Homestead_BassettFOflM HL 70 1979 To & FileO in DuDlicate
P2scri0eE By State BoarU ol Taa Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAH 19�_
SEE BACK FOR FILING INSTRUCTIONS
��We) �1.u.L 9Z ��-Qcn-st-�1�'1. .QQ,aa�� certify that on the 1st day of
�rch, 19_�, ,(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) C�'owned 0�� DDO9y-�o
❑ are buying under contract
❑ have a beneficial interest in the taxpayer � n
Property Description'in _� —County �b"4.�-0� Township
Taxing District (City, Town, Township): �,Q�o�a:�.,;._�y_6.u��
Parcel Number or legal description shown on tax statement:
' F�. �"��z. AlEIi�G �7-2-�c 7l4.
If buying on contract: Owners
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.
�
ana Zip CoCe �y.�
"Y)�``.v�` Q) �l
Individual either owns or is buying under a contrac[ 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(onel acr im ediatg� �
surrounding residential i�ve�ents� �
�.
Other Land '
Total Land
Residential Improvements
Other Improvements
R�AY 2;; �g�g _.
D el ing
�� AUDI�ORI
Tr•-' Improvements - Line (6) plus (7) equals (8)
I�by certify the above is true. correct. and complete.
ASSPSSO�
True Cash
Value
(�) .Sba
(2) �
(3) .j6o
(4) (0370
(5) �30
(6) % 8 0 0
(�) —
�s) f� Bod
- ACTION BY AUDITOR -
Assessed
Valuation
/ 70
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Homestead
Valuation
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Date: -�- �` 9 - % g .
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
4106
aurzroxu•�w�a_r..n�
MANA[1tFOR4 iSiA
IndiviJuaL. anJ m�:rin1 couple arc Iimi�eJ w orc homc.aeaJ uanNN Jalumm�. As the �ttrip� of this JNunbn beconro
more beneficial, thrrc i� morc incenme dun nrr (or homasmad frauJ. Ilomo�ead fra�a1 causes hi�her ia� 6ilk tix all: there(we.
HEA GSS-2IXl9 requim uapa.en who recei.e ihe hnnes�eaJ standud Jcyfuction in .erifi� dut iM1cy am cli�ide b mcene thc
benefit anJ tu pmrid<:KWi�ional identiiyim_� infurmatiun ncee.nn� �o allw� county gaemmrnt �o Nuer mwitur homesreaJ
tilin��. This inlortnaiinn x�ill M AryV rtutlidemial anJ ran nNV k. acrexuJ by aWhorizeJ [nnnly n0iciaL_'Ihr Ucpannrem of
I�cal Gm<mmcm Fieu�rce will u.c this intomunun m crcam t.wls �hat aill hcln munm otTciak rGmiwe Iv�m�e�nd b..��A
Terry / Marlene M Bassett
3253 E 250 S
PrincetonlN 47670-8730
���u��ni����n�in���ni�u�i�ui�n�����uu���n���i��u��
T•rxoaeer Namr
Bassett, Terry / Marlene M
State Parcel Number
z�i z-z�-zoa000,osa-oz�
��
Prnpertc Address
R ? I3ox RR
1'rinccion IN J76J
Lesal Descriotion
006-00094-00 PT E NE 27 2 70 1 AC
D70
1' 1
Ou�ner 1 First htiddl< Lui
TE RRY G �NE (3ASS�Ti�
�e Address (m�m6er end;ucct. city, state. and ZIP cadc) — . . - �-- --� --- ��Snme as pmpem nddnss � �- --- —� ' —
5a53 �- a5° S. (�t�iNCF�'oN, �ND. `f�b"Io- $�30
Socul
Spouce Fim Middlc last
mw����E rr� �� L�R �3ASScTr
Mailing Addrcv (Number and sVee4 cin',>mle, anJ "LII' cuJe) �Same us pmpmy �aidrcss
3a53E. a5os, �ierNCEi�IJ,=N�.4�b�e-3�3o
Social Securiry Number (lavt 5 digits) Drivefs Limnx/Staee ID Niunbzr Oa;� 5 digi[s) Other (plcuc sTecif�� in Pan <below)
_ �-- � '
. . �
E:ach undersi�med certifies, under penalry of pepury, that the above and foregoing infonnutiun is we and correct and that he or she is eli�ible to
receive the homeslead standard deduction on �his property. Each undersiened also underslands that, by claiming additional homestead deductions
unlawfully, he or she may be liable for back taxes and substantial financial penalties.
O�.�ncr I Si�mawrc Ihte '1'cicphone
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