HomeMy WebLinkAboutHomestead_ArnoldFOflM HC 10 1979
Preu�iUed By 51aie BoarO o� Ta. Commis5i0ners
CLAIMA�IR
`� c
.'�a��
ESTEAD PROPERTY TAX CREDIT FOR YEAR 19��
9 SEE BACK FOR FILING INSTRUCTIONS
V7 _
To Be iiled In Ouplicate
_�(We) ���.Q�� �-�- certify that on the 1st day of
. arch, 19—�9. 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) C3� owned oo�– ��� -� �
❑ are buying under contract
❑ have a beneficial interest in the taxpayer , !�
Property Description in ,� � � County "����- Township
Taxing District (City, Town, Township): -7/'• -��a� LL[-u-;o.
Parcel Number or legal description shown on tax statemOeni:.�
3 �
� ��z, hlw 'i�i 3 -� -/ c 3�7TPi
If buying on contract: Owners name �'� �'"'we °""ef�
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: County
��hereby certify the
� �. , i
'Signature
statement is true, correct and complete.
SU¢¢� AaCRSs
o<
Township
City. S:a:e ana 7o 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 -
True Cash Assessed Homestead
Value Valuation Valuation
Land no excepding �1 (one�acre immediately 5'0o / o �p l�
surroun�g r�,5iden I imp ve�s (�1 �� � -�d
Other Land tl � � (2) �?���� 0�� �5���������
Totai Land !�,ri ,_ 19r'"9
Residential Improvements
���!.��
AUDITOR
Other Improvements
Dwelling
Garage
Total
Tot�i Improvements - Line (6) plus p) equals (8)
I_�by certify the above is true. correct, and complete.
Signa:u�e p� nssezmr
/ �..z�,�
(3) 225 0
(4) .� 0 7 0
�5� -
(6) .30 7 0
(7) '/�/a
�g� 3,•%'r� o
- ACTION BY AUDITOR -
�
����������
i�%///%//O%%
�4::.
_ .
l
i
_ .
Da:e
�
Date: —�¢- �9 _�
• •Gibson County Auditor
101 N Main
PRINCETON IN 47670
�
�J
2147
[11R f01[M!!'M IM_ f NMI
MATIIAQ fO0.V YIA
�RfAWOm�T TI! OE�Kl�Vi6lfh'.LL ('.In2RVMFA'! fON\t'F.I(' �I.1-_a.l
InJioiJuaL and ina:riN ooupks are Ifmimd w nnc home..tcaJ ntamlaN �iluaion. As �he receipi of ihis dNunion bcromes
mere bcneficial, thrrc is morc incenme rlun r�er for homr»e:rJ fraud Homr.aeaJ &aud caass highn tac bills (or all: thereiaz.
HEA 13si-11%19 requim uspaccrs x�ho rmivc ihc hancsteaJ siandud dvfuction io vrri(y ilut thcy are eliciNc to recene the
benefit ani ro pnr�idr adlitfoml iJrntitpfnc inWrmarun m�r'vn m allw� vountt �armmrnt �o W.n:r munitor homrne;rJ
lilinp�,..'ihis in(mrtu�inn �vill M Aryv mntidrnlial enA ran only h� acce_ud M1y amhorizeJ aminly nfliciais.'I'hr Ikpanmrni nf
I.ucal Gov<mmcm Fi`unce will um this iniormatiun m crcam tiols ihat will h:In countv ufficial. dimfwtc humcstcad fiaud.
Geraldine Walker
2764 E 100 N
PRINCETON IN 47670-8922
���u��ui�i��u�u����in�n�����nn���u������u��u�i�i���
TJ1�J�'ef I�iJ111Q
Amold, Antoinette Life Est &
Geraldine/
State Parcel Number
26-12-03-100-000.057-i
� f%�`1�oinT�TT�
"•igtWdre>; inurtAnT wnl-sua : ciry. ;um.-w�d �IP ca::i / ' _ '. _ _
/
� ��� % �!
$ocial
.Addres (Number and streel, ciry, state, xnJ'LIP codej
Stturity Numbc� (last 5 digiu)
Drivcr's Liccnsc/S�atc ID Number (1a t 5
(Pleazc
Prnnertc Addre�s
R? fbx 313
1'rinceton IN i7670
/ Leaal Descriotion
006�00057-00 E NW &2-10 30.12 AC
C-1 D-7
fR �� �
ss ,m;Mm �.!a,.K= —.
Part 4
� $;une as pmpeny add�..
undersiened certifies, under penalry of perjury•, that the above and foregoing inPormation is We and correct and that he or she is eligible to
:e the homeslead standard deduclion on this property. Each undersicned al;o underslands that, by claiming additional homestead deductions
,fully, he or she may be liable for back tases and substantial financial penalties.
I SiFnznut Detc 7'elcphonc
�M;,,�� /�,.�,,, _P� _ 5-/0-l0 �� � ��
� )