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HomeMy WebLinkAboutHomestead_GibbsFOflM MC 10 19i9 P�escri0e4 By State BwrO o� Ta. Commissianers 7a Be FileO in Ouo�i�a�e CLAIM FOR HOMESTEAU PROPERTY TAX CREUIT FOR YEAR 19 r�1 � SEE BACK FOR FILING INSTRUCTIONS _ Dr(,, _ d' Oq 3�p • OO . � �(We) � �� certify that on the 1st day of +larch, 19 I, (We) occupied as our princ' al place of residence the following described real property for which a Homestead Property Tax Credit is hereby being claimed: I, (We) I� owned ❑ are buying under contract ❑ have a beneficial intere${,in the taxpayer Property Description Taxing District (City, Town, Township): Parcel Number If buying on contract: Owners name ��� simole ow�en v � Township � � , or legal description shown on tax statement: /C� GCo�-dc� �3.2 �� /3 3 . 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 portiori 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. 0 County Township Sveel Address " Gry. �are anC Zip CoGer� Individual either owns or is buying under a contract that provides he is to pay �rop�axes �� on the residence, or has a beneficial interest in the taxpayer. - FOR ASSESSOR'S USE ONLY - True Cash Assessed Homestead Value Valuation Valuation Land not exceeding 1(one) acre immediately surrounding residential improvements Other Land � � � � � Total Land Residential Improvements JUN 2 `•i 1979 Dwelling /� /� �Garage F,/ ��hj4J2 UTofal (% �l di(p�li Other Improvements � AUDITOR I�' Improvements - Line (6) plus (7) equals (8) by certify the above is tr e correct. and co plete. � �"-'�–� ��,c� Signam�e ot Asseswr Approved (�) �O (�) —2_— (3) J6 30 (4) /�—O� cs, ��0�-0 0.� (6) ��B-5�� (�) —, /�,, —,/✓ (8) ��'�7'� ��O . j�j��j�jj %��"%� �-./..'////,� _; i �,.;. !!!e JT — / y \ Date: ���7_�_ Gibson County Auditor 101 N Main PRINCETON IN 47670 3163 acarc roz.i ��w.�� i.-r� nr..cu�rn wa� :su InJiriduals and im:riN mupk. are Iimi�N to onc hnmcueaJ aandaN ikvlu:�ion. As �he receipt ol this dWuction 6ecomc� murc beneficfal. thv< fs marc incrn[nx tlun n<r (or home>teaJ GaW. Ibnx��ead f`aud cauxs hi�her im bills lor all: ihercfwe. HEA liii-?(N19 requirn u�pa�m Mho rcciac Ihc hanevcad siandarJ �kvtunion w.rritv �ha� �hey arc eliciNe w recei.c the benefii ani m p��ide :ulUitiunal iJemiiyin_ in(urmatmn nnrvn� to alluw counn emrmment ro b;rter muniror homrs�e:al filingv.'ILis inlmmaiinn will 6e A�v con�idcmial anA r.m nNy h� actr�acA M1� w�hmi�nl rnumy nBci�als. "I'6e Ikpanmem nf L�al Gm'crnnrnt Pina�rt< will u�e this infunnation m creatc nvls thal �vill h:lp cwnn� u�Txials dimimh Iwmcstcad &auJ. . • , , , , " Tasnaver M1ame Prnpem� Address Gibbs, Oscar R / Margie Oscar R / Margie Gibbs 711 S Stoul ST Princelon IN 47670-2738 I�I��II���I�II„I���III�����I�II���I��II�I��I����II���il�l��ll (�5 Ce�f � 711 S Smut ST Princemn 1\ 47670 S[ate Parcel Number Leeal Description 26-12-07-404-000.936028 Ots-oo93s-o0 KOLBS ADD 32 PT133 � .— er�udre>,(nwnbanndsUCCC,:i�;:�ur_.andZ:P:oL:i-- - _ _ . _ _ _ � I � �' 05� c-�.f �� �i �� cz� r1 M 4ad�� I G� bbs � $:une az propem addres TiV �i�7� �cc spccify in Pan 3 bclox�) >i�3S undersi5med cenifies, under penalty of perjury, that the abuve and foregoing information is true and coirect and that he or she is eligible to :e the homestead standard deduction on this property. Fach undersiened al;o unders�ands that, by claimine addiiional homestead deductions ,folly, he or she may be liable for back taxes and substantial financial penalties. � S�Enewrc � ( ��