Homestead_DevineFORM HC 10 1979
P(escri�ed By State BwrG ol iax Cammissioners
io Be Filen in Ouplicate
CLAIM FOR HOMESTEAD PROPERTY TAX CREOIT fOR YEAR 192L /
SEE BACK FOR FILING INSTRUCTIONS OI9- D��( o� ?- O O
�(We) �"��-�=-N-t� 2�ra �� �r�i°�-� a y�%��-t- certify that on the 1st day of
�vlarch, 19�, I, (We) occupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
\
I, (We) C4 owned
O are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in�� c-�� County ��� Township
Taxing District (City, T.na��awastaip): ��-�--r����.-+Z
Parcel Number or legal description shown on tax statement
n��� 9�,0
If buying on contract: Owners name!'eP
Contract recorded in Recorders Office - Record No. Page
Ii 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.
�a�. X'. ��c��9.u,�... C���'.��
'Signawre
Apdr¢ss
County Township
Y��-�.�..., : (�. , 5�71�
Z�o CoCe
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
JUN 7, � 1979
�� -S� /�ti�,�
Other Improvements // AUDITOR
True Cash
Value
( � ) —L,2�o
(2) "
(3) % � =3 O
Dwelling �4� ��
Garage (5> iF 80
Total
�rovements - Line (6) plus (7) equals (8)
certify the above is true. correct. and complete.
oi Asseswr
���:�
(�) —
(8) �
Assessed
Valuation
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.
jjjjjj�j/�
�; j%� ��
Homestead
Valuation
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' .�%.
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, -/ 1./-?
Date
- ACTION BY AUDITOR -
Date: —(!_/1��/-7 �-
Gibson County Auditor
101 N Main
PRINCETON IN 47670
�
3096
s�w�rz=i=ri
IRFtiS(IRiRfORY-RIA
C�tiYNfTi iW 1\'(E IC 61.1.�-�.1
Individuals anJ rturriN coupk,. arc limiied lo ore homeaeaJ 9andaN dNunion. As tht rcccipi ol Utis dcdunion becomes
morc benefidal, �herc is more irrcrntue than oer for home>te�i fraud Ilumotead (aud ouses higher �a� bills tor all: rherefore.
HEA Ii4i-?009 requim mipapen who reccire Ihe hanestmd standa�d dedunion to �erify dut they me eligiNe to recenr tM1e
benefi� ani ro pnnidr a�Witi��ul identiirins infwmatiun necr>vry to aliw� vounn� earmmeni to brner monitor homeseal
tili��. This inlomutinn x�ill hr lryv conGdcniial anA ran nnly h.: acttxud Fy amMmrl rountr o(Teials. The Ikryunmm�t nf
Lxal Gmemment FimMe will u.c this inio`ma[ion ro crcatt [vis �hat �cill hcin mmrv ufficials dimiw�c hrnncaead tinud_
Taspaver N�me Propem• AJdress
Devine, Lester Robert / Kathieen
6?4 S Gibson S7'
Princc�on IN-17670
Lesler Robert / Kathleen Devine
624 S Gibson ST State Parcel Number Leeal Description
PrincetonlN 47670-2406
� I II I II I III I I � II� . II I I I I' I I 26-12-07-403-000.627-028/019-OO627-OOC�nRKSVILLE9n0
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c�AdCrs (r.,:.: ��L s/c-�^: cin�, s•ctc, aad Z!P cad^)
(� a�- S. C�-i bSm ��", �� r'n C..e
First
a-�% � een
� Address (Number and avee4 riq'. siaie, anJ ZII' cuiie)
��2�- S. �`9 i bson
eU�%��
_ rmpc!!y.addrts:_ . . _
o n � �i'? �c rI0 '
Othrr (plmse specify in Part 4 belaw)
�eVl'
Same us pmpem add�as
� � � �'70- �
O[her (plc�sc spccify in Part 4 bcioWl
undersigned certifies, under penalry of perjury, that the abo�•e and foregoing infortnation is we and coirect and that he or she is elieible to
: e the homeslead slandard deduction on this property. Each undersicned al;o understands that, by claiming additional homestead deductions
,�fully, he or she may be liable for back taxes and substanrial financial penalties.
al�o ._._.._._ (
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