HomeMy WebLinkAboutHomestead_DownsweM xc �o �e�
HeSCribeG By State Board of Tae Cammissioners
CLAIM FOA HOMESTEAD PROPERTY TAX.CREUIT FOR YEAH 19��
To & FiIW in Duplirate
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SEE BACK FOR FILING INSTRUCTIONS O�9- OO�Q�S• O�p
�(We) ��� u� ti S 1= �� �? s ,��aro �� ., J�, certify that on the 1st day of
arch, 19�`L, I, (V�e) 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) � owned
are buying under contract
❑ have a beneficial i/nt�erest in the taxpayer
Property Description in ( 4% h�,.ip County /� -� ��! °� Township
Taxing District (City, T�wrt�awrtship): / J' % h e e-+�o a
Parcel Number or legal description shown on tax statement:
rz�� Pl2ti ��-a p�,
If buying on contract: Owners name �'� ""'o'e
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: County Township
hereby certify the above statement is true, correct and complete.
J., _ i -: WG��f= .
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'Signa�ure Suret ACCreu Ciry. te anE Zip CoEe
' 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
Other Land � � �
Total Land � �
�
Residential Improvements Dwelling
IUN �• � 1979_
. Garage
/ /'�/���Tota I
[�
Other Improvements �, r m
Tr' Improvements - Lin (6) plus (7)�2(S�8)
I.�by certiix the aboy,e,is true. correct, and complete.
ol AsSessor
7_ c�
True Cash Assessed Homestead
Value Valuation Valuation
(i) /_� t/o 5�J D
(2) —
(3) / .3 `/ O
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- ACTION BY AUDITOR -
� �/S-7�j
Date
Approved: � ,�6�6-�� Date:���"7,��'
si.u[ m�u.�w�� i wo nr�suux wrt� ��n
.VYRO.'LIIPTC��TEBI.MPOMM�tS�\TIY�w PRf`XIUBm�YT2DE�MMEY�OFLOGLCMcIIYNfT'IfN'A\CEIt'b1.IZ-�.1
Gibson County Audilor
101NMain ' � � � � I '•�' • � •
PRINCETON IN 47670 InJividuaLc anJ m�rriN <ouple� are IimiteJ io onc Irome�teaJ 9andaN Anluc�ion. As �he rettipt ol this deduoion becomc�
mere beneficial, thae is morr fncen[nx dnn ecer for homa'tead fnuJ. Ilomo�eael fiawl nuses hightt tac bills (m all: therefae.
• HEA 13ii-2IX19 requim uxpaym v:ho receire ihe hanesreaJ standard deduc�ion �u .erify �hm they are eli¢iMe ta recene ihe
benefit an1 ro p�rn�ide addiiional iJemiiyfne inform�uun nece.'vry to allua counp� gm'emment ro b:trer moniror homesuaJ
tiline�. fiis in(artnmion will br Acry conlidemial and can only M sressed by amhnr'vsJ coumy olTcials. Thr Ikpannmm nf
Local Gwcrmncnt PinaMe ��9II u.c this inio�mation ro<rca:c Ads �lut �cill h;Ip �pmn� of5cials diminmc homcstcad fiauJ.
761
Charles R/ Carolyn S Downs
112 W Oak St
Princeton IN 47670.1416
I�I��II���I�II��i���lll������ll�l��l���ll�ll�����ll��l�l���lll
Taspever Name Prnpert�� Address
Downs, ChaAes R/ Carolyn S
I I? N' Oak S'I'
Princc�onl\ 47670
S[ate Parcel Yumber Leflal Descriotion
X 26-12-07-102-000.695-028 Ots-oo695�W OLD Ptfw 152 PT
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
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ig Address (numbcr end smxt, eity, state, and ZIP codc)/�
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ling Address (Nulf(ber and svecl d�y, siatc, and ZIP coJe)
/ �02 C�� � � �-- 3°_
ial Sccurity Numbcr I,las: 5 dieits) Dri��n's LiccnsdStatc ID Niunh
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5 digits) � O�her(plc�sc
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Snmc ns pmpcm nddms�
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� Same:u pmperty addres�
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mdersigned certifies, under penalty of pequry�, that the abo��e and foregoing information is we and cotrect and that he or she is eligible to
e the homestead standard deduction on this property. Each undersiened al>o understands that, by claiming additional homestead deductions
fully, he or she may be liable (or back taxes and substantial financial penal[ies.
I SigneWrc Uetc Telephonc
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