HomeMy WebLinkAboutHomestead_Conklin (3)FORM HL 10 1979
heuribe0 By State Boara al 7ax Commissfoners
io Be FileG in Duplicare
CLAIM FOR HOMESTEAD PROPERTY TAX CREOIT FOR YEAR 19z� �
SEE BACK FOR FILING INSTRUCTIONS O�ry ��OLI�O- O Zj
� n � 7
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�(We) certify that on the 1st day of
arch, 19 I, (We) occupi as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claime/�d�� . .
I, (We)�'owned U/�Vy�
❑ are buying under contract
C. 2�'
❑ have a beneticial inter st in the taxpayer ^
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Property Description in Cgu�ty C7C�J Township
Taxing District (City, Town, Township):
Parcel Number
If buying on contract: Owners name "� "'"p1e °"'ne"
or legal description shown on tax statement:
�,� Cl�.,/ _ /q o
Contract recorded in Recorders Office - Record No
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 J Jn� �-. �o �� Dwelling
/ Garage
�,/ � ,[����J��otal
�/� �
Other Improvements q��ITOR
T�• ',Improvements - Line (6) plus (7) equals (8)
I�by certify the above is true. c�rect. and compl�
Signamre oi nssessor
- ACTION BY
Approve
True Cash
Value
(1) // �--o
(2) _ D —
(3� � �d"O
�4, -�-�
(5) cfo�0 -f��
(6) �IJ
Assessed
Valuation
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Homestead
Valuation
Oa:e
ITOR -
Date: 2
i .
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
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' � ' � � � 1 . . � � . � .
IndiriJuaL. and ma:�iN coupl� a�e IimiieJ io one homeycad sanAanl �1.edu.�iun. As the rccttip� oi Ni� dNuctinn become;
morc baneficial, ihrre i> morc incencnc ehan e�rr (or homesrc�d frdud. Horte�ead frdud caass hi�her ta� 6ills tor nll: thertfore.
HEA 13+3-?O(19 requirts mcpa�ers r�ho reccire �he hanencaJ <�andarJ JNunion tu verify Ihat they uc dieiMe lo rerenc Ihc
brnefi� anf ro pnxidr adeli�iorul idemiiri(rc inWrm�twn nn�: -vn� to allw' counn� gmrmmrnt tu Nurr mmi�or Iwmr,aeaU
rr�,�. rn�. ��ra��u� ..;u n� Gnv tonGdcNial and aan only 6e acressed br aWM�¢ed rounly otTeials.'Ihe Ikpanmcni o(
1_ucal Gwemmem Fimm'< will u�e this inturma[ion co trca;c Uvls that will hdp a„mtt� uffinaLs climmam hom<stcaJ tiauJ.
• , , , ' , "
Taxpa��er Name Prnpem• AJdress
Conklin, Deloris Jean
1 10.1 S Seminan� ST
' Prinremn IK i7670
1466
Deloris Jean Conklin
1104 S Seminary ST State Parcel Number Leeal Description
Princeton IN 47670-3036
I�I��II���I�II��I���III�����II�II�����II��IIr�II����I��III���I � 26-12-18-201-000.460-028 Ot�ooaso-ooSSADD190
This form MUST be returned to County Auditor's o�ce.
Please do NOT send this form back with your tax payment to the county treasurer.