HomeMy WebLinkAboutHomestead_Lagneau (3)wwa Hc �o iem
RcscriDeO By State Baard ol Taa Commissioners
To & Filed in Duplicate
CLAIM FOR HOMESTEAO PHOPERTY TAX CREOIT FOR YEAR 192� �
SEE BACK FOR FILING INSTRUCTIONS ��9— D�S3/'�
r, . � ,
�We) �� � certify that on the 1st day of
.arch, 19 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 /in�te�rest in the taxpayer /� •
Property Description in - �+-�+�--� , Co�unty /'�G� Township
Taxing District (City, Tewn, Te�vrtship): /`'-i'-�'1.�--�
Parcel Number or legal description shown on tax statement:
' , �T /�/Cd�j� 7-� - /c /• -Z /QU�
If buying on contract: Owners
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:
'-hereby certify the above statement is true, correct and complete.
1
�n �,
County Township
' Individual either owns or is buying under a contract that provides he is to pay the property t�
on the residence, or has a beneficial interest in the taxpayer.
Land not exceeding 1(one) acre immediately
surrounding residential improvements
Other Lantl
Total Land
Residential Improvements
ASSESSOR'S USE
����we�
JU�' ?,219�rage
Tota
Other Improvements � � ��
T �mprovements - Line (6) plu�) equals�
i�y certi e above is irue. correct. and complete.
Sigw�ure of
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- ACTION BY AUDITOR -
Assessed
Valuation
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Date: � - a 'z- %%
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County ID Gibson') I Activity Type 1 Homestead J
SDF ID I Activity Date 14/2/2012 3:55:41 PM I IN
Parcel Number 126-12-07-103-001.537-02i
Auditor Stamp Approved IJ
Mobile Home fl
Address 1 1405 N WEST ST ! Auditor Approval Date 14/2/2012 3:55:41 PM 1M
J
Address 2
Approval User IGIBSON_05022012_2 I
City 'PRINCETON J Active Year 1 I
tip 476701 Notes
I I
—Primary Information —Spouse Information
First Name ILOREfTA _I First Name I I
Middle Name IM _ Middle Name I I
Last Name ILAGNEAU I Last Name I I
SSN: SSN:
II
License State: IN I License State: I-1
License ID: License ID: =
Other ID 1 I Other ID 1 I
Tuesday, September 08, 2015 9:39:34 AM