HomeMy WebLinkAboutHomestead_Arburnw�n xc ia ism
Preuri�e0 By S�ate BaarE of Tax Commissioners
Ta & FiIM in Duplicate
CLAIM FOR HOMESTEAD PROPERTY TAX CAEDIT FOR YEAR 19�
SEE BACK fOR FILING INSTRUCTIONS
�(We) ��-/- �%- 'f"—��� 7Qc-f.Z`".c.r Uh..�t,u.n-� certify that on the 1st day of
.iarch, 1. �y ,(We) occupied a our princip I place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) �' owned oO� DO�O��
❑ are buying under contract
❑ have a beneficial interest in the taxpayer � n
Property Description in �-�`d-� County `"�`� Township
Taxing District (City, Town, Township): ��'-��% �.
Parcel Number or legal description shown on tax statement:
Pt N��i� a8- a-i o �o Ff
If buying Ofl contract: Owners name (�� simole owner�
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: County Township
�hereby certify the above statement is true, correct and complete.
' 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(one) acre immediately
surrounding residential improvements
Other Land � � � � �
7otal Land
Residential Improvements Dwellin
JUN 2ii i979 9
Garage
� ����ti��� Total
Other Improvements AUDITOR
Tn+ ��Improvements - Line (6) plus p) equals (8)
I�oy certify the above is true. correct. and complete.
True Cash
Value
(i) S 0 0
(2) /SBJD
(3) 163� o
(4) /�{3�0
(s) .Sa o
(6) 15�6 �{o
(�) �F D o
�s� �a'� � o
Assessed Homestead
Valuation Valuation
/70
,f,�pa a o
'� "-,5�.�?D
3$— ��—
��(.4 a
� � � . ,c�.rd S - a�-7 y
of Ass¢ssor Date
Date:
��` .
•
. - (�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
2560
SIAiEf00.M!!]W IM1:fvYl
nctis�iu�acus�n
InJividuals anJ ma:riN couplo are IimitN to onc hnmcueaJ �andaN daluciion. As thc rettip� oi this dedunian becomc�
morc beneficiaL [her< is marc incentn< than ner for homa>teaJ fraud. Ilomea�eael fraud causes hi�her taa billi for all: therefae.
HEA 13A=-21%N requires uapa.en .ho reccivc thc hancstcaJ sundard Jnfuctian m reri(y thm ihey are elieide �o mcene ih.
Urnefi� and ro pn„�ide adfitional iJrmiiein_ iniormanon m�r<'vn� m aliw' counry gwemmmt ro bener moniror homes�eatl
tilin�.�. I7iis inlnrmaiion will he F.ery contiJemial nnd ran nnlr h. acen..J M1y amhnrisA aounp� ofTcial�. The Ikpannmm o(
Local Gwcrmn<m Finarn�< will u.c this in;o�ma[ion w arcam twls Ou� mill h:!p �rountt uf%ials diminatc IpmcsmaJ fraud.
. ' , , , ' .
Taspaver Nnme Prn ert�� Addretis
Arbum, Jerry W/ Mary Betty
a 3 s3 �- �-s` os
xzi�
,'i7670
Jerry W/ Mary Beriy Arbum �
��-s6 �3 s3 � a s� s
Princeton IN 47670.8728
I�I��II���I�II��I���III���I„I�I���I��I�II��I��i�l���ll���ll�l
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v�/ �
�g naaress (numtier md sbm. <iry, sta�c, aridZiY codcj ' . " — .
�353 � �.5� � RINC' �
nial $
Address (NUmber and 9ree4 ciq', >taie, and "LIP ceAe)
�353 �
Stturirv Number �las[ 5 dieia)
- �
�
Sta�e Parcel Number
zs-i z-zs-zoo-000.osaoz�
V
(Plcuc
(Pleuc
�D
Pan 4
Leeal Description
OOCr00030.00 PT NE 2&2-10 80 AC
D-10
�iPB�- � N
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�lRBu.��v
� S�unc ai pfopeny addres�
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idersigned czrtifies, under penalry of perjup�, that the abo�•e and foregoing information is we and waect and that he or she fs eifgible to
the homeslead standard deduction on this property. Each undersianed al;o understands that, by claiming additional homestead deductions
illy, he or she may be liable for back taxes and substanrial financial penalties.
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