Homestead_DemossFONM HC 10 1979 �
HeuriOtE By State BoarO ol TaR Cammissioners
To & Filed in Duplicate
CLAIM FOA HOMESTEAD PROPERTY. TAX .CREDIT f0A .YEAR 19Z ✓
SEE BACK FOR FILING INSTRUCTIONS o�9� DDIp3�-00
. (�(We) �-�- � `� � � � ��d certify that on the 1st day of
�iarch, 19��, I, (We) occupied as our principal place of residence the tollowing described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) Q'owned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in � C�o/u�nty ��-a-� Township
Taxing District (City, Town, Township): `�/u��� �� �0
Parcel Number or legal description shown on tax statement:
,lS�.c.�.a. �2,a.,..n. ,�r.e, �3 �.�.a�t �8.
If buying on contract: Owners name ��� simple ow�e,i
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.
Street ACdress
County
Township
ciry, State ana 2io
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
oohal Land � � � � �
Residential Improvements Owellin
.�UL ? 7 197S 9
Garage
, /� �Total
Other Improvements � ��p �
�Tn� '-Improvemenis - Li e(6) plus (7P�Q� f�(8)
y certify the above is true. correct. and complete.
5gnawre
True Cash
Value
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(2) �
c3) / 7�0
(4) /-�—�—�-o
(5) � G—�o0�
(6) ���
(�) �
(8) �
- ACTION BY AUDITOR -
Assessed
Valuation
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Homestead
Valuation
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7-/�'79
Date
Date:? ����
Gibson County Auditor
101 N Main
PRINCETON IN 47670
�
�IiIE FfIRM �!Hlti/ NMI
r :.
iRlnitlAG WRV :}IA
InJiriJuaL. anJ inar�iN roupks arc Iuni�eJ �o ore hoinvnJ �andaN h�ivaioa As the rettip� oi ihis dMuoinn bttrnrc� �
mure beneficfal, thrrc is marc incrntrx tlun aer !or humesttaJ framl. Ilome3ea�l fmwl causs higher tac 6flli for all; thercfae.
HEA 1;4i-20M requim mipapen xhb rcccire ihc homesmaJ nandard �lifuciion to rcrity ilwi thcy am elicide Io rccei.c ihe
benefit anJ tu pnn'iJr :eklitiunal iJentifrim_ intumwtiun nece<ian ro allw' ouunn gurrmment to bever munitor honrste:d
fili��_ lfiis inlormatinn will M I.tTu mnlidenlinl anA on nnly h: arre: ud by aWhorirrJ rnunly officialc Thr IkTanmem nf
Iucal Govemm<m Fieunee xill use �his intoematiun W ueah t�wb �hat �eill h:Ip eqmiv uffwial> dimfnai< humestead frauJ.
',, ,. ,
Taspacer Name Prnoertc Address
Demoss, Duane P/Slella M Trust
� _ — 3282 _--- _ - — - — -
Duane P/Stella M Demoss Trust
606 Fairview Drive
Princeton IN 47670-3242
���n��u�����u��u���n�u��ui�i�i�n�n�i���ini��n�i�n�
606 Paimiew Drire
� I'rinttton IN 47670
S[ate Parcel Number Leeal Descriptian
X 26-12-08-204-000.632-028 019-00632-OO DIKE ENLG SEC B TtuCT B
1
Oancr I First AlidNe Lazl
�u,�Nr c , 1�i- M �ss
�g Address (number mid imxt, <iry, smle, and ZIP code) � nme us propeM addres'.— �
Socml $ccurily Number (hst 5 diciLC) Ihiver's Licen,�u�e ID Nmnber Qu� 5 di�iB) Other (plene speci(y in Part 4 below)
;
Spouu First Middlc Last
����
Meiling:Address (Number and svttti �i�}', state, and "LIP cuiie) ie u propeny ad�Letc
Social Stturity Number (las: 5 digi�s) Drivcr's LiccnsdSratc ID �wnbcr (last 5 dieils) Othcr (plc�sc spccif� in Pan: b�.�low�)
, . ,
Each undersignetl certifies, under penalty of perjury, that the above and foreeoina infortnation is we and correc� and that he or she is elieible to
receive the homestead siandard deduciion on this propeny. 6ach undersiened also understands that, by claiming addiiional homestead deductions
unlawfully, he or shz may be liable for back taxes and substantial financial penalties.
Owner I $ignauuc Ua�c Telephone
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