HomeMy WebLinkAboutHomestead_GibsonWflM MC 10 1979
P�eu�iOeG By $ta;e Board ot iaa Commissioners
ia Be Filea in Duplicate
CLAIM FOR HOMESTEAO PROPERTY TAX CREDIT fOR YEAR 19_ � ✓
. / SEE BACK FOR FILING INSTRUCTIONS Ol'/- ODR� /`�O
�(We) �j'�/ �� � � �d �'"' �� certify that on the 1st day of
IarCh, 19 �, fWa1 nrr_.�iniari ag _ ir nrinrinql nlar_.a nf rasirianr_.g thg�nu.ijng deSCfibed real prop0rty fOr
which a Homestead Property Tax Credit is hereby being claimed: � ��
I, (We) Cd owned , '
� are buying under contract 1^.��
❑ have a beneficial inte t i,�ayer /� \V
Property Description in C�ry v/ � Township
Taxing District (Ciry, Town, Township):
Parcel Number
If buying Ofl contract: Owners name ��� simD�e owne�l
or legal description shown on tax statement:
�n �-�-e-er �--e- �- /�� .
Contract recorded in Recorders Office - Record No
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
— -x �
Any other counties in which individual owns or is buying real property: County Township
'hereby c�ify the bo%�ent•is true, correct and complete.
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' Ignamre Sveet AEOress _ G:y. S:a.e ana Zip Coae
' 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 �)��rf�t�
surrounding residential pr e s,g J ��, J
Other Land
Total Land
.Jil`� ?,1 i979
}
Residential Improvemen Dwelling
�jT-' ' ��(~�"�`� Garage
�� AUDITOR
Total
Other Improvements
T�'��Improvements - Line (6) plus p) equals (8)
I��by certify the above is true�orrecl. and com
Slgw:ure o� nsseswr
�HQ��\��
Approved
True Cash
Value
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(s� �aSO
(4) ��-��O"
(s) I`t8`�� �Z-�B'
(6) /-vT�c �
Assessed
Valuation
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Homestead
Valuation
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6—i5L-7
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Date: �t�L_L_��
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_ - � �lARffllfY!!]'�I�fYNI 1VA{(�1QN0.4SlA
Gibson County Auditor
101 N Main
PRINCETON IN 47670
3164
Agnes Gibson
501 S Stormont ST
Princeton IN 47670.2525
InJieiJuaL. and msrriN aouple are I'uniiN w nre home�caJ uandaN Jniu.uon. As Ne receip� M �his dedunion bccomes
mo¢ benenciaL thrrc u more incenmro than r�er (or M1omdtesl frawL Ilome��eaJ Fmud causu hi�her ta� bills tw all; thercfae.
HEA 13Ai-3009 requim ucpayen ��ho rcci<c ihc hanestcaJ standa�d Mluciian w.eri(y tlu� �hey me eliciNc io mccne ihc
benefii anf to p�w�ide addiiional iJemiirin_ inWrm.irun necrsvrr �o allw� counn� ro.emmmi �u benrr monitw humrsteaU
filin��. Iltic fn(ortnalion will M1r Aqv ctuitidcnlial anA nn nnly it� a¢cc: uJ Ar aul6ariznl coum�� o(ficiala. �I ht IXpannxm n(
l.ocal Gmcmmem Pinam'c will ua this intormation w crcam 4+ols tlwt �rill h:ip eqmn' officials elimi�rc Ivmesmad (nuJ.
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I�I��II���l�ll��l���lll�����l�f�l�l���l�l�l�l�ll������ll�r�lll
T•rsnaver Name Prnpertr Addre�s
Gibson, Agnes C L E& Stephen A
Gibson
501 S Stortnoni S'1'
1'rinceton I\ 37670
State Parcel NumAer Leeal Descrintion
26-12-07-404-000.947-028 019-o09a7-00 MONROE HOME v3 PT
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Oantt I First Middle / Lazt
�Gi✓�"s G' . (''i6's�,J
— SCr:.s(cumb..-r�..' ty.��.ttc:and-Z:P:cC:j ��c�r.;.�?n,'._m.;d.t.,�:.
.SO/ .� �0�2 � / r / �'/.�c �To,� /n/ 4�7� 70
Spou;e First Middlc Latt
Mailinc Addrcsti (Numbcr and sYrc<I, cii)', smle, and LIP code) � Sume u pmpem address
Social Stturity Numbcr (lac� 5 digits) Drivcr's Liccnsc/Statc ID Numbcr Q�t 5 digits) OcAcr (plcasc spcciN in Part 4 bclowy
smx
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Each undersitmed certifizs, under penalry of perjury, that the above and foregoing infurtnatiun is we and correct and that he or she is eli4ible to
receive lhe homestead standard deduction on this property. Each undersicned al>o undersiands that, by claiming additional homestead deductions
unlawfully, he or she may be liable for back taYes and substantial financial penalties.
Owner 1 Si�.nve . Uaie
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Spou;e Si rc �}yt� icicpharc
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