Homestead_Beloat (3)Foarn xc io is�s
PrescriDeE By Staie BoarE of Ta. Commissioners
To & FileO in Dupliwte
CLAIM FOR HOMESTEAD PAOPEATY TAX CREDIT FOR YEAA 19��
SEE BACK FOR FILING INSTRUCTIONS
�(We) ':P��� �• o� _t i��nf�� �^�� �`'�''t't certify that on the 1st day of
� arch, 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) [3'owned OQ6 �Obl (�U �
❑ are buying under contract �
❑ have a beneficial interest in the taxpayer
Property Description in � County ��'�a Township
Taxing District (City, Town, Township): `�Q-�-�� �-
Parcel Number or legal description shown on tax statement:
pC. sE ��{ 'f=3-/a /oo fJ,
PE. 5'/i. NE'/v �-2�o L� �4.
If buying on contract: Owners name �'�"""o'e
Contract recorded in Recorders Office - Record No. Page
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:
fy�e a e statem n is true, correct and complete.
G �
.� G�. .73-�e�-t, 72 �2 �3
SVret AOEreu
County
�„Y.
Township
�, . s�7�
ana Zi0 �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 - �
' True Cash
9 � PS � � Value
Land not exceeding ne��acre imme talel
surroundin residenti im �ove s � (�) �oa
Other Land (2) �-7570
JUN 1 3 1979
Total Land
Residential Improven� /���`k "'�/1 Dwelling
(/(�, � �7l"—
���'4�' Garage
AUDITOq Total
Other Improvements
Tr �' Improvements - Line (6) plus (7) equals (8)
I��y certify the above is true. correct. and complete.
Signawee 1}�ASUSSOe
(3) .2B0�o
(a) 3 �o 0 0
(5) '_
(6) 3[ean
(7) /430
�s� SS 3 0
- ACTION BY AUDITOR -
Assessed Homestead
Valuation Valuation
/'J o
Da:e
Approved: J'� �_--/�{,� Date: � - /8 - 79
Gibson County Auditor
101 N Main
PRINCETON IN 47670
' � ° j i
i ! � : 1 �
i '
APK ? 6 c�w
��� ,C r�.
nu GAHPIIY A UCI � O*�
Ratph E / Martha Mn`�e
2426 E Taftown Rd �
Piinceton IN 47670-8614
���\���in�i��n�in���ni�ii�i
�UR fDRN �!Nlti / �+MI
meASUUn wx� ;s-u
InJiriduaL� and rtu:rieJ coupin are limiud m orc hnmeueaJ NandaN Jalunion. As �he rcctip� ol ihi> dcdunion becomn
more beneficial, there is morc incrntne than r�cr (or home>te�l (nuJ. Ilome��esJ fmuJ causes hi�her u� 6ilk fw all: the¢fae.
HEA GA-i-21N19 requvn �acparen v'ho reeeive Ihe homestraJ gandarJ JcAuclion m verily ifw� �hev arc cligiMc Io mcci�c Ihe
benefit anJ ro pn„'ide aLfitimul idmtiicirc_ fnfwmatiun r�ece.'siry to allux� ewnrc emrmmeni ro Nner moniror homcue:xl
filimn.lhis inl'armaiion will M Aery crnlidauial anA qn nNy te arce: cJ 6r aWMr'vn1 rnuny' otTicivls.'ILe Ikpannxni of
Local Gwcmmcm Fivm�e will ua �his information cu arcam Wuln Ilut o'ill h:lp cvunn� uBicia� dfminah Iromnicxf iraud.
'• 1' �
Taxoaver N•ame Prnpertc Address
Beloat, Ralph E Jr / MaRha Ann
Jr Jr.
i����n�n�i����n�i�u�
State Parcel number
26-12-04-400-000.144-027
V
R 3 I3ux 3R
Princeton 1\ i7670
Lesal Description
006-00144-00 PT E 4 2 10 200.00 AC
C-i
1 First Middle
t�z � � h �d �zrd 3�l o�t
, nud���.i (num6..-r nnd s7cet :in�, s:nte: and ZIP code)_ ' _' .' _-.' ' —' '_ _ . _ �$ome u �m�+ert� Mdrec�
Z 4 2� E� l 2-�'�a w v� l��
�
� � 12rj��
���
Addrcss (i�umber and s�m4 ��y, s�ate, and "LIP code)
Z 4 2� � / a-�'-to ta.� ���
:curiry� Numbtt (lan 5 dieirs) Drivcrs Liccnsc/Stacc ID humbcr (la,� 5 digi[s) Ocher (plcuc
�- �
3 �lo�-
pmpeny add+a
Pan 4
undersiened certifies, under penalty of pepury•, that the above and foregoing infurmation is true and correct and that he or she is elieiblz to
; e the homestead siandard deduction on ihis propeny. Hach undersiened al>o understands that, by claimin¢ additional homestead deductions
✓fully, he or she may be liable for back taxes anJ substantial financial penalties.
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