Homestead_FeutzFOflM HC 70 1979
ReuribeE By Slah BaarO ot Taa Commissioners
To & FileO in WOlicate
CLAIM FOA HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 ��9 �
SEE BACK FOR FILING INSTRUCTIONS O�T — DO SJO— ��
�(We) ��� -�-Uw �" s�-�-Q�-�Q�� �D�s�+ certify that on the 1st day of
arch, 1�2, 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) � owned
❑ are buying under contract
❑ have a beneficial int,e/rest in the taxpayer
Property Description in ,.�+�w County ��-� Township
Taxing District (City, Town, Township): �rt N.--«�� ����iY. �
Parcel Number or legal description shown on tax statement:
YL. .O �2. ��'�—/J �%3 /7
If buying on contract: Owners name ��� simo�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.
//,��,�.,�, � .�,u� 7S. 7Q � i'/'�����J � _ h��G 70 �
�'Signamre° , Sveet nearess . � City. State ana 2fo �e
' 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 improveme�ts
Other Land � I L E l�
Total Land
Residential Improvemenr�� 15 i979
� ' ' ��l'4.'LQ,�
Other Improvements� AUDITOR
True Cash
Value
(�) � G�o°
(2) �(3) � �to 0
Dwelling �4� �'�
Garage (5) Ss0 a
Total (6) ��
(�) —
T� Improvements - Line (6) plus (7) equals (8) (8) ?-5��
I�by certify the above is true. correct. and complete.
Sig(uwre
- ACTION BY AUDITOR -
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Date: ��
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
3924
a ure rozni . �w �rz: i...+�
Tw',tsuvxrax4:sin
ccweu+nmTVU �reiasi.i-:-�.i
IndiriJwL� auJ marriN couplo are limi�nl io nre home9ead uandaN JtAunion. As Ne �ecttip� of Ihis deductan becomee
more brnendal, tMe is mom incentnr dnn n er (or homesrcad (rdud Homurcad fraud caases hi�her �a� bilis for all; thrrefne.
HEA liii-?O(19 reqvim u.�pqcrs x�ho rcceire �he hanestcaJ standarJ �ktfunion m.erify dui t6ey are elieiWe w rettne �hc
bene�l aN lo pra'ide :kkliiional iJentiirin_ iniwmauun �cresvn� to allw' crounn� gm'emmrnt �o W.ner mmiror MnxsrcaJ
filin�,�. This in(armation will br Aqw mnGdanial and ran nnly M� arce+cttl bp autharimd connry olTiaiaii. TAe Ihqannrm of
1_unl Gw<rtmmm Pi�uM< eill u.e this iniortnation �u areatt nwls thai will help camro afiaiaLa dimiwe M�mesicml (mud.
. • , , . , .
Ta�pa��er Name Prnpert�� Address
Feutz, James M/Susan A
JamesM Feutz
1532 S Main
PRINCETON IN 476703463
I�I��II���I�II��I���III�����II��I��I�II����II���II���I�I�I�I�I
;� y3� �
.Address (numbcr nnd >va[,
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� I a-
Addrtss (Numbcr and aYree4 �tib', swte, und "LII' uxle)
Numbcr
��/ (
li3? S Dfain
1'rinceton IN;7670
State Parcel Number Leeal Description
26-12-18-302-000.810.028 01s-ooato-ooPTS1&2-10.73AC
Il
Samc uc pmperiv nddras � � - � - -
digits) � Uher (plcue speci(y in Part 4 belox')
e' Same :ti prap� addres:
(picasc .7�ccify in Part a bclow)
undersit,med certifies, under penalty of perjury, that the above and foregoing infurmation is tme and cortect and that he or she is eligible to
�e the homesiead standard deduction on this property. Each undersicned al;o undernands ihat, by claiming additional homestead deductions
�fully, he or she may be liable for back taxes and substantial financial penal[ies.
1 $i�me4a< Dntt Telephone �
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