Homestead_Beloat.��:,;'� ..' .
Gibson County Auditor
• ' 101 N. Main SUeet
Princeton,IN 47670
.
214
APPRO[FDB�'
FllEYA100 BY
rnrws�nrn wa�+nu
Indiaiduals and marricd couples are limi[ed to one homutead standard deduc[ioa As che rmeip� af this deduction hecomes
more heneficial, iherc is morc inttnti�e than n�er (or hommcad fnud. Homestead faud puus higha iu biils for all; chemforc,
H£A i344-?009 requires taxµners a�ho mcerv'e thc homcslcad stmdard deducrion to �crify Uut chcy are eligible ro recei.< thc
bmefi� and w prm�ide additimul iden�fving in(ormntion necesury b allow' <ounty gwtmmrn� to bener moniror homeslrnd
filings. ittis information w�Il be Sept confidrnriai and can anN be acc�SSeC by am6orizcd rnunry of5cials. The Departrnrn� of
I.ocal Ga'eromrnt Finance will use this informa�ion to create tools that will he�o rowN officials elimi�re homestead fmud.
David M/ Sue Ellen Beloal
Po Box 605
Princeton IN 47670-0605
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Taxpayer Name
Beloat, David M/ Sue Ellen
/
I II�I �I I I� �III �I I�I �II
Location Address
0 WILSON AVE
PRINCETON IN 47670
II�II�III�II �Ill�ll��ll�llul�l� II II
State Parcel Number Leqal Description
26-12-08-102-000.13� y���z�.27taC
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Gtl�Y 9 20U
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GIBSON COUNTY AUDITOR
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
�,q.v� � I /l�f �c�iac L
iling Addrzss (number and sffect, ciry. statc, and ZIP c e)
�07 uJi/SDa7 /-}� e� ,e/,t,e�e�o.v� %.v
Drivcls LiccnselStau ID �irmbcr (lazt
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Address (Number and smxt ciry, sta[c, and ZIP code)
5 diQiu) I���s LicenselState ID
5 digia)
F]
�0�'7`
—Same as oroocrtv addrtss
� 7�70
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�e az PmP�nY
(pleau spccify in Pan 4 below)
undersigned certif es, under penalty of pequry, that the above and foregoing infortnation is we and correct and ihat he or she is eligible ro
�e the homestead standard deducrion on this properry. Each undersigned also understands that, by daiming additional homestead deductions
+fully, he or she may be liable for back ta�ces and substantial financial penalties.
�
wan� nc io iem To ee Fiiee �n worcace
Rescri�e0 By Sta�e BoaN of Tax Commissioners
CLAIM FOH HOMESTEAD PROPERTY TAX CflEDIT FOfl YEAR 19 �5
SEE BACK FOR FILING INSTRUCTIONS
1(We) ��Y1� � s� �—�_�\ certify that on the 1st day of
�v�arch, 19�`L, 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) Cfiowned (,/��O -Dp/36-bU
❑ are buying under contract
❑ have a beneficial intere,�s,/t i�n the taxpayer /�
Property Description in .�/�-Ud-tti.� County '�'"�� Township
Taxing District (City, Town, Township): ��a-�-� �
Parcel Number or legal description shown on tax statement:
Pt .v'�z uw`�y P-��e �-I:1�i /4.
Ii buying Ofl contract: Owners name «re simo�e owner)
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.
'�U..�C� � ��-�+ 1,t7�1Sor�l�e.._ �,�.J��,.�7.. �l-710��
'�Signature Sveet AEEress Ciry. Scate antl ZiD �e
' 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 t(on?� acre immediatel�,
surrounding residential irt{�OVe�ents� � �
Other Land �)
Total Land
Residential Improvements
Other Improvements
,; ur� 1 3 1979_
1 • �
� � : ,�.
/ •� Y'
T'-' Improvements - Line (6) plus (7) equals (8)
I�Ay certify lhe above is true. correct. and complete.
S�g�awre bJ nssessor
Approved
True Cash
Value
(t) �oo
(2) 3/0
(3) Q/ �
(4) 37t 90
(5) —
(6) 37d' 40
(�) —
�s> 3�P90
I C� P► t e l'L• i Q�7 l i�7 .�
Assessed
Valuation
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Homestead
Valuation
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Date: