Homestead_CoomerPOflM HC 10 1979
PeescriEeG By State Board of Taa Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX�CREDIT FOR YEAR 19��
SEE BACK FOR FILING II�ST�U�I'IC
��We) �0-9.�� `. �
��arch, 19__��, I, (W occupied as our principal ace of residence the
which a Homestead Property Tax Credit is hereby being claimed:
�(We) �owned
are buying under contract
❑ have a benefiaal inter�eSt in the taxpayer
M �.
Property Description in � 1 �?+�
Taxing District (City, Town, Township):
Parcel Number
If buying on contract: Owners name �'� "mP1e °""ef�
io & Rled In Duplicate
✓
00 998•�
:eFtify tfiat-ortthe tst day of
ng described real property for
. .. .��� . . , . � .
or legal description shown on tax statement:
�� /� �
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:
�� hereby certify the above statement is true, correct and complete.
� �1' �� ^ ��} �� �����2
� SignaNre �— Stteei AEOress
County Township
ana zip
' Individual either owns or is buying under a contract that provides he is to pay the properiy taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
True Cash Assessed Homestead
Value Valuation Valuation
Land not exceeding 1(one) acre immediately
surrounding residential improvements
Other Land
Total Land �
Residential Improve�nts� � F'a'9 Dwelling
�rm
Garage
�4� ?, �i i91�- Total
Other Improvements �
�� ^'-' Improvements - (6 p��E�����(�'
by certify the � i tr . c r��D1��complete.
_\ — � }� '
OI F55PSSOr
(�) �Z11-�
(2) — O —
(3) /�0'0
(4) �a�
(5) D� �gv
(6) �
(�) — O
(8) �
ACTION BY AUDITOR -
•
•
���jj�j�/
�� ,,,,,/
� U/-
�//�%%/�/, //r
- � .
�. .
j'�
�v—� —
oa:e
��il. •
�jj/j�jjj
j��/�j�jj/
Approved: !1 �71,�-A'�=-- _ _ Date: G��%a�7�7
�iAR �(10.M!!!Iw �IL'f W I iP(ASUlFA Po0.V ZIA
♦��Rn'EI,BY�i�tEB(UPOOfN�?�.��M�.v �U%WBfIIUYiII(O[IMTNFVlf�Fl(RAICM�CVMITliO:A'CEIC�I.1-'•J.1
Gibson County Auditor -
101NMain ��' � � � 1 "�' ' � '
PRINCETON IN 47670 IndiriduaL.� anJ m�;riN muple. are limiied io ore homeucaJ �taiMaN JNu.�ion. As ihe �mtipt ol this dNun'wn Ixtaues
more benencial, thrre i� more nrcrntne ttun ecer (or homr.xaJ frauJ. I lort�eacl fiatul auscs higher �an bills for all: therefore.
� HEA 13ii-?IX!9 requim uxpa�en v:ho receive �he hanes�eeJ <tanda�d JNuction m.crily Out they ue eliciWe to mcene ihe
benefii ani to p�w'id< aYfitiu�l idrntrtpnc intormatiun �xm'vn� to allw' cwnry� �vnemment ro betmr mmnor Iwmesttad
tiling.c This in(nmuiion will 6e Aery conf.de�uial and can only kc acctt�eJ by amMrized rnumy n(ifcials.'fhe Ikpanmrni of
I.ocal Gmcrtvnem FinaM'c �rill u.c this iniomution w crcatc [wls tha� aill h:Ip co�mry ohTi+a� dimiwrc homestemi fmud.
2784
Bennie H/Juanita Mae Coomer
524 E State St
Princeton IN 47670-1838
���������i�i��n�in���iiii������i�ii���i�ii�ui���i�n�������
Tasoaver Name Prapertv Address
Coomer, Bennie H/ Juanita Mae
sza e s��e sT
Princemn I\ 47670
State Parcel NumAer Lesal Descriotion
K 2612-07-204-000.998-028 079-OOS98-00 NS LOT 1 PT R2
�' 1
Owner I F'irst MidNe Lact
86n�n/�E /�, �,' o o m ER
:gAdLr�.;(nu�S�'-r�d;�..c;,:iry:rs:c:and�ZlPcade) -- --- -- - -��( Semesspropem•ec'dress --' - - '�' '
�Y
SZLI f?ST S%/3' �E S7� P�Q/n/ ETO �f �/'lo %fJ
$ocial Sccuril} Number (last i dieils) Dricer's Littnse/Sute IU Number (la�� 5 di:ils) Oihrr (pinse specify in Part 4 below)
���� � � -
� -, ,,,
S�rou;e First Middlc Lazt
JvA�✓�rq n'1, eooinER
Mailin�; Addrrss (Number and �Yrce4 cily, smle, nnd ZIP cwk) �$ame a5 pmpeny address
5Z`� E. STFiTE ST PR/N�E�o,tl. in/ �%�7p
Social Stturity Numbcr (lan 5 digiLS) Drivcfs LiecnsGStacc ID Niunber (las� 5 digiis) Ochcr (plcssc spcciF in Part 4 bclow)
�
, . �
Fach undersiLmed certifies, under penalry of pequry, that the above and foregoing infonnation is true and cortect and that he or she is elieible ro
receive the homestead slandard deduction on this property. Fach undersi¢ned al>o understands that, by claiming additional homestead deductions
unlau�fully, he o; she may be liable (or back tares and subsiaritial financial penalties.
O�.'nn 1 $iimanne Dzte 1'elephonc
. ��-� � '7-/D ��/ /
Spou;eSiguture �te Tcicphone
�?�, �'n.C�-o„-ze,�J y_7-io � �'/ (
,
.�� � � �
�