Homestead_BarrettFOHM HL 10 1979
P�eStribed By $lale Boartl o� ia. Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19�2
to Be FileE in Ouplicare
SEE BACK FOR FILING INSTRUCTIONS
� � ���� i
-� (We) ��5'ti�vti-�-�-r-, �� � E s�-�'t-� �• certify that on the 1st day of
iarch, 19�, I, (We) occupi� our pnncipal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed: '
�, (we),� owned (�(y —DObd�6 -db
❑ are buying under contract
❑ have a beneficial interest in the taxpayer
Property Description in ���—�-a-�� County ��.�-� Township
Taxing District (Gii�—Town, TevvrtShip): � / �
Parcel Number
If buying on contract: Owners name ��� simo�e
or legal description shown on tax statement:
�,t � ��i � Gc/ ��Y /5-.1- �o S, S3 �f /{
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 properiy utilized to produce income
Any other counties in which individual owns or is buying real property: County Township
I 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 nol exceeding 1�e)'a�e �d�i
surrounding residentia p?Svemenfs
otner �and MAR 191960
Total Land �
Residential Improve�, � ��(��
AUDITOR
Other Improvements .
Dwelling
Garage
Total
To�al Improvements - Line (6) plus (7) equals (8)
� t��y certify the above is irue. correct. and complete.
n l ��
Signawre oi
/� �
�/�
True Cash
Value
(t ) SOO
(2) —9� o
(sJ / S�Go
(4) 7d 70
(5) —
�s� 7a7o
c�� 3ao
�g� S D
- ACTION BY AUDITOR -
Assessed
Valuation
/70
�� O '�P°
..��3�0
Homestead
Valuation
� 70
�?�s=3�a � ,
.3 - 3- 80
Date
Date: � � i 9- ��
Gibson County Auditor
101 N Main
PRINCETON IN 47670
� I��D
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APR 1 2 LU10
�ra ��
200���SON COUNTY AUDITOR
Clifford L/ Sandra A Barrett
2716 E SR 64
Princeton IN 47670 �
IAFAS�I�fRPoRV :SIA
fndividua� anJ rtu;riN mupks are limiied �o oce home�ead �andaN �L�-Avaion. As the �eceipt oi �his dNucCan bttonxs
mere benencial, therc i> morc incentnY than ner (or homnttacl fraucl. Home�rea�l fiaud caius higher �ac bills ior ali: themfore.
HEA I3�ti-3W9 rcquim taxpay<rs x�ho recei.e ihe hanestrad smndard deJuction to .erilj tlut th<y a(e eligiMe to mcene �M1e
benen� an1 ro pra'idr adtlitiunal identii��inc infarmatwn Mnssan ro allw� counn gw'rmmrnt to bzrter moni�or hamesrcal
filin��. This inlormaiim will be Acp confidential and rvn only fa attesseJ br autlarvnf roumy o(ficiuls. The IRpannrent o(
Lxal Govcmmcm Finmrc< ��9II ux tAis fntortnation to arcau twls iha� a'ill h:Ip ctemn' olixials elimi`ute homestead fmud.
, • ' , , ' .
Tazpacer �ame Pro ert�• Address
Barrett, Clifford L/ Sandra A
Stare Parcel Number
26-12-15-300-000.086-027
V
R? 6or i63 �
1'rinceron W 47670 �
Leeal Descriptian
006-00086-00 PT E S W 15 2 10 5.534 AC
C-1 D10
O�.�ner 1 First MidNe Lzs�
C'�i ��id �eor� �Ci✓����
,-F naaa� ���,,;,�, �,a ;n«Y. ��y, s�re, �a z�� �oae� - - - � S�me � p:oycrC� add�. s -
�7/� � Sfo-f-r ll-0a�/ � y PriN�ef,.a �,.� y��7o
Social $
Spou;e First Middlc last
S�,�d ��- �Nn1 �O�r�f�
Mailing Address (NUmber and }vee4 �4'. slate, nnd "LfP coek) � S:une u pmpeny addres.i
2 7�lp L c� ��e- %Laoc� % 7 l�j"/nf c.e/T�.-1 �..1 �/ 7Co 7U
Social Seeurity Number (lut 5 di¢its) Drivers LieensdState ID Num6er (lazt 5 digits) Oeher (pleace specify in Part 4 below)
�. � /
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Each undersi�med certifies, under penalty of perjuq�, that the above and foregoing infortnatiun is true and wrtect and that he or she is elieible to
receive the homestead standard deduction on this property. Each undersi¢ned al;o understands that, by claiming addiiional homestead deductions
unlau-fu11y, he or she may 6e liable for back taxes and substantial financial penalties.
Owncr�I� S�9ign�a�n�uc Dnte Telephme
�-C.!J'�l Z i�.-4-�-y S'�/z��c, �
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