HomeMy WebLinkAboutHomestead_BatesFORM HC 10 19i9
PreunoeE By Sta�e BwrO o� Ta. Commissioners
io Be FiIM in Duo�ica�e
CLAIM fOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19�
SEE BACK FOR FILING INSTRUCTIONS
�(We)— �� `� °� �7Qn.�1 �1B�L� certify that on the 1st day of
March, 19�2, I, (We) occupied as o principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) 0'owned 0�� bQ�9,s=�
❑ are buying under contract
❑ have a beneficial interest in the taxpayer n
Property Description in � I C.�ounty `-���— Township
Taxing District (City, Town, Township): `�S�d.�-�-� �
Y
Parcel Number or legal description shown on tax statement:
P� NE �i� IG - a-io �. 3��1,
If buying on contract: Owners name ��� simo�e
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:
� hereby certify the above statement is true, correct and complete.
�t
SUe¢t Adar¢55
County
Township
og...�( _Y-' 7 �d ! 0
S�a;e ana Zip CoQe
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(o�e� ac� im�diately
surrounding residential improvements g
Other Land ��,q{ �, ,1g�
����.�J�` 9
A��
Garage
Total Land
Residential Improvements
�� L'
i - '/
Total
Other Improvements
�T� ' Improvements - Line (6) plus p) equals (8)
eby certify the above is true. correct. and complete.
HSSPS50f
True Cash
Value
r � l �a so
(2) � � o
(s� /3 / a
(4) �fa 5�-�
(5) -_
(6) �-cZ�jo
(�) —L�
�8� �j � o
- ACTION BY AUDITOR -
Assessed Homestead
Valuation Valuation
��o
��
� " '%/%%�%%
i � �%ii���%
S -- � `f�- 7 9
oa:e
Approved: � y� � Date: ///�� 3�j l9 7 5
1
.. ��
Gibson County Auditor
101 N Main
PRINCETON IN 47670
�
3556
Mary Bates
2211 E SR 64
PRINCETON IN 47670
1
M ��y
ivwmlrn rortv :s.�n
IndiviJuals aod martiN coupk. are limiinf io ore IromeucaJ yandaN deJunion. As �hr recerpt of Jti> dedunion bttonxm
morc beneficial, thrre is morc incrnme dun r�er (or homesteaJ fnud. Homo�racl fraud causis hi�her ta� bilL (or all; �hercfn<.
HE.\ IiJi-3IX19 requirn uxpa.m v.ho rcceivc Ihc hanestead standard deAunion m.erity ihat they am elicible m mcri.c th.
benefit an1 ro pnn'iJe :ulJiiional iJentifyinc inturmation nemsary ro alluw' cuunty gu�rmmrnt ro beuer mmiror humesreaJ
�ilint,�. This into�mmion will hr F.cpl eonlidemial and cin only Fe aceesuJ hy aWMriuvl �o��,n� on����i,. �rne Ikpannrcm n(
�'� � f�-
ng Addnss (numbcr nnd suett, ciiy, smtc, arid ZIP codc) -
ZZ Il E sR (o�',{�f`�nca+ov�,ilU `fTfoZ�
First P � U L
cNfi�t..�
�n���� ��
e.Addrss (Number anJ stec4 ��}', smtr, and "LN cak)
��G�' f�S �D
.
T•uxpaver Name
Bates, Charles P / Mary
��.
State Parcel NumAer
2s-i z-� s-zoao�ossoz�
Prooem• Address �/�
Z1�� �. SR• �o T
R ��3��
Princemn IN 47670
Leeal Description
006-0009500 PT NE 16 2 10 2.35 AC
D70
....� �t!-�ES
. _ _ � nme as propcm nJd� -- �:�}-'o-. - _ �
C O !` !'t�.�}-Q-��.
s�.ne a�s Mq'.1�
Othcr (pleas<spttify in Part 4 below)
Middle !2 � � � S
{J
� Same n1 propeny addres
Othcr (plcasc spccify in Part 4 bclow)
ach undersi{,med certifies, under penalty of pequp•, that the abovt and foregoing infurtnation is we and wrrect and that he or she is eli4ible to
ceive the homes�ead standard deduc�ion on �his property. Each undersigned al;o undersiands ihat, by claiming additional homestead deductions
dawfully, he or she may be liable for back taYes and substantial financial penalties.
+�Mr I Sitmevae � p ' � Uatc Tcicphonc [:
�-, ��� �pr��y`W� � � — lc. —1 C (
ousc5ie`umre �i� Tclephonc
q�_.� ��� � aa A � � � ., . v�
� o -�r -0 8"