HomeMy WebLinkAboutHomestead_BurchFONM HC 10 1979
Preu�ibetl By State BwrG ot TaR Cammissione�s
To Be FiIN in Duplicate
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 ?2
SEE BACK FOR FILING INSTRUCTIONS
�(We) ���' �. �'�u�.e.l� certify that on the 1st day of
arch, 19� I, (We) occu ied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I. (We) Q�owned ' �O�-Doa39
O are buying under contract
❑ have a beneficial interest in the taxpayer n
Property Description in � C/�ounty `�''a-- .�O-ka Township
Taxing District (City, Town, Township): `���- �'�.
Parcel Number or legal description shown on tax statement:
—Pb IV� ��'� 3/-i-iD , 76 fl
If buying Ofl contract: Owners name ��� s�moie owneq
Contract recorded in Recorders Office - Record No. Page
If any portion of the residential structuie 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 ab�ove stat�emen is true, correct and complete.
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'Signawr Sheet Ha0res5 Ciry. Sta�e antl Zip CoCe
' Individual either owns or is buying under a contract ihat provides he is to pay ihe properiy taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY
Land not exceeding 1(one) acre immediately
surrounding residential improvements
Other Land
Total Land � �
Residentiai Improvements
a w� ..,,,�i
i �j.
J..
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Fr ,�Y 3 l. 1979
Dwelling
Garage
Total
Other Improvement�
T� Improvements - LI e(6) plus (b��{� R(8)
��6y certify the above is true. correcf: and complete.
Signawre oi
True Cash
Value
(�) 9sa
(2) �
(3) 9da
(4) o2/3ao
(5)
(6) .1/30�
(�)
�g� �/3on
Assessed
Valuation
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1�' `^ r-�
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3- �3" "7 5
Da:e
Homestead
Valuation
31.
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- ACTION BY AUDITOR -
� Date: � -3� �/
�
�
GSbson County Auditor
101 N Main
PRINCETON IN 47670
798
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IndiridwL and ma:riN coupks are IimiiN to onc home�eaJ sandaN JeJunion. As ihe rttript ol ihi� dalurtion 6econres
mure bemncial. �herc is more incentnr ;I�n ner (or homesm>I frauJ. Ilomestrad FrauJ causa hi�her ta� bili> (ur all: Ihertfwe.
HEA 13+i-]IX!9 rcquim taiparen x�ho rtccive Ihe hanestmJ smndarJ JNuc�ion �n .erilr thei thcy am eligiMe to reaci�c the
benefil anJ ro pnT'idr aAUitimul idrn[iirinc fn?wmation �cez'vrv to albw' counq� grn'rmmenl eo Nner muniror hunxRrcad
tiling..'ITiis infnrmmiw will M kqv crnlidenual anA rdn nnl�� Ix: aom�eJ br awMrirnl rnuntc nlTcinls_'ILe Ikryunnmm of
I.ucal Goremmrnl Fi�unce �vill u.e �his infortna[iun �u crcam 0.wls Ihat will hclp nwnn� ulficials climinam Iromcst<ad FmuJ.
. � � � � �
Tuxpacer Name Propert�� Add�ess ` I
Burch, Janey L 375 E 0�d �CTeY3 pv.�f�
po �� '1
' p.
Prinremn I\ 47670 �
Janey L Burch
___ 375 E Otd Petersburg Rd _ __
Princeton IN 47670-8515
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_ State Parcel Number
26-OS31-200-fd00.239-027
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Le�_al Descrintion_ ,__ ____ __ ___
006-00239-00 PT NE 37 1 70 .76 AC
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�g AdUrcss (numbcr and strcc[, city, s'stc, end ZiP codej . Snm.` a, p*c� zr' a:..'.(—..,s
37S �,Ol� f���rs�urgl4c? pr�hce� ,=,V <t����
Sceurity Numbn (last 5 diG�s) Driver's License/State ID Numbrr Qazt 5 digiu) O�her (plcise specify in Part 4 below)
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Addrcss (Number and s�rceL cii�t siate, anJ ZIP cu�k)
(latt 5 digics) � Drivcrs Liccnsc/Sta[c ID Numbcr (lazt 5
� Sam< as pmpcny add�a
spccify in Pan 4 bclow�)
undersiened ceni6es, under penalty of perjuq•, that the abo�•e and foregoing informatiun is we and corrzct and that he or she is elieible to
�e the homestead siandard deduction on this propeny. Each undersiened al>o undemands that, by claimine additional homestead deductions
�fully, he or she may be liable for back tases and substantial financial penalties.
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