Homestead_DeboardrieSU�W.•U 6y ainlv Uudid a1 id. i.mi uo.,: .i>
. CLAIM FOR HOMESTEAO PROPERTY TAX CREUIT FOR YEAR 19 �9
Credit is hereby being claimed: Q� O t, Q �.�./
�� 0 � � — �I `-r'y
I' (We) '4S owned �,.�.-6�/ �-�Ln_ � � �
❑ are buying under contract .
O have a beneficial int�Pest in the taxoaver
Property Description in /
Taxing District (City, Town, Township): �
Parcel Number . �
If buying on contract Owners name ��eP simole ow��n
Township
or legal des ription shown on tax statement
�� � � � �l�( � �- � - �� 9��� ,
Contract recorded in Recorders Office - Record N
If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
struclure is used to produce income, describe the use and portion of the property utilized to produce income
m
Any other counties in which individual owns ddis buying real property:
I Aeby certify the above statement is true, correct and complete.
oireei noaress
County
�
Township
C��y. S�ate ana Zip Coae
' Individual either owns or is buying under a contract that provides he is to pay the properry taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY
and not exceeding 1(one) acre immediately
,urrounding residential improvements
Ither Land �
otal Land
lesidential Improvements Dwelling
Garage
Total
Ither I rovemenis
ota��ovemenis - Line (6) plus (7) equals (S)
he� , certify the above is true. correct, and complete.
gnaNre al Assessor
l�)
(2)
(3)
l41
(5)
(6)
(�)
18)
True Cash
Value
Assessed
Valuation
palr
Homestead
Valuation
- - ��.,,� �- a _� ��---
.
Gibson County Auditor
101 N Main
PRINCETON IN 47670
�f
�Same as p'operty addrts-,
(last 5 digits) � Othcr (plcasc yccify in Pan: bclow��
undetsigned certifies, under penalty of perjury�. [hat the above and foregoing infortnxtion is wz and colrect and that he or she is eligible to
;e the homestead standard deduction on lhis propeny. Each undersiened also undeniands that, by claiming additional homestead deductions
,iully, he or she may be liable for hack taxes and substantial financial penalties.