HomeMy WebLinkAboutHomestead_Collins (11)wan+ Hc �o ie�9
P�e5ni0etl By State BoarC o� iax Commi55ioner5
CLAIM FOR HOMESTEAU PROPERTY TAX CREUIT.FOR YEAR 192�
To Be Filetl in Duplica;e
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SEE BACK FOR FILING INSTRUCTIONS D/ 9��� C�l� g- OO
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�(We) C��� � � � � / /��� ' � certify that on the 1st day of
vlarch, 19�, I, (We) occupied as our princi I place of 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 intere �t/ in� �the taxpay�er
Property Description in �C1.��fr-a—a"� Co� �� Township
Taxing District (City, Town, Township): �
Parcel Number or I�gal description sho n on tax state ent:
�;�.�-... c.Pt � n..A �� / D % .��i // o %�
r�..�,� � n..dL ,g..,1a_ /o b �� °_�
If buying on contract: Owners name ��ee ��mo�e ow�e�i
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.
' 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 �(on� acr� imm,e;�ate�
surrounding resident�ai� imQrovemepts j�
Other Land
Total Land ,.,�!?_� ����
Residential Improvements Dwelling
�� /"(�tiL�'�y� Garage
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AUDITOR Total
Other Improvements
T^'-' Improvements - Line (6) plus (7) equals (8) a
��aby certify the above is tr(u�. correct, and�omplete.
SignaWre oi Assesmr
Approve
True Cash Assessed
Value Valuation
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- ACTION BY AUDITOR -
Da:e
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Homestead
Valuation
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Gibson Gounty Auditor
101 N Main
PRINCETON IN 47670
1081
S1VtIOR\I �)pI0./Hnl
.\�YR(1�'fD Bl' ci.1TE B(�VIUM MYAI\TC.1rv
1RFASUAfA fO0.Y 11n
IndiriJuali aod ma:rieJ couplec are IimitN �o one IromeaeaJ yandard �i-du. ion. As �he rcceip� of Nu dedunion boconrew
more beneficial, thrrr is morc im�nmr ihan n er (or homesteaJ &auJ. HomeFtael Baud ca��a hi�her �a� bill> for all: therc(ae.
HEA Ii33-?009 reqviro ta�pasen who recei.e ihe hanesmaJ sian&�d �ifuction m.erif iMi �M1cy am elieiNe io mcei.e the
benefii anf to prrn�ide aJdition�l identiiying in(urmmim� necr<'vn� to allw� counp� ga'zmmrnt to bet¢r mwitor Iwmeste:YJ
flinN�.. This in(omiaiion will 6e Aryu cmtidemial and can nnly M1e arcessnl 6r awMriied rounq� nfTiciai+. The IRpannrcm o(
Local Gwcmmem Finam'e ��ill usc this in(ortnafion tu create [wls Oat mill hdp mun4� ol-Mtials dimiwm homesicad frauJ.
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T�xparer \ame Propertc Address
Collins, Marvin E/Mary L Life Est Etal :7�0 F. E Y�nS �•
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Marvin E Collins
710 E Evans
PRINCETON IN 47670.2210
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PrincctonlN�7670 _\�
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State Parcel Number Le�al Descriotion
'( 26-12-07-402-000.448-028 01&0044&00 LYNCH 2ND 107 PT/108
This form MUST be retumed to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
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Ouna I First A1iddle LazI
cz. r �. . L' a� � 1 hS
•ig Addiess (number ond .<iry, sm�e, and ZIP codr) , �$nme as pmpert;v uddja;
'7ro �. �Ywhs � . o E z�
$ocial $ecuri[� Numba (last i dici�s) Driver's Licen /S�at< ID I.mnbcr Qazi 5 digiL) Oihrr (please specify in Pan 4 below)
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Spou;e First hfiddlc Last
�s. a ea,sed
MailinL Addrtss (i�umber and streei, ci1)', SWIe, anJ "LIP coJe) � S�me us pmpeny adJv'.
Sorial5ccurity IJUmbtt (latt S digirs) Dri�Ns Licensc/Statc ID Nwnber (lai� 5 digics) Oficr (plcuc spccify in Pan <bcloH�)
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Each undersitmed czrtifies, under penalty of pepury, that the above and foregoing inFocmation is we and correct and that he or she is elieible to
receive the homestead s�andard deduction on this property. Fach undersiened al;o understands that, by claiming additional homestead deductions
unlawfully, he or she may be liable for back taxes and substantial financial penalties.
Ow�ner 1 Signaoue Date 7'clephone
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Spouu Sipta�urc pytc icicphone
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AFFIDAVIT OF PERSON, 65 YEARS OF AGE OR MORE,
REQUESTING DEDUCTION FROM ASSESSED
VALUATION State Form 43708 (1-90) Prescribed by the
State Board of Tax Commissioners
Instructions for filing:
To be filed in person or by mail with the County Auditor of the County where the
property is located during the 12 months before May 11 of the year the deduction
is to be effective. Deductions for mobile homes not assessed as.real property
mustfile between January 15and March 31. See reverseforadditional instructions
and qualifications.
L .
County Township Year
File Mark
� 41 �,_P�i�
�� , 1996
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Applicant (Owner or contract buyer) pUDITOR
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Is applicant the sole le�g I or If no, what is his/her exact share or If owned with someone other than
equitable owner? B'yes O no interest? spouse, indicate with whom.
If name on record is different than that of applicant, indicate below:
Name of contract seller (Applicant must have been buying on contract at least one (1) year.)
Address of contract seller
�•ing District Key Number/Legal Description Record Na
� o�q-cx>y �- � Page No.
Is the real property used and occupied primarily Assessed value of the property as of March 1, current
for his/her residence? �es O no year (may not exceed $19,000).
Was the applicant 65 years of age or more on ApplicanYs date of birth
December 31 of the year prior to the current year?
viyes ❑ no If filed by a surviving, unmarried spouse, what was the
spouse's age at the time of death?
Does the combined annual adjusted gross Source of income Amount of income
income of the applicant and any individuals �
sharing owner hip exceed $15;000? �
O yes � no
Total — � ,
Have you filed for any other deductions? If yes, what deductions?
Have you filed for any deductions in any other county? If yes, what counfy? � ,
IlWe certify under penalty of perjury that the above and foregoing information is true and correct and that the appli-
cant was a resident of Indiana and owner of the aforementioned property on March 1, 19
Signature Authorized Representative (by executed Power of �Attorney)
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Address of Applicant " Address of Representative