Homestead_Foley (5)�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
2440
Nancy C Foley
819 N Hart ST
PrincetonlN 47670-1453
IIARlORN!I W II(=/ Hnl
IAFASUAIA W0.V :SI.�
Indi�iduaL. and m2ritd croupl� arc IimilM b nnc homeucad �anduJ JNuninn. As �he receipt ol this Jedurtion hconre�
morc beneficial. thrrc is morc incrn�nc Uun e�cr (or homesrc:el frauJ. Ilomesrcml Gaud causa higher �a� bills (or all: therefae.
HEA I.a-1-?(I(!9 rrquim u�pa�en v:ho ceccive Ihc hwnesnaJ smndard JeJuc�ion to veri�4 Iha1 tM1ey are eliciNe to rccei�e Ih.
Eenefi� aN to pmride additio�ul idemiiyirc� iniurmanon nemvrv �o allw' counn garmment eo bener maniiw homra�eaJ
61in�^. Ihis infnmuiim x�ill 6e Aryw mnlidcruiai anA ein nnl�� F.: aaae..ud h. autlari�N rnunrv ot7aiul�. The IRpanment nf
L�ral Gmemmem Finance xill u�e this infurtnation W arcah �wls ihat �rill h:lp munrv ofSciaL. eliminmc humcn�ead haud.
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Foley, Nancy C
State Parcel Number
26-12-07-102-000.835028
\
Prooert�� Address
819 N I lan ST
1'rinceton IN d7670
Leeal Description
019-0083500 CHAS BROWNLEE 18
$ocial Sccuril}'
Spou;c First Middle Last
,�/ G C, �o�.Ey
Mailinc Address (Numbcr an eVCCI, �iiy, sule, und ZIP ct�e) �'S:vne as pmpeny;Wdres�
i�/ 9•tl, h� !Zf .5� f'Ri.�eF7-o .c> z.rJ �f 7d �D
Social
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Fach undenigned certifies, under penalty of perjury, tha[ the above and foregoing infunnatiun is we and correct and [hat he or she is eligible to
receive the homestead standard deduc�ion on this property. Each undersi¢ned al;o unders�ands that, by claimine additional homestead deductions
unlawfulh�, he or she may be liable for back taxes and substantial financial penalties.
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FOflM HC 10 1979
Prescribed By S�ate BWrO o� 7aK Commissioners
To Be FileE in Duplicate
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19�
�
iarch, 19 I, e occupied as our principal place of r ideni
which a Homestea Property Tax Credit is hereby being aimed:
I, (We) ❑ owned
❑ are buying under contract
❑ have a beneficial injeres[ in the taxpayer
Property Description in � ���
Taxing District (City, Tewa, T,Q,�ptnsbip): �
Parcel Number
If buying on contract: Owners name
O/9 - p o s- _
certify that on the 1st day of
the following described real property for
nty ,���G�-�G2_� Township
or legal description shown on tax statement:
Contract recorded in Recorders Office - Record No
If any portion of the residentiat 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.
� . _ // . . ..
County Township
"Si9hamre - �SUec! naaku ' ' � " ' Ciry. Sia�e am zip Cuce �
�q-"�`��� ` ��"""e� 'Z �' / ��%%`�
' Individual either owns or is buying under a contract that provide 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 (7 (� Dwelling
_iUV � �,�' �JIJ_
Garage
� ////�� -�otal
Other Improvemenis ' ` ^� ����
T�" Improvements - Line 6) plus p) qua�s�`u)
�by certi;y--H�e above is true. correct. and complete.
Signawre ot
Approve : � •
True Cash
Value
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(2) —
�s� � s"� r�
(4)
(5)S7� �
(6) S�._a--e-b
��) s
($) � o �-4'
- ACTION BY AUDITOR -
Assessed
Valuation
� �O
�
Homestead
Valuation
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Date: tt/ /7�%