.. (
SoculStturily Number (last 5 Jigits) Driver's Licer�.cJState ID N
— �
Mailin� Addrzss (NUmber and svee4 cit}', sta�e, and ZIP cixk)
_ xle
Social Securiq� Num6cr (last 5 digi[s) DrivcYs LimnsdSta�c ID 1.
Tasnecer Name I
Speedy, Rita J �
_ K z n�t
1'rinreton W
State Parcel Number Leeal Descriplion
26-12-10.100-001.839-027 006-01839-OONWNN'to27o i2AC
C-1 �
SP�E 6
Snmc ac propcM a
�� �o
h in Pan 4 bclow)
� Same ai p`openy address
Pan 4
Fach undersitmed certifies, under penalry of perjury, that the above xnd furegoing infortnatiun is we and wrrzct and [hat he or she is elieible to
receive the homestead standard deduciion on this property. Hach undersigned al>o understands that, by claiming additional home;tead deductions
unlawfully, he or she may be liable for back ta�ces and substantial financial penalties. I
pwnv I SiFnsnae Daic Tclephone
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