HomeMy WebLinkAboutHomestead_Ashby (3)weM xc �o �s�9
P�exriCeC By Slate Boam ol ia. Commissione�s
CLAIM FOR HOMESTEAD PROPERTY TAX CREUIT FOR YEAR 19 �9
To Be FileC in Mplicate
SEE BACK FOR FILING INSTRUCTIONS
�(yye) /7Sr1By / Au� �. � �o.Jnl/E � certify that on the tst day of
�tarch, 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 ���9—bj�y �:,bo
❑ are buying under contract "vU
❑ have a beneficial interest in the taxpayer
�
Property Description in G��s o�.1 County 9' �� A Township
Taxing District (City, Town, Township): f1TO i� f1
Parcel Number or legal description shown on tax statement:
P,t SE �/� n/ccJ �/�1 'lr'- z-i o • G d' 9
If buying on contract: Owners name ��ee s�moie ow�e.i
Contract recorded in Recorders Office - Record No
Ii 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.
County Township
' Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficiaf interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre immetliate�- �
surrounding residential im�ve�nts �
Other Land
Total Land
Residential Improvements
Other Improvements
- 1� ��
,'u i�� 2 % = '
Dw ling
��/�� G
i
' AUaPI��t
Tn��� Improvements - Line (6) plus p) equals (8)
I�by certify the above is t�e. correct. and complete.
Signamie
True Cash
Value
(7) So 0
(�)
(3) Soo
(4) /.2/90
(5) '_
�g� �aigo
(�) —
�g� /ai 90
- ACTION BY AUDITOR -
Assessed
Valuation
/ 70
.
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Homestead
Valuation
/70
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Date: � a z/_��_
Gibson County Auditor
101 N Main
PRINCETON IN 47670
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G��O�N COU� T V
Jonnie A As�by �`�'71?7r,
1712 Outer Lake RD
PRINCETON IN 47670
�IAIEltMi\I!)fMIR! awl
n��Mw'fll BY �InIE MVtDM.V�<�.'ll9n
�V91UDmOY
LCFATJRiAF�U:}IA
InJicidual.. and nu:�icJ mupl� are IfmitN �o orc homcuead ntandaN Jxlunion. As �hc rttrip� of Iftis dNunion bttomc.
murc beneficial, thrrc is morc incrnmr than e�er for honxsead (qud Ilomarcal frauJ causes hi�her tas bilis (or all: therc(ae.
HEi� US3-?II(!9 requim Wapa�en who rrci�x �he hanesimd siandard dcvluc�ion �o .crify �hm �hey arc eliciMe to rccei.. �h.
benen� ani ro pnxidr a�Witioiul idrnuirin_ infurmatwn nece.wry ta allw' counq' gmrmmrnt tu Ntrcr munitw IwmesmnJ
lilin�,�.'Ihis inlomutinn x�ill M Aryw conGdrniial aml can only h+ armssnl 6r amhnri>d roumy o(licisi.. "fhe Ikpanmrni nf
Incal Gmcrmnem Fiiu�rce will ua [his inio�mmion W crca:c uvls ihat x'ill h:!p cwnn� offirials diminnrc Ixencicml treud.
..,.. ,, ,.
Taxoa��er Name Prnpertr Address
Ashby, Jonnie A Life Est/Robin A
Schmidt
171? Ou¢�r IaAc RD
State Parcel tiumber
26-12-09-104-000.062-027
J
1'rincemn I\ a7670
LeQal Descriotion
00600062-00 PT SE NW &2-10 .776 AC
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Ou�ner I / First MidNc Lati
N V�V iV �^'� �/ ' J L/
ig Addrecs (numbcr and snen, ciry, suec, end ZIP <ode) � �� Samc as property otld�, —�– "�---
7/,� � � ,� / - �
$ocul Sceurity Number (last i die�LS) Urivers Lic<nsc/5tate ID Ninnbcr ( ast 5 digiB) Other (plense specify in Part 4 below)
�— / � .� `
Middlc . Last
Mailine Addms (Number and svtt4 n�}'. �Ialc, and ZIP coJe) �$•sme u pmyeny addros
Social $ccurity Numbcr (lazt 5 digiis) Dm�a's Limnsc/S�a[c ID Niunbcr Qa;� 5 digits) Othcr (plcasc +pccif�� in Part 4 bclox�)
$0p
r � � �
Fach undersienetl cenifies, under penalty of pery'up�, that the aboce and foregoing inFortnation is we and coaect and that he or she is elieible to
receive the homestead standard deduc�ion on this propeny. Hach undersi¢ned al;o undersiands that, by claiming additional homestead deductions
unlawfully, he or she may be liable for back taxes and substantial financial penalties.
Ow�ne? I Si;mauuc Dmc 1'clephonc
.4-��iviu� l. �� � `� � io (�'�
5't�ign:c Signaturc Dare � Tcicphonc � �
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