HomeMy WebLinkAboutHomestead_Douglas (5)vw+�wio-�c) ' TnFwAwRiocMTS-u
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Gibson County Auditor � � � � � � � � � . � .
101 N. Main Street ��dividuals and married rouples are IimiteJ m one homcctead standud deductioa As che rtceiyt of this deduction becomcs
PfII10EiOf1, IN 47670 morc brneficial, �hae is more incenti�ro itw� ner for Iwmrnead (nud. Homcstead faud wuus higher �ac bills for all; therefore,
HEA 134;-?009 rtquim uxpa�crs wiro rccci�'c ihc homestcad standard deduction ro verify ;hat chry are cligiblc to rccei�e thc
(� �1 � T T T bcnefil and to prm�ide additional idrntlfying in(ortnalion necessary b allow' county govemmect �o bettcr monitm homesiead
�••! H � filings. T!us information wi0 bc Lcpt confidrntial and can onh� bc accesed by authorized caunry af5rials. 7'he Deparvnrn[ of
j L L 1J I.xal Grn'emmen: Fiitance will use �his informarion ro create tools t6at wili hclp cow�' officials elimi�[e homestead fizud
_ APR 1 S 2011
_ , C.'�.r�
, GIBSON COUNTY AUDITOR
2769
Linda J Douglas
401 E Slate St
Princeton IN 47670-1835 ° •
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IIII�I�III��III �Ilul �II�
Location Address
a07 E State ST
Pnncetan IN 47670
II� II� II I �I�I I�I I� IIQ �II� II I �III ID II
State Parcel Number Leaal Description
2fr12-07-203-000.690-028 /NS LOT i PT R7
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� This form MUST be returned to County Auditor's o�ce. ,
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Addrest (NUmbcr and sveet ciry. statc, and 7.IP code) .
�. _ � Samc as property address
� � O[her (pleaze 5pecify in Patt d below)
�• Fach tindersigned certifies, under penalty of pequry, that ihe above and foregoing infortnation"is We and correc[ and iha[ he or she is
, receiee the homestead standard deducdon on this properry. Each undersigned also understands that, by claiming additional homestead
� unlaivfully, he or s6e may be liable for back ta�ces and substantial financial penalties. �� �. � � '
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FORM HL 7U� 7979
ReuriEed By Sute BaarO a� Tax Commissioner5
To & FiIW in DuDlicate
CLAIM FOA HOMESTEAD PHOPEATY TAX CREUIT FOR YEAR 191�
SEE BACK
. , ,
I, (We) ❑ owned °
❑ are buying under contract
❑ have a beneficial ntereqst in the taxpayer � �
Property Description in�6 (�-o-P'x• ^ County O��� Township
Taxing District (City, T-0wa�ewnski�):
Parcel Number
If buying O(1 contract: Owners name ��� sim0le ow�er)
or legal description shown on tax statement:
/1� S { �/ „eL •
,
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:
r
�hereby certify the above statement is true, correct and complete.
\
_ � i . � O _ . n /r1 i � „ _
�
County Township
a�a
,y
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 -
True Cash
Value
Land not exceeding 1(one acre immediately
surroundin residential im ve ents (�) �o-�o
Other Land P� � � � � (2) —`_-_
Total �and i�t� 2 2 1979 �3> � o��_
Residential Improvements (a� �-�-
Dweiling
�� �� �a9e (5) ���� �
/f- Total (6� �
Y AUDITOR
Other Improvements � � g,y (�) -
F^• Improvements - Line (6) plus (7) equals (8) 1 �(a) ��O
I�by certify the above is true. correct. and complete.
of
- ACTION BY AUDITOR -
Assessed
Valuation
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Homestead
Valuation
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Date: V -' �� - / �