HomeMy WebLinkAboutHomestead_ColemanFORM HL ID 1979
PrewiGeE By State Baard al ia. Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 8�
To Be FileO in DuDlitaie
✓
SEE BACK FOR FILING INSTRUCTIONS O/n � DOy�9� ��
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.� (We) i certify that on the 1st day of
tarch, 19� �_, I, (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) O owned
�$ are buying under contract
❑ have a beneficial interestp �in the taxpayer
Property Description in �"�--�-%+� County
Taxing District (City, Town, Township):
Parcel Number •
If buying on contract: Owners name �'� "`"o1e °""ef�
l�I
Township
or legal description shown on tax statement:
Q/1- itlw�/y /7-�--/� . S7l�c
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:
hereby certify the above statement is true, correct and complete
County
a�Y.
Township
ano
` 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
� g L � r lieg
Total
other �mprovements MAY 7 1981
T Improvements - Line () plus equal (8)
I �by certify the above ��J�. lete.
_ .....,rno . /
Si9^eture ol nsseswr
True Cash
Value
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(2) —
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(4) �7�0
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- ACTION BY AUDITOR -
Assessed
Valuation
d3
� 30
Date:
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Homestead
Valuation
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
367
Freddie L / Delores Coleman
1306 E Ohio
Princeton IN 47670-8704
tli2FO0.X!)HIR'/�MI
iN[,�54'[fR Nortv YI.�
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IndieiJuals and inarriN aoupks are lunimd �o onc homcueaJ �tandaN it-ducuon. As �he recript ol this dedunion Mcoma
more benencial, thrrc is morr incenme than e�er (or hunximacl frauJ. HomeseaJ frauJ caus� higher �a� bills (w all: thertfae.
HEA li4i-?1N19 requim mspaym who r.�ccire ihe tamesimd standard d�lunion m.erify ttut �hey are eIi_iMe �o mcene �hc
benefit ani m pmciJe aJJiiional iJrn�ifyim_ in(ormatwn nem'vey iu alluu' counp� gmrmmrnt to be�ar monieor homesrcaJ
filin�. lhis inlnrmuion will be I.e�x ronGdemial and r,m mly h accesed 6y amhnrixJ toumr n�ci�als. The Ikpanmenl of
Local Gm'emm<m Pi�uirc< �vill um Ihfs miunnallon W cream nols tlut �vill h:ip equiM1� ufficiaL. elimieute homcsiead fraud.
. • ' , , , .
�i�n��in�i��n�n����in�n�i�ni���nn�u���nu��inu���
Taipa��er �eme
Coleman, Freddie L / Delores
Stare Parcel NumAer
Pruoert�� Addre�s
R? 13ox 58
I'rinceton I\ 47670
Leeal Description
� 2612-17-104-000.439-028 Oi&00439-00 PT NW 17-2-10.87 AC
1' 1
Ox�ncr I tirst hiidN< Las�
F' /4� L� ,!J /J � � �, Lr c C 0 �- � i`! /�--N
��c Addmas (numbcr and >trctt, ciry, smtc, and ZI P code) � —" — " — - - � Sumc a� prvycrtr iwJ.�v - ' — -� � - -
/ 3 v� G-s d �� i�D ����e-� i. _y _
$ocial Securiry Number Qas[ 5 dieiLS) Ihiver's LiccnselSute ID Nmnbcr (lazi 5 digiL) O�her (plcue speci( in Patt 4 below)
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Spou;e First Middlc Lw
ab -rr .c�o- �, � - Fr�, � c � � �- �> ,a- ,-✓
Mailine .4ddres5 (Number and sVec4 cii}', s�nte, und "LIP code) O S�une a� pmprm address
�"� d n LJ ��f%r � 1 2iL fD . ,L/ ' _
Social Securiry• Number (lan 5 digits) Driva's Littnse/Sta[e ID Nmnber (las� 5 digits) O[her lP��c speciN in Pan i below)
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Each undersigned czrtifies, under penalty of pequp•, that the above and foregoing infortnation is we and correct and that he or she is elieible to
receive the homestead standard deduction on this property. Bach undersigned also understands that, by claiming additional homestead deductions
� unlawfully, he or she may be liable for back taxes and substantial financial penalties.
O�.ncr 1 $i6mawrc Uate ielephone
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