Homestead_Carroll (5)FORM MC 70 1979
Re5tri6ed By State Board of Tae Commissioners
To & FileO in DuD���ate
CLAIM FOA HOMESTEAU PROPERTY TAX CREUIT FOR YEAA 19�� . �
� SEE BACK FOR FILING INSTRUCTIONS D�C�'- oo37S' p0
� (We) �` � • � '�`�""'�-- • �-"-""�-� certify that on the 1st day of
��Aarch, 19� I, (We) occupied as our principal place f residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) ❑ owned
� are buying under contract �
❑ have a beneficial interest in the taxpayer
Property Description
Taxing District (City, Town, Township):
Parcel Number
If buying on contract: Owners
�a--�-`TZ-a-J Township
_ �
or legal description shown on tax statement:
u.-�d_ �P
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 complete.
� -d' ��( �'/S � � r � � �
.c,�,,.,,, • ���W- e ; H�� o� 1.,d
'Signature Sheet P.EEress . Cn'ry, Sute an0 Zip CoCe
' 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 Improvemen s Dwelling
JU� 21979 Garage
� Total
Other Improvements� �T' /��ti�L�
Tr�-� Improvements - LiKe (6) plus liJ���lB�ls (8)
I�by certify the above is true. corr,�ct. and complete.
Signawre of nsseswr
True Cash Assessed Homestead
Value Valuation Valuation
(1) l0�00 022.0
(2) � D — — o —
(3) lo �o O
�4� ��
(5) — o -
(6) �
(�) -o-
(8) 'Y'/-Fo-`%`G'
� 02 O
�2a,o
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_ Date: � g
�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
2400
t1T1El�n0..N!! W 12'/ u.nl
A�VPT'Efl Ml' ��.\fF.11(NMnlN .1l�r� L�Ti.9M
MASUIIfAfORN31il
l(R'Al CAH �II.YMCM iPP\CE Il'41.1-S:J.1
Indivi�ual> and nurriN coupl� arc limiini io nnc hmnc.ucaJ uandaN dNuciion. As �hc receipt ol' ihis dcJunion become±
merc brneficial, therc i+ morr imm�ti�r than rwr for home.texl Gaud I lomrs�eacl GauJ causes higher tac billc (or all; Ihercfwe.
HEA I ia-1-'INW requim iaxpa�cro x�ho rccire ihe homesiced ciandarJ Jnlunion tn rerify �Iwt thcy am cliciMe �o mcei�c the
benefi� aml ro pnn�id<:ukliiional iJemiiring inWrm:nwn neces'vry to alluw� eounro gm'rmmmi ro bener manimr humese:d
tilin��,.. Ilii. inl'mmaiion wiil M I,ryu cnnlidmtinl anA r.m nNy M� acccauJ M1y amhnriicJ cmnuy ntlicials. TM1r Ik�anmcm n(
Lucal Gmvmm<m Fivirce ��ill mt this informa�iun W create huls ihat x'ill h:ip cuunn� of%ial. diminme humesteaA (rzud.
, ' ' , ' , .
T•rsnacer Namr Prnnert�� Address
Carroll, Donald C/ Evonne J
a I i�tl Glrndale S7'
Prince�on IR 37670
Donald C/ Evonne J Carroll
415 W Glendale ST State Parcel NumAer Leoal Description
Princeton IN 47670-1221
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(num6�7 und .,mxv, city. >tatc. snd ZIP <aic)
Security Numbcr (las� 5 diC�Lti) Urivers Lic<nse/Sute ID Nmnbrr
Firs[
e.4ddress (Number and slree4 ri�g, siaie, und "LIP coJe)
(laz� 5
5 digiL)
Drivtt's LiccnselStatc ID Numbcr (lact 5
¢< Fm�m wkJr�; �.
Pan 4
1-1 S:vne u piapeny �xldress
lf�J
idersi�,med certifies, under penalry of �rjuq�, that the above and furegoing informatiun is we and cortect and that he or she is elieible to
the homestead standard deduction on this property. Each undersigned also understands tha�, by claiming additional homestead deductions
illy, he or she may be liable for back taxes end substantial financial penalties.
(���)
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