HomeMy WebLinkAboutHomestead_Anderson (3)FOPM HC 10 1979
ReunCM By S�ate BwrO af Taa Commissioners
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CLAIM FOR HOMESTEAD PflOPERTY TAX CREUIT FOR YEAR 19�
SEE BACK FOR FILING INSTRUCTIONS
To Be FileO in Duplkate
We) �r � certify that on the 1st day of
arch, 19�`�, I, (We) occupied as our incipal place of residence the following described real property for
which a Homestead Property Tax Credit i hereby being claimed:
I, (We) C3' owned ODIn � p��
❑ are buying under contract �Y
❑ have a beneficial interest in the taxpayer
Property Description in ,� County `'Pa�o-�� Township
Taxing District (City, Town, Township): �4�-a- .1�u�,
Parcel Number � or legal description shown on tax statement:
�P£. �l f iti � -3 -i o '1 A
If buying on contract: Owners
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 portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property:
reby certify the above statement is true, correct and complete
SVeei ACCress
County Township
Giry, Stace ana Zip Coae
` IndiGidual 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 resitle�i�r�me� �
Other Land �g
Total Land
Residential Improvements��'� 2 1919
G� . S�; j'�;�{,r��
� AUDITOR
Other Improvemenis
Dwelling
Garage
Total
To'-' �mprovements - Line (6) plus (7) equals (8)
I��y certify the above is true. correct. and complete.
Signa;ure
Approved: ��\ � '
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- ACTION BY AUDITOR -
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Date: —�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
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2262
Marvin H / Nellie Anderson
1262 N SR 65
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.V�Mw'EIIBT�TnTES'HPDMYYYR:TC9v ��v(NBm0Yi11lUF�MT@vltfLG'ALCnT2R4N�AifP'A\fE1CbI.1�I'!.1
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InJiviJuaL. anJ mar�ieJ coupkti arc Iimi�N �o onc home�eaJ �tandaN JNuc�ion. As �he receipi ol'this JcJuainn 6ccomes
murc brneficial, thrrc is more incrn[n�e thin aer for humes�e:rJ GaW. IlomnrcaJ fnuJ causa higher ta� bills (or all: therefore.
HEA 13i+201!9 requim uxpa.m x�ho r.�ceire thc hanestraJ vandad deJuc�ion m reri14 dwt �hcy are cligiWe io mc.i.c ihc
brnefii an1 w pmeide rWitional iArntiiyine infum�atmn mce<san' lo allw' cuUntr gm'rmmrnl 1u bener muniror honxsreaJ
filinZ.�.'ITi+ inlorrtu�ion will Lr l�1 mnlideNial anA can nnlc M� acreacA b)' authnriint rounN' olTeials. "ILr Dcpanmcm nl
I.ceal Gurcmmem Fimnc< will u�e �his intormmion tu v'rca:e twls tlut ��'ill hclp muntr offiriaU climi�uie Iwmcsicad traud.
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T�ipaver Name Propem� Addre�s
Anderson, Marvin H/ Nellie Frances � a G�� S%(�S
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I'rince�nn I\ a7fi70 ,"
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State Parcel Number Leeal Descriotion
PrincetonlN 47670
26-12-06-201-000.020-027 006-00020-0o PT NE cr2-10 7 AC
— -- - - - - - -- - --- - . _— -- - ----�_� - — -
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Owner 1 /y� '/ First h7idNe Last
///�1KU1N �7•//L�llle � ,�SoA/
•ig-A�dru. (�.emb..-. e:�d�,ttu:: ci.y:�st:.te.:.: � ZlP cad:) - u camc x: nmperty oddr�.. —_ '
/2(�� �/,s7�rr� Rd.�s {���h�z �-oh �ti �76��
Social Securi[y Numbn (last i dieits) Drira's Lice�ac!$ute ID �mnbzr (last 5 diDiB) j Oiher (plesse speciF in Pan d below)
Middlc Lv4
��/�/2 � �l^9�Ges /�Thdersol�r
Mailine Addrrss (NUmber anJ stree4 ciry�, siate, und "LIP cexle) � Sume:u pmpeny addnss
/��� N
Social Sauritr Numbcr (lasc 5 dicirs) Drivefs LiccnSNSutc ID Nwnbcr pazt 5 dieits) � Ochcr (plcuc spcci(y in Part: M:iow)
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. Each undersicned certifizs, under penalry of perjury•. [hat the abovr and foregoing infortnation is true and correct and that he or she is eli�ible to
r<ceive the homestead standard deduction on this pmpeny. Each undersiened al>o undersiands that, by claiminc additional homestead deductions
unlaa�fully, he or she may be liable for back taxes and substantial financial penaliies.
Owncr I Si`neWrc Uatc 7'cicphonc
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