Homestead_StephensFOPM HC 10 1979
Reurioetl By State Board ol 7a� Commissfonen
CLAIM FOR HOMESTEAU PROPERTY TAX CREDIT FOR YEAR 19�
io Be FileO in DuD����e
SEE BACK FOR FILING INSTRUCTIONS
��(We) �� �%�-�— ���-'t-�— � certify that on the 1st day of
.�arch, 19�_Z, �, (We) occupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) Ck;owned oo� _ Q �$(fl (
�l are buying under contract .
❑ have a beneficial i� r�esat, i�n —the taxpayer �i
Property Description in �-�`�'""� County \/� Township
ir� .
Taxing District (�iL�Tswn, Township):
Parcel Number
If buying on contract: Owners name �'� ""'o1e °w"ef�
or legal description shown on tax statement:
Qf . 5' Cu '% / 3-�- — i i � 5�s 9.v )
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:
i 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�
Other Improvemenis
a
� � � �arage9
,iUN � 91979_ Tota�
T(�'°'�Improvements - Line � plu�/(7) uals f
�Vl��ly certify the abov�� trL, c r . iete.
$igndtlllp O� ASSP550!
True Cash
Value
(�) � 3 0
(2)
(s� � 3 0
(4) % / 3 0
(5) --
(6) �/ 30
c�� —
�8� 7i 3p
L�'I\��l��l�I ILL�L�
Assessed
Valuation
�
:. �
�j��j�j/�
,.
` ' ' 3 j�jjjj
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�.
Homestead
Valuation
(a— /�- 7 �7'
Da�e
Approved: ,��y—��p-9��, Date: fa�9-7�
•
Gibson County Audilor
101 N Main
PRINCETON IN 47670
�liR F00.\I!!K IIL'/!�MI
mr..cuux waa ;su
IndiviJual.. and im:�inl aouple are limi�ed io orc hnmc9eaJ �tamlaN Jalu.�ion. As �he rttript of �hi: dcductinn becrnx;
morc benefitial, thrrr is more incrntne than e�er (or humo'rcad fraud. Ilonxsttacl fmud causa hi;her �n bills fw all: thereforr.
HET I;i3-IINW raquim u�pa�en who rttrive the hanes�eaJ �mndard JNuoion �o .eri'ty ilui iM1cy are digidc lo rcc.i�e �M1.
benefit an1 to pnn�idr mkiitional iJentiiyin_ infumiatmn necc;'vn� tu allw� counn gUernmmt to Nt¢; muniror hunxs<;d
filin�,�_ 7Lis infmmatim xi0 br AqM con�iJemial anA r.m nnly tc arre:uA br aWhorivN ronny' nflkialz. �Ihe Ikpanmem nf
I�cal Gov<mncm Fifu�rcc ��ill me �his in`ormation w crca[c uvls �hat x'ill hdp countt offirials dimimm Iwmestcml fiaud.
��� �� � —
T�xpaver �ame Prnpertc Address
Stephens, Karl / Wanda C
/ 1 13ox 39 A
%
— ' _ --..` . _ . - _ � Qb_ ' ' ' _ ' . _ 1'rinremn IN 47670 -
1783 c
�� ✓
Ka nda C Stephens �3
R1 Box 39 A �
n e on N 4767Q9302
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iGm. ciry. srd�c. and ZI P codej -- "—�
S �n�� �J �� /N,
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Addrtss (Number anJ stree4 ciiy, sWle, und ZIP cude)
infortnation is we and correct and that he or she is elitible ro
�e the homestead siandard deduction on this property. Each undersi¢ned also understands that, by claiming additional homestead deductions
-fully, he or she may be liable (or back ta�ces and substantial financial penalties. �
n
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