HomeMy WebLinkAboutHomestead_EmbreeFOflM HC 10 1979
Preuri0e0 By SWte BoarE of Tax Commissioners
Ta & FiIM in Duplicate
CLAIM FOR HOMESTEAU PROPERTY TAX CAEOIT fOH YEAR 19Z� �
_ SEE BACK FOR FILING INSTRUCTIONS ��Q- O�%�{%-00
•�(We) `� certify that on the 1st day of
��arch, 19� I, ( e) occupied as our principal place r'dence 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 interest in the taxpayer
Property Description in o� County ��-a � Township
Taxing District (City, Tawn, Tewasqip): /-'/ur-�e7�-��-.
Parcel Number or legal description shown on tax statemenL
�� ���. 9 9
If buying on contract: Owners name ��� simple o.�e��
` Contract recorded in Recorders Office - Record No. Page
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
i hereby certify the above statement is true, correct and complete.
�,,�o,� � � �� �.�..� � J � �, �
�
Strret FtlOress Ciry, State an0 Zip COpe
47��0
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
�� � - � �Dwe'"IGng
JUL 311979Garage
Total
Other Improvements ,//
To} ' Improvements - Line (�us�Y17) -���
I�oy c�Hiiy the above^ is tru�! correct. an�9UE1f�ACte.
Sgnawre ol
� � � � • � //�:�
/�
True Cash
Value
(1) /�S�
(2) �--
(3) l 3 S` °
(4) '.��
(5) �t�l�"°��
�s� '�-l�b'-�
(�) —
(a) �-�°
- ACTION BY AUDITOR -
Assessed
Valuation
SLs o
SCs�
%�
r��SD
Homestead
Valuation
�' �
� /3—
r-�=
�a:e
�
Date: 7- 3/-'7y '
.�� '
Gibson County Auditor
101 N Main
PRINCETON IN 47670
_'� J
3788
Robert Allen Embree
913 S Gibson ST
Princeton IN 47670-2611
fl VE fORY �JHIR /�1
�
iISANFFA f00.V �-1.�
InJi��iduaL. and inartieJ mupks arc limited �o orc homr�eaJ �tandaN d:�lunion. �s the romip� ol �hia Jnluction boconms
morc bcnencial. there i. morc imrnmre than ncr for M1omesrc:d fnud. Homdtc�cl fmud causes hi�hrr tac 6ills (or all: themfae.
NEA Gi4-?lN19 requim u�parcn who receivc Ihc hanestcaJ standard �kyluaion �o verify �h+l ehey am cliciMc io mcei.e the
benefi� ami ia pnxiJr :xklitional iJentifyinc iniurma�mn �xcn'vn� ro alluw� cuunp� gcn'emment ro N.trcr muniror honxsrcaJ
filin�,�. Ihis inlnmutinn wili M Aryw contldeniial anA r�n nnly f+a arecsseA hy wihnrized rnunt�� ofiiciab.'1'he Ikpanmeni of
Lucal Gm'emmem PiwMe ��ill u�e this fniomwtion W creatt twls ihat will h:lp rnmn� officials climinau Iromcsicad (rauJ.
' • , , ' , .
�i�n��ui�i��n�in���uin������nin��in��in��n��ui�i��
T•rxpa�•er Neme
Embree, Robert Allen
State Parcel Number
X 2Cr12-18-201-000.747-028
Prnoerh� Address
913 S Gibson Sl'
Princeton IN 47670
Leeal Description
019-00747-00 SS ADD 99